Chapter 13 Flashcards
(23 cards)
_____filing method is the simplest of all numeric filing systems
Straight numeric
Due to the large number of files processed in a busy office and the confusion over surnames, _______ of files is recommended
Cross referencing
Cross referencing refers to alerting the health worker that a file may be found under another name (true or false)
True
The _______ -year statue of limitations begins to run at the point of discovery of the damage and the connection between that damage and the treatment
two
All ______ from tests performed on patients, such as office tests, laboratory tests, and hospital tests, should be tracked and filed in patients’ records for easy accessibility should the physician need to consult them
results
Medical records are confidential and can never be released without patient’s consent (true or false)
False
To decrease the number of misfiled charts and aid in file retrieval, many medical record departments use a ______- coded system in their file folders
color
The patient__\_ form usually includes patients name, the date of visit, as well as the patients age, date of birth (DOB), Social Security number, drivers license number (if applicable), address, and medical insurance information
registration
The Health Information Technology for Economic and Clinical Health Act (HITECH) includes______ for providers who adopt an EHR system and demonstrate its use in ways that can improve quality, safety, and effectiveness of care
financial incentives
_________ records relate to patients who have been seen in the past few years and are currently being treated
Active
The American Medical Association recommends keeping medical records for five years (true or false)
False
A ______ file is used to remind the medical assistant of an event or action that will take place at a future date
tickler
To absolutely safe, ideally, all medical records should be retained _______
Forever
The consultation report describes a surgical procedure (true or false)
False
The medical record is a legal document, a _________ record, and tool used to communicate between staff members to deliver services to the patient
permanent
These types of records are also referred to as archives
Closed records
Medical records should be written legibly in _____ink
black
Which of the following is NOT one of the three commonly used systems for filing ?
UPC code
All of the following would be listed on the patients family and medical history form, EXCEPT
patients previous employers
If you make an aren’t on a medical record, be sure to erase, or totally obliterate, the original error (true or false)
False
Medical records are _______ documents
legal
Most states require that all patient records be retained for______ years after the last treatment
two to seven