med 130 final exam Flashcards


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1

should be filled out when a threatening call is received.

Unusual occurrence report(UOR)

2

Authorizes access to a patient's personal information

confidential communication preference (CCP)

3

Used for reference when placing long-distance phone calls

time zone map

4

prevents you from disclosing patient information over the telephone to unauthorized parties

Health insurance portability and accountability act (HIPPA)

5

Takes patient calls during non-office hours and relays messages to the office or on-call doctor

Answering service

6

can be used to help compile contact information for community resources

search engines

7

system designed to address patients language needs

interpreter service

8

Allows participants in different locations to hear and see each other at the same time

teleconferencing

9

may be used to allow patients to request prescriptions refills

patient portal

10

often allows you to select a priority level, depending on the time sensitivity of the message

electronic message template

11

A combination of practice management and electronic medical records

electronic health record (EHR)

12

Refers to the interoperability of electronic medical records or the ability to share medical records with other health care facilities

electronic health record (EHR)

13

patients can create their own electronic health records; communicate with their provider electronically; request lab results, referrals, and appointments

patient portal

14

A combination of electronic, wireless, or paper records

hybrid

15

A software that provides the medical office the electronic component to deal with day-to-day financial and administrative operations of a medical practice and that allows information to be pulled from the patient's record and populated in the financial components of the patient account

practice management (PM)

16

Patient records in a digital form at

electronic medical record (EMR)

17

A phone screening manual is sometimes called a(n)_______ manual

triage

18

Before you transfer a patient's call to another department or office

pull the chart for the provider if the patient is calling for info and have the pertinent data readily available, give the caller the phone number, extension, and name of person to whom you are transferring to, signal (or page) the person in the department you are transferring to and when the person answers, explain who is waiting to speak to him or her and give a brief summary of the issue

19

electronic prescription refill request are commonly referred to as

e-prescribing

20

if a caller is requesting info, you should ask if you can call him or her back if it will take you longer than_____ to retrieve it

1 minute

21

if a caller makes threats, you should

document the info about the caller and the threat and end the call

22

if a person claiming to be a patient's attorney calls to request info from the patient's medical record you should

verify that the attorney is authorized to receive it and offer to call them back

23

If you are speaking to a patient face-to-face at the office and the phone rings, you should

say, "excuse me for a moment, please, "and answer the call

24

it is most appropriate to use an answering machine

during the office lunch break

25

phone menus are designed to

increase efficiency

26

the use of mobile devices in health care settings is commonplace, which of the following is not considered a concern when using mobile devices

convenience and connectivity

27

when a patient calls and asks to speak directly with the provider, never respond by saying

the doctor is busy

28

when a patient calls with a medical question, you should

document the patient's info and relay it to the doctor for review

29

when answering a telephone call, you should not

remain expressionless

30

when conducting phone calls, on average, how long doe it takes a person to pick up on attitude from listening to the tone of the person's voice?

10 seconds

31

When documenting a telephone call, you should

include your own name or initials

32

When it comes to your personal mobile device, it would be considered best practice to

put the phone away during office hours

33

When obtaining a telephone message from a recording device or outside answering service, you should not

prioritize messages according to the order in which they were received

34

when responding to a nonemergency phone call and the person needs additional info, it is appropriate to respond

"may i call you back with that info", confirm the patient's phone number before hanging up because it might have changed since the patient's last appointment, excuse yourself from the phone call by saying, "may i put you on hold for a moment?

35

when scheduling appointments, you must do all but which of the following?

use at least 3 identifiers of the patient

36

Which calling feature allows several people in various locations to converse at the same time?

conference calling

37

Which of the following is the most appropriate question to ask when scheduling an appointment?

What is the reason for the visit?

38

your provider has a scheduling template that has 3 time slots held for same day or urgent visits, two in the morning and one in the afternoon. when booking a same-day or urgent visit, you ahouls

book same-day appointment for patients requiring more immediate attention, fill your afternoon appointment first

39

which of these are used to provide specific written instructions regarding the examinations and diagnostic tests performed in your office?

information sheets

40

any identified materials to be sent with the letter

enclosures

41

identifies another person o persons to whom a copy of the letter is sent

Cc

42

Expressing the closing of the letter

complimentary closing

43

content of the letter

body

44

address of the person to whom the letter is being sent

inside address

45

signature of the writer

sender's signature

46

writer's title, if appropriate

title

47

initials of the letter's typist

reference initials

48

greetings to the recipient

salutation

49

used to identify what or about whom the letter is concerning

reference

50

date when a letter is dictated or composed(if not dictated)

dateline

51

preprinted name, complete address and phone number(optional)

letterhead

52

word that modifies a verb, adjective or adverb

adverb

53

word that is used to express strong feeling or emotion

interjection

54

word that connects words, phrases and clauses

conjunction

55

word or word group that expresses action or a state of being

verb

56

word that describes, limits or restricts a noun or pronoun

adjective

57

Name of anything, such as a person, a place, an object, an occurrence or a state

noun

58

word that shows the relationship of an object to some other word in the sentence

preposition

59

substitute for a noun

pronoun

60

used to enclose a direct quote

quotation marks

61

used to formally introduce a word, a list, a statement or question, a series of statements or a long quotation

colon

62

Used when omitting a word, phrase, line, paragraph, or more from a quoted passage

ellipsis

63

used after words, expressions, or sentences to show strong fee lings

exclamation mark

64

placed after every direct question

question mark

65

used in contractions to signify that one or more letters have been left out

apostrophe

66

used between two clauses of a compound sentence when they are not joined by a conjunction, unless they are very short and are used informally

semicolon

67

used to separate two adjectives when the word can be inserted between them

comma

68

placed at the end of a statement

period

69

used to enclose matter apart from them main thought

parenthesis

70

usually are personal and informal in nature

informal notes

71

annual diagnostic examination reminders

from letters and templates

72

used for thank-you, congratulations, or similar expressions

informal notes

73

a powerful tool, enabling us to communicated at. times without picking up the phone or worse getting on a plane; provides round-the-clock convenience and service, reducing cost and increasing productivity at work

email

74

an informal, memo-style communication that is usually specific to one concern

interoffice communication

75

allows for the almost instant exchange of information

email

76

professional associations, licensing boards, and other physicians regarding some issue or concern affecting personal medical activities or their professional practice

professional letters

77

correspondence with travel agencies, mail-order catalogs, uniform or clothing suppliers and specialty shops

personal letters

78

an effective way of being certain that everyone is aware of some event, policy, concern and other internal communication, circulated electronically or by a copy of a memo

interoffice communication

79

often written on a first-name basis

informal notes

80

provide specific written instructions regarding the examinations and diagnostic tests performed in your office

information sheets(patient education)

81

noncompliance, missed appointments, and dismissal from practice

form letters and templates

82

return-to-work or school approvals

form letters and templates

83

referrals, consultations, annual examinations reminders, collection letters, school and work releases, suppliers of equipment and materials and other correspondence necessary to the office operation

form letters and templates

84

A form letter would not be appropriate for

outlining an accident victim's injuries

85

a release would be required to give information about a patient to

life insurance questionnaire

86

a ______ sentence contains two or more independent clauses, separated by a comma

compound

87

adverbs commonly end in

-ly

88

how many sheets of paper are in a ream?

500

89

if you receive a letter or package that you suspect is contaminated, you should

wash your hands throughly with soap and water

90

the characteristic feature of the _______ letter style is that the dateline, complimentary close, and typed signature begin a bit right of center

modified block

91

the first step in composing a letter is to

determine what information needs to be included

92

There are three letter styles. which of the following is NOT considered a letter style

partial block letter

93

when addressing a letter, it is recommended that you use a(n)_____ type font to help expedite delivery

standard

94

when typing a business letter, the sender's name is entered _____ spaces below the closing

four

95

When using the three-read system of proofreading, which of the following do you check for first?

errors in composition

96

when you annotate the incoming mail, you

identify for the physician important points to be noticed

97

which main service is used to ensure that mail is delivered only to a specific addressee or an authorized agent for the addressee

restricted delivery

98

which of the following would sent to a licensing board

professional letter

99

which of these is a disadvantage of using email

it is not as secure, private, and confidential as people think

100

which of these statements is true

emails can be sent or forwarded without your knowledge or permission

101

Which of these words should be capitalized

Tylenol

102

which of these zip codes is written correctly

74820-2772

103

a bit is either

0 or 1

104

A safe environment begins at the front door. Thereceptionroom requires a safety check every morning to ensure that it presents no hazards for patients and visitors. Which of the following is not part of evaluating the reception area

placing charts for check-in

105

At the beginning of the day, visually inspect all exam rooms and lab areas. What items should you inspect and tasks should you perform

restock supplies and maintain inventory, observe temperature and plug in any disconnected electrical equipment; check the water level in the autoclave and turn it on

106

Chemicals kept in the office for laboratory work

must be properly labeled and stored

107

daily equipment maintenance includes all but which of the following

ordering replacement parts

108

dragon naturally speaking is an example of

speech recognition

109

electronic health record (EHR) software allows you to do all but which of the following?

Determine the best drug for a patient without consulting the provider

110

hardware and software devices that protect and organization's network from intruders are called

firewalls

111

identify advantages of using encoder software

medicare CCI edits

112

if a medical office has a computer network, passwords should be used on

all computers and all software applications

113

if you are the first person to arrive at the office and there is evidence of forced entry you should

leave at once and call building security or police

114

it is recommended that all central computer data be backed up

daily

115

regardless of whether your office has electronic health record(EHR) software or not, you must employ best practices for safe computer use. there are a number of consideration for security. which of the following is not considered best practices for computer security

placing printers, fax, copier, and so on in high-traffic and visual sight areas

116

The internet is a system of interconnected computer networks by which to access information from all over the world. to access the internet, you need

modem, web browser, and computer

117

The national task force on violence against health care providers recommends that medical facilities conduct ________ inventories

semi-annual

118

to avoid alignment or repetitive injuries while working, use

proper ergonomics

119

when using a computer, you should not keep your

thighs perpendicular to the floor and the lower legs parallel to the floor

120

when using a fax machine, you should not

transmit material without a cover page

121

when using electronic health record (EHR) software, the electronic superbill

can be done in conjunction with charting

122

which is not considered part of preparing the front desk at the beginning of the day

checking the reading material, toys and books

123

which of the following is an example of software

application program

124

which of the following working postures is NOT considered proper ergonomics

upper arms and elbow extended outward

125

which statement about the internet is correct

some type of web browser is required to access web sites on the internet

126

why is careful monitoring of inventory vital in a medical practice, and what is considered best practice

you do not want to over-order items, you do not want to run out of supplies, time-sensitive (date expirations) items should be stored in order of expiration, with the first to expire in front

127

patients are scheduled in the same way as wave scheduling, with the exception of scheduling patients in the last 30 minutes at 10 to 20 minute intervals

modified wave

128

scheduling patients for specific types of visits or procedures at specific times

clustering

129

no scheduled appointments; patients sign in upon arrival and are seen by the physician in that order

walk in/ open hours

130

appointments are scheduled for a particular, amount of time based on patients need

streaming

131

each patient is booked for a specific amount of time

single-booking

132

patients are scheduled during the first 30 min if each hour, leaving the last 30 min for same-day appointments

wave

133

same appointment time is given to two or more patients

double-booking

134

a disadvantage of clustering is that

if one visit gets off track, it may throw the entire appointment flow off track

135

a disadvantage of electronic appointment scheduling software (practice management ) would be

printing copies of schedules, therefore not reducing the amount of paper consumed

136

a patient does not need to provide signed consent for the medical office to release information about

a public health risk

137

A_________ refers to blocking off time slots in a paper schedule with an "X" or having specified time periods automatically blocked out in the computer's schedule screen

matrix

138

during a telephone screening, you should not

paraphrase the caller's description of their symptoms

139

electronic appointment scheduling software (practice management) offers several advantages over paper schedules. which of the following is not considered an advantage of electronic scheduling?

downtime resulting in lost information

140

if a new patient appears reluctant to complete the intake forms, you should

quietly offer to assist in completing them in a separate closed room

141

if a patient engages in clearly inappropriate behavior, you should

have a witness come in and instruct the patient to cease the behavior

142

if you have a patient who is habitually late, it is recommended that you

ask the office manager to discuss the scheduling policy with the patient

143

insurance companies typically require patients to obtain a _____ before they will pay for a visit to a specialist

referral

144

one way to ease fears and maintain good rapport with patients is to communicate clearly what is expected from patients of the practice as well as what patients can expect from the office staff. why would explaining payment options and billing procedures be an important part of communications

to help avoid misunderstandings regarding financial matters

145

posting a ______ is one way to communicate not only the legal rights patients have while under the care of a practitioner of facility but also what rights they have ethically

patients bill of rights

146

the main disadvantage of single-booking is that

if patients problems are easily addressed, there may be gaps in the schedule

147

the primary benefit of _____ is that patients have an opportunity to present for complaints that have an unexpected onset

walk in/open hours scheduling

148

to help a patient develop a payment plan for elective surgery, the medical assistant should

review insurance coverage with the patient

149

weekly schedules for the providers should be accessible to

everyone in the office

150

when patients arrive at the office, the administrative medical assistant should

explain all instructions thoroughly

151

when using a computerized scheduling system, a(n) ______ refers to having specified time periods automatically blocked out

matrix

152

when using a paper scheduling system if a patient cancels an appointment at the last minute, you should_______ the original entry

draw a single line through

153

when you recognize that a patient in the waiting room will be required to wait much longer than originally expected, you should

notify the patient tactfully and offer the option to reschedule

154

which method of scheduling is designed to keep a continuous flow of patients coming through the office

streaming

155

which of the following is an advantage of a paper scheduling system

several styles of appointment books allow for scheduling as far out as a year or more

156

what act was signed into law as part of the American recovery and reinvestment act that provides health and human services (HHS) with the authority the promotion of health information technology

health information technology for economic and clinical health (HITECH)

157

what do the two Ds in CHEDDAR stand for

details and drugs

158

What does the "P" stand for in POMR

problem

159

what does the P in SOAP stand for

plans for further studies, treatment, or management

160

when making a correction to the progress note in an electronic medical record, you should

use the edit feature

161

when recording progress notes, the specific chief complaint should be

written using the patient's own words

162

when terminating or severing the physician/patient relationship the physician should notify patients in writing, which of the following statements is NOT true

advise the last day the physician will be available to render medical care, assuring the patient has been provided at least 5 days of emergency treatment and prescription before discontinuing the physician's availability

163

when you purge a file, you

clean it out

164

which of the following system provides the most patient privacy

numerical

165

which of the following is an objective statement

the patient's heart rate is elevated at 120 beats per minute

166

Which of the following is not an advantage of electronic health records (EHRs)

they completely eliminate the necessity for paper records

167

which of the following would be a subjective statement

you don't look well

168

identify what would be part of maintaining a patient's medical record

straighten and tidy the forms before filing

169

a complete and accurate medical record provides legal protection for

both patients and physicians

170

health insurance portability and accountability act (HIPAA) requires all medical records, signed consent forms, authorization forms, and any other HIPPAA-related documents to be retained for ____ years

six

171

in regards to filing____ is done by marking the index identifier on the paper to be filed

coding

172

it is recommended that filing dividers or guides be constructed of _______ material

heavy, sturdy

173

the patient chart belongs to the

medical practice

174

When coding, the primary reason for the office visit is listed first, and other reasons are listed in what order

order of importance

175

when records are reviewed by third-party payers, if a procedure is not documented, it

is considered to never have been performed

176

where in the current procedural technology (CPT) manual would you find information about modifiers

appendix A

177

which of the following statements is true regarding healthcare common procedural coding system (HCPCS) level II codes

level II G codes are temporary codes for procedures/professional services. Level II codes are composed of one alpha and four numeric characters. Level II codes were developed to identify products and supplies for which there are no current procedural terminology (CPT) codes

178

who publishes current procedural terminology (CPT)

American medical association (AMA)

179

As a result of the Medicare modernization act of 2004, new, revised, and deleted healthcare common procedural terminology (CPT) codes must be implemented every year on which date

January 1

180

Assigning a procedure code that dose not match patient documentation for the purpose or increasing reimbursement is known as

upcoding

181

international classification of diseases (ICD) codes are descriptive of the

presenting disease or condition

182

services performed in the office are generally selected on a patient's encounter in the EMR by the

provider

183

the AMA defines medical necessity as services or procedures that a prudent physician would provide to a patient in order to prevent, diagnose, or treat an illness, injury, or disease or the associated symptoms in a manner that is

clinically appropriate in terms of frequency, type, extent, site, and duration, in accordance with the generally accepted standard of medical practice, not for the intended economic benefit of the health plan or purchaser or the convenience of the patient, physician, or other health care provider

184

the current procedural terminology (CPT) manual uses symbols to indicate information about code numbers, for example the + symbol stands for

add-on code

185

the international classification of diseases, 9th revision, clinical modification (ICD-9-CM) remained in use in the united states until September 30th of what year

2015

186

the main rule to remember of the international classification of diseases(ICD) coding rules, which says that the reason for the patient visit (Encounter) is coded first in known as

reason rule

187

upcoding can result in

serious fines and penalties