Certificate in Medical Record Management

Online Examination Detail:
Duration- 60 minutes.
Number of Questions- 30. (Multiple Choice Questions).
Maximum Marks- 100, Passing Marks- 40%.
There is no negative marking.

1 / 30

1. Which is not a benefit of dictation.

A. No additional training for physicians

B. Retention of the narrative form of documentation

C. Providers with low computer skills can still use an EHR

D. Physicians or assistant must review and edit files

2 / 30

2. Which is not a disadvantage of total conversion.

A. Conversion of unnecessary data

B. Higher error rate

C. All data are converted at once

D. The cost

3 / 30

3. The most common method of filing in today’s medical office is-

A. Alphabetically

B. Numerically

C. By insurance

D. By insurance

4 / 30

4. All tethered PHRs allow patients to:

A. Add information

B. View information

C. Revise information

D. Delete information

5 / 30

5. Some physician practice-based EHRs provide this linked application to allow patient interaction:

A. Website access

B. Computerized communication

C. Electronic health record systems

D. Patient portal

6 / 30

6. Which is NOT an advantage of using clinical templates.

A. The physician must change the way the patient encounter is documented

B. Repetitive information is quickly documented

C. Data are standardized and consistent

D. Templates can be customized to meet the needs of the practice

7 / 30

7. State statues have ruled that medical records are the property of the:

A. State medical society

B. One who created them

C. Patient only

D. None of these

8 / 30

8. Information in an EHR comes from many sources. Which is not a source.

A. Medical assistants

B. Certification agencies

C. Insurance companies

D. Physicians

9 / 30

9. Identifiable patient information that should not appear on the outside of the chart would include:

A. Patients address

B. Patients social

C. Patient’s birthday

D. All of the above

10 / 30

10. Which is NOT an advantage of using voice recognition.

A. It is similar to traditional dictation

B. Transcription costs are reduced

C. Physicians or assistant must review and edit files

D. Information is available in the medical record in less time

11 / 30

11. PHRs typically also do not include:

A. Order sets

B. Employment information

C. Emergency contacts

D. Insurance information

12 / 30

12. Content of a PHR does not typically include:

A. Demographic information

B. List of individuals who can access the PHR

C. Caregiver

D. Flow sheets

13 / 30

13. _________ is known as key of medical records.

A. Diagnosis index

B. Address index

C. Name Index

D. Doctors name index

14 / 30

14. Face sheet refers to-

A. The initial patient intake history form

B. Part of a body diagram, such as when there has been a facial laceration

C. Information collected by the admitting or triage nurse

D. Registration form when presenting for hospital care

15 / 30

15. Which is NOT a drawback of dictation.

A. Transcribed reports are not immediately accessible

B. Retention of the narrative form of documentation

C. Dictation incurs transcription costs

D. Detail is more likely to be omitted if data are not captured at the point-of-care

16 / 30

16. Which of the following does not belong with the others?

A. Progress notes

B. Visit summary

C. SOAP note

D. Interdisciplinary progress notes

17 / 30

17. A process in which some records maybe outsourced while others are converted in-house.

A. Incremental conversion

B. Total conversion

C. Hybrid conversion

D. Partial conversion

18 / 30

18. All three definitions of PHRs have common attributes. These do not include:

A. A PHR is a lifelong tool

B. The individual, in consultation with his/her provider, decides who can have access to the PHR.

C. A PHR is secure and private

D. Data in a PHR is owned by the patient

19 / 30

19. EMR stands for-

A. Emergency room

B. A popular colour coding systems trade name

C. Electronic medical records

D. Emergency medical rules

20 / 30

20. Converting data to electronic form only for those patients for whom appointments are scheduled.

A. Incremental conversion

B. Total conversion

C. Hybrid conversion

D. Partial conversion

21 / 30

21. Which is not one of the seven characteristics defined by the Markle Group?

A. PHRs contain information from one's entire lifetime

B. PHRs are private and secure

C. PHRs are accessible from any place at any time

D. PHRs do not permit easy exchange of information across systems

22 / 30

22. A process in which a practice outsources the conversion process to an external company.

A. Incremental conversion

B. Total conversion

C. Hybrid conversion

D. Partial conversion

23 / 30

23. Which of the following is not a disadvantage of a stand-alone system?

A. All data must be entered and kept up-to-date by the patient

B. Not all physicians will use information from this type of system

C. The information is more secure because it does not send or receive data over a network

D. The patient must remember to print the data or copy it to a portable device to take to a doctor's visit

24 / 30

24. Any information to be released from the medical record:

A. Goes to the medical insurance

B. Requires a provider’s signature

C. Requires patient notification and approval

D. Requires a subpoena

25 / 30

25. Medical Audit is to assess the ______________ of medical records.

A. Quantity

B. Quality

C. Efficiency

D. Quantity & Quality

26 / 30

26. Consumers purchase or download a PHR software program and enter their information when using a:

A. Computer-based, untethered system

B. Computer-based, stand-alone system

C. Internet-based, networked, interoperable system

D. Computer-based, tethered system

27 / 30

27. Tethered PHRs are usually not provided by:

A. Hospitals

B. Insurance companies

C. Pharmaceutical companies

D. Physician practices

28 / 30

28. Personal health records can be grouped into four categories. Which of the following is not one of the four?

A. Internet-based, untethered

B. Computer-based, stand-alone

C. Internet-based, networked and interoperable

D. Computer-based, tethered

29 / 30

29. MAR refers to-

A. Medical allergies required

B. Medication administration record

C. Medication and allergies record

D. Medical alert record

30 / 30

30. In which of these records would you not find physician documentation?

A. Triage

B. Fact Sheet

C. MAR

D. All of these

Exit

Certificate in Medical Record Management

Certificate in Medical Record Management

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