Medical Office Concepts CH. 9 (With Highest
Ratings )2024/25
A ROS is: - Correct Answer an inventory of each body system.
Medicare documentation guidelines state that: - Correct Answer outpatient physicians can use either
the 1995 or 1997 guidelines.
Documenters of the medical record: - Correct Answer are all individuals who provide health care
services.
With an electronic medical record, a scribe: - Correct Answer fills in blanks, completes
phrases/sentences, or keys in dictated text that the physician narrates.
When converting from a paper-based medical record system to an electronic system some practices
maintain portions of the record on paper, which are referred to as: - Correct Answer hybrid records.
The complexity of medical decision making is dependent on which three items? - Correct Answer the
(1) number of diagnoses and management options, (2) amount and complexity of data to be reviewed,
and (3) risk of complications, morbidity, comorbidities, or mortality.
The provider who renders service to the patient in an office setting is referred to as the: - Correct Answer
treating physician.
When an error in a paper-based medical record is discovered, the first step is to: - Correct Answer draw
a single line through the incorrect entry.
Select the correct statement regarding signatures on medical records. - Correct Answer The treating or
attending physician must sign each progress note.
Select the correct statement(s) regarding documentation terminology. - Correct Answer -The acronym
WNL should not be used when referring to an affected body area.
Ratings )2024/25
A ROS is: - Correct Answer an inventory of each body system.
Medicare documentation guidelines state that: - Correct Answer outpatient physicians can use either
the 1995 or 1997 guidelines.
Documenters of the medical record: - Correct Answer are all individuals who provide health care
services.
With an electronic medical record, a scribe: - Correct Answer fills in blanks, completes
phrases/sentences, or keys in dictated text that the physician narrates.
When converting from a paper-based medical record system to an electronic system some practices
maintain portions of the record on paper, which are referred to as: - Correct Answer hybrid records.
The complexity of medical decision making is dependent on which three items? - Correct Answer the
(1) number of diagnoses and management options, (2) amount and complexity of data to be reviewed,
and (3) risk of complications, morbidity, comorbidities, or mortality.
The provider who renders service to the patient in an office setting is referred to as the: - Correct Answer
treating physician.
When an error in a paper-based medical record is discovered, the first step is to: - Correct Answer draw
a single line through the incorrect entry.
Select the correct statement regarding signatures on medical records. - Correct Answer The treating or
attending physician must sign each progress note.
Select the correct statement(s) regarding documentation terminology. - Correct Answer -The acronym
WNL should not be used when referring to an affected body area.
