Records Management Test ACTUAL
UPDATED Exam Questions and CORRECT
Answers
Accurate record keeping - CORRECT ANSWER - accurate records are vital for financial
reimbursement, effects of various treatments can be tracked and statistics gleaned from them, the
medical record provides critical information for other caregivers. They are kept ultimately to
provide appropriate patient care
Active records - CORRECT ANSWER - of patients currently receiving treatment
An incredible amount of statistics can be calculated from - CORRECT ANSWER - EHR
system
Backing up EHR how often? - CORRECT ANSWER - daily
Charge Capture functions - CORRECT ANSWER - they can store lists of ICD and CPT
codes
Chief complaint - CORRECT ANSWER - concise account of the patients symptoms in his
or her own words
Closed records - CORRECT ANSWER - of patients who have died, moved away, or
otherwise terminated their relationship with the provider
Common filing equipment found in an office - CORRECT ANSWER - horizontal shelf
files, rotary circular files, automated files
Continuity of care - CORRECT ANSWER - medical attention that moves smoothly from
one provider to another so that the patient receives the most benefit
, Corrections are made in an electronic health record how - CORRECT ANSWER - a new
entry or addendum must be added close to the original entry with the correct information and
then initialed
CPOE - CORRECT ANSWER - the process of electronic data entry of the medical
provider has instructions for the treatment of patients
Direct filing system - CORRECT ANSWER - A filing system in which materials can be
located without consulting another source of reference.
EHR - CORRECT ANSWER - a type of electronic medical record of health related
information about the patient that conforms to nationally recognized interoperability standards
and can be created managed and consulted by authorized clinicians and staff for more than one
healthcare facility or organization it is also able to distinguish between if a diagnosis code and
procedure codes match
EHR software can be designated to be compatible with - CORRECT ANSWER - Medical
specialty offices such as oncology and peds
EHR system can reduce - CORRECT ANSWER - most experts agree the HER system will
help reduce medical errors
EMR - CORRECT ANSWER - a type of electronic record of health related information
about a person that can be created, gathered managed and consulted only by authorized clinicians
and staff in a single healthcare organization
For a record to be admissible in court - CORRECT ANSWER - the person who is dictation
or writing the entries must be able to attest that they were true and correct at the time they were
written. The best indication of this is the provider's signature or initials on the typed entry. In the
EHR the providers electronic signature is proof of accuracy of the entry
UPDATED Exam Questions and CORRECT
Answers
Accurate record keeping - CORRECT ANSWER - accurate records are vital for financial
reimbursement, effects of various treatments can be tracked and statistics gleaned from them, the
medical record provides critical information for other caregivers. They are kept ultimately to
provide appropriate patient care
Active records - CORRECT ANSWER - of patients currently receiving treatment
An incredible amount of statistics can be calculated from - CORRECT ANSWER - EHR
system
Backing up EHR how often? - CORRECT ANSWER - daily
Charge Capture functions - CORRECT ANSWER - they can store lists of ICD and CPT
codes
Chief complaint - CORRECT ANSWER - concise account of the patients symptoms in his
or her own words
Closed records - CORRECT ANSWER - of patients who have died, moved away, or
otherwise terminated their relationship with the provider
Common filing equipment found in an office - CORRECT ANSWER - horizontal shelf
files, rotary circular files, automated files
Continuity of care - CORRECT ANSWER - medical attention that moves smoothly from
one provider to another so that the patient receives the most benefit
, Corrections are made in an electronic health record how - CORRECT ANSWER - a new
entry or addendum must be added close to the original entry with the correct information and
then initialed
CPOE - CORRECT ANSWER - the process of electronic data entry of the medical
provider has instructions for the treatment of patients
Direct filing system - CORRECT ANSWER - A filing system in which materials can be
located without consulting another source of reference.
EHR - CORRECT ANSWER - a type of electronic medical record of health related
information about the patient that conforms to nationally recognized interoperability standards
and can be created managed and consulted by authorized clinicians and staff for more than one
healthcare facility or organization it is also able to distinguish between if a diagnosis code and
procedure codes match
EHR software can be designated to be compatible with - CORRECT ANSWER - Medical
specialty offices such as oncology and peds
EHR system can reduce - CORRECT ANSWER - most experts agree the HER system will
help reduce medical errors
EMR - CORRECT ANSWER - a type of electronic record of health related information
about a person that can be created, gathered managed and consulted only by authorized clinicians
and staff in a single healthcare organization
For a record to be admissible in court - CORRECT ANSWER - the person who is dictation
or writing the entries must be able to attest that they were true and correct at the time they were
written. The best indication of this is the provider's signature or initials on the typed entry. In the
EHR the providers electronic signature is proof of accuracy of the entry
