Medical Office Concepts CH. 9 UPDATED
ACTUAL Questions and CORRECT
Answers
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.
ACTUAL Questions and CORRECT
Answers
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.
