Chapter 9 Medical Office PREP STUDY
QUESTIONS
A medical record is property of - Correct Answers:those who created it
Which of the following has/have established laws to provide patients access to their medical
records? - Correct Answers:Both a and b
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
Answers:hybrid records
A HIM professional - Correct Answers:collects, integrates, analyzes, and codes health care data
In an EMR, the health care provider can document clinical findings: - Correct Answers:all of the
above are correct
An electronic record system can capture: - Correct Answers:all of the above are correct
With an electronic medical record, a scribe: - Correct Answers:fills in blanks, completes
phrases/sentences, or keys in dictated text that the physician narrates
CPOE is an acronym for: - Correct Answers:computerized provider order entry
Documenters of the medical record: - Correct Answers:are all individuals who provide health
care services
The provider who renders service to the patient in an office setting is referred to as the: - Correct
Answers:treating physician
Select the correct statement regarding signatures on medical records. - Correct Answers:The
treating or attending physician must sign each progress note.
QUESTIONS
A medical record is property of - Correct Answers:those who created it
Which of the following has/have established laws to provide patients access to their medical
records? - Correct Answers:Both a and b
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
Answers:hybrid records
A HIM professional - Correct Answers:collects, integrates, analyzes, and codes health care data
In an EMR, the health care provider can document clinical findings: - Correct Answers:all of the
above are correct
An electronic record system can capture: - Correct Answers:all of the above are correct
With an electronic medical record, a scribe: - Correct Answers:fills in blanks, completes
phrases/sentences, or keys in dictated text that the physician narrates
CPOE is an acronym for: - Correct Answers:computerized provider order entry
Documenters of the medical record: - Correct Answers:are all individuals who provide health
care services
The provider who renders service to the patient in an office setting is referred to as the: - Correct
Answers:treating physician
Select the correct statement regarding signatures on medical records. - Correct Answers:The
treating or attending physician must sign each progress note.
