MOA TEST 2 QUESTIONS AND ANSWERS
purpose of medical records - CORRECT ANSWER✅✅✅provide a base for managing patient care,
provide interoffice communication as necessary, determine patterns that show providers patients
needs, serve as a basis for legal info to protect providers/staff/patients. Provide clinical data for research
ownership of medical records - CORRECT ANSWER✅✅✅property of those who create the record,
information belongs to the patient and is protected with privacy and confidentiality
patients and medical records - CORRECT ANSWER✅✅✅right to access their records and ask that
additional info be added or information be removed
Providers sharing records with patients - CORRECT ANSWER✅✅✅this shows trust and respect for
their patients
releasing patient information from a medical record - CORRECT ANSWER✅✅✅patient must be
notified and written approval must be obtained. The reason for the request must be identified and
specify what information is being requested. Only that information can be released
Insurance company and release of patient records - CORRECT ANSWER✅✅✅for some insurance
carriers the release is granted when the patient accepts the insurance coverage. For others a yearly
release form must be signed by the patient
Health Information Technology Plan - CORRECT ANSWER✅✅✅goal of ensuring that most American's
would have EHR's by 2014. Planned projects included: transmitting x-rays/lab results electronically to
providers for immediate analysis, standardizing e-prescriptions, decreasing errors in patient care
(proposed by George W Bush)
American Reinvestment Recovery Act (ARRA) - CORRECT ANSWER✅✅✅law that provides numerous
incentives for providers and hospitals to make the transition to EMR's (2009 Barack Obama)
Meaningful use - CORRECT ANSWER✅✅✅a centers for Medicare (CMS) program that awards
incentives for using certified electronic health records (EHR) to improve patient care
, To achieve meaningful use and avoid penalties - CORRECT ANSWER✅✅✅providers must follow a set
of criteria that serves as a road map for effectively using an EHR. Medicare reimbursement penalties for
lack of participation began in 2015
advantages of manual (paper) records - CORRECT ANSWER✅✅✅currently established and
understood, easier to protect confidentiality, no worry of computer malfunction
disadvantages of manual (paper) records - CORRECT ANSWER✅✅✅can be used by only one person
at a time, easily misplaced or misfiled, equipment and storage space required, more susceptible to error
advantages of electronic records - CORRECT ANSWER✅✅✅multiple users possible, not easily
misplaced or misfiled, errors less likely, patterns and data more easily accessed quickly, available in
emergency's, office storage space not required, legible/organized patient documentation, improved
medication management, improved quality care.
disadvantages of electronic records - CORRECT ANSWER✅✅✅need for protection to prevent loss of
data, expensive to establish and maintain, may require on-site assistance, can require up to 12 weeks of
staff to prove productive
solo practitioners - CORRECT ANSWER✅✅✅least likely to use EMR's due to expense
Importance of accurate medical records - CORRECT ANSWER✅✅✅accuracy essential for patient
care, critical to facility's smooth functioning, important when referring patients to outside specialty's,
essential for controlling cost, may e needed in medical litigation
creating a paper chart - CORRECT ANSWER✅✅✅prepared the day before the patients first visit. an
assembly of appropriate file folders and forms
creating an e-chart - CORRECT ANSWER✅✅✅prepared in much the same manner as a paper chart
except all the information is stored electronically
correcting paper medical charts - CORRECT ANSWER✅✅✅draw a single line using (red) ink pen
through the error, make the correction, write correction above the area corrected(optional), indicate
purpose of medical records - CORRECT ANSWER✅✅✅provide a base for managing patient care,
provide interoffice communication as necessary, determine patterns that show providers patients
needs, serve as a basis for legal info to protect providers/staff/patients. Provide clinical data for research
ownership of medical records - CORRECT ANSWER✅✅✅property of those who create the record,
information belongs to the patient and is protected with privacy and confidentiality
patients and medical records - CORRECT ANSWER✅✅✅right to access their records and ask that
additional info be added or information be removed
Providers sharing records with patients - CORRECT ANSWER✅✅✅this shows trust and respect for
their patients
releasing patient information from a medical record - CORRECT ANSWER✅✅✅patient must be
notified and written approval must be obtained. The reason for the request must be identified and
specify what information is being requested. Only that information can be released
Insurance company and release of patient records - CORRECT ANSWER✅✅✅for some insurance
carriers the release is granted when the patient accepts the insurance coverage. For others a yearly
release form must be signed by the patient
Health Information Technology Plan - CORRECT ANSWER✅✅✅goal of ensuring that most American's
would have EHR's by 2014. Planned projects included: transmitting x-rays/lab results electronically to
providers for immediate analysis, standardizing e-prescriptions, decreasing errors in patient care
(proposed by George W Bush)
American Reinvestment Recovery Act (ARRA) - CORRECT ANSWER✅✅✅law that provides numerous
incentives for providers and hospitals to make the transition to EMR's (2009 Barack Obama)
Meaningful use - CORRECT ANSWER✅✅✅a centers for Medicare (CMS) program that awards
incentives for using certified electronic health records (EHR) to improve patient care
, To achieve meaningful use and avoid penalties - CORRECT ANSWER✅✅✅providers must follow a set
of criteria that serves as a road map for effectively using an EHR. Medicare reimbursement penalties for
lack of participation began in 2015
advantages of manual (paper) records - CORRECT ANSWER✅✅✅currently established and
understood, easier to protect confidentiality, no worry of computer malfunction
disadvantages of manual (paper) records - CORRECT ANSWER✅✅✅can be used by only one person
at a time, easily misplaced or misfiled, equipment and storage space required, more susceptible to error
advantages of electronic records - CORRECT ANSWER✅✅✅multiple users possible, not easily
misplaced or misfiled, errors less likely, patterns and data more easily accessed quickly, available in
emergency's, office storage space not required, legible/organized patient documentation, improved
medication management, improved quality care.
disadvantages of electronic records - CORRECT ANSWER✅✅✅need for protection to prevent loss of
data, expensive to establish and maintain, may require on-site assistance, can require up to 12 weeks of
staff to prove productive
solo practitioners - CORRECT ANSWER✅✅✅least likely to use EMR's due to expense
Importance of accurate medical records - CORRECT ANSWER✅✅✅accuracy essential for patient
care, critical to facility's smooth functioning, important when referring patients to outside specialty's,
essential for controlling cost, may e needed in medical litigation
creating a paper chart - CORRECT ANSWER✅✅✅prepared the day before the patients first visit. an
assembly of appropriate file folders and forms
creating an e-chart - CORRECT ANSWER✅✅✅prepared in much the same manner as a paper chart
except all the information is stored electronically
correcting paper medical charts - CORRECT ANSWER✅✅✅draw a single line using (red) ink pen
through the error, make the correction, write correction above the area corrected(optional), indicate
