Document only in your area of responsibility means that the physician should document in:
a. any area of the chart desired.
b. the Physician Notes.
c. the Financial Notes.
d. the Nursing Notes.
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Q. 2) When a patient chart is removed from the chart area:
a. a checked-out file card should be in its place.
b. the video camera should show the person who removes it.
c. a note should be made in the chart.
d. None of the above
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Q. 3) The advantages of electronic medical billing software include:
a. patient identification.
b. prescription controls.
c. report generation.
d. All of the above
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Q. 4) Duties of a medical biller ____________________ from practice to practice.
a. vary
b. are the same
c. Both a and b
d. Neither a nor b
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Q. 5) In a POMR system, where does a physician note that a condition is resolved?
a. On the page where the problem is being followed
b. On the Problem List
c. In the Physician Notes
d. On the annual History and Physical
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Q. 6) The term that applies to a patient not following treatment recommendations is:
a. noncompliance.
b. difficult.
c. struggling.
d. understandable.
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Q. 7) In a POMR note, in what order are problems listed?
a. First complaint first
b. Chronic complaints still active first
c. Current complaint first
d. Contributory diseases last
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Q. 8) Quotation marks should be used in a medical record for:
a. thoughts of the practitioner.
b. questions posed by the practitioner.
c. exact words of a patient.
d. nothing, since they never should be used.
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Q. 9) Some offices use a different chart for which type of patient?
a. Patient seen on an emergency basis
b. Patient seen one time only
c. Patient seen as a child who is now an adult
d. Lifetime patient
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Q. 10) Where are colored labeling letters placed on the medical chart?
a. Top right
b. Top left
c. Determined by the medical office
d. Bottom left
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