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Medical Assisting: Unit 4: Chapter 14: Medical Records Management

One purpose of medical records in the ambulatory care setting is
provide a base for managing patient care.
True or false? Patients can be allowed access to their medical records.
True
True or False? Patients can ask to have notes or information added to their medical records.
True
True or False? Patients have no right to ask for information to be removed from their records.
False
Required from the patient before giving copies of records to someone else or another facility
Authorization to Release Information
If a correction needs to be made to a chart it should be done by
drawing a red line through and write “corr” or “correction” above the area corrected and initials and date that correction.
Used to separate file folders
guides
used to display the information required to select the correct name or number designation for a file.
Identification Labels
used to help in tracking charts; kept in place of a patient chart when removing the chart from the filing storage
out guides
The first name is referred to what unit of the index?
Unit 2
The last name of a person is referred to what unit of the index?
Unit 1
If filing the file “Wendy Sue Chalmers” Sue is referred to as what unit?
Unit 3
True or False? When filing a name that has a Jr. or Sr. at the end, this is used only when two names are identical.
True
True or False? Jr. or Sr. or M.D. at the end of a name would be considered Unit 4
True
True or False? Edward Lee Kletka IV would be filed before Edward Lee Kletka Jr.
True
one of the simplest filing methods.
Alphabetic Filing
A method of filing that preserves patient confidentiality
Numeric Filing
A type of numeric filing where charts are placed in exact chronological order according to assigned number
Straight Numeric
A type of filing where charts are placed according to the last two digits or last four digits (usually features a hyphen between sets of numbers)
Terminal Digit
A filing system that is more common with research, insurance company grouping, or types of services used
Subject Filing
A technique used to make retrieval of files more efficient; can be used in all three types of filing systems
Color Coding
Three types of color coding include
Tab-Alpha, Alpha-Z, Customized

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