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187 notecards = 47 pages (4 cards per page)

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med 130 final exam

front 1

should be filled out when a threatening call is received.

back 1

Unusual occurrence report(UOR)

front 2

Authorizes access to a patient's personal information

back 2

confidential communication preference (CCP)

front 3

Used for reference when placing long-distance phone calls

back 3

time zone map

front 4

prevents you from disclosing patient information over the telephone to unauthorized parties

back 4

Health insurance portability and accountability act (HIPPA)

front 5

Takes patient calls during non-office hours and relays messages to the office or on-call doctor

back 5

Answering service

front 6

can be used to help compile contact information for community resources

back 6

search engines

front 7

system designed to address patients language needs

back 7

interpreter service

front 8

Allows participants in different locations to hear and see each other at the same time

back 8

teleconferencing

front 9

may be used to allow patients to request prescriptions refills

back 9

patient portal

front 10

often allows you to select a priority level, depending on the time sensitivity of the message

back 10

electronic message template

front 11

A combination of practice management and electronic medical records

back 11

electronic health record (EHR)

front 12

Refers to the interoperability of electronic medical records or the ability to share medical records with other health care facilities

back 12

electronic health record (EHR)

front 13

patients can create their own electronic health records; communicate with their provider electronically; request lab results, referrals, and appointments

back 13

patient portal

front 14

A combination of electronic, wireless, or paper records

back 14

hybrid

front 15

A software that provides the medical office the electronic component to deal with day-to-day financial and administrative operations of a medical practice and that allows information to be pulled from the patient's record and populated in the financial components of the patient account

back 15

practice management (PM)

front 16

Patient records in a digital form at

back 16

electronic medical record (EMR)

front 17

A phone screening manual is sometimes called a(n)_______ manual

back 17

triage

front 18

Before you transfer a patient's call to another department or office

back 18

pull the chart for the provider if the patient is calling for info and have the pertinent data readily available, give the caller the phone number, extension, and name of person to whom you are transferring to, signal (or page) the person in the department you are transferring to and when the person answers, explain who is waiting to speak to him or her and give a brief summary of the issue

front 19

electronic prescription refill request are commonly referred to as

back 19

e-prescribing

front 20

if a caller is requesting info, you should ask if you can call him or her back if it will take you longer than_____ to retrieve it

back 20

1 minute

front 21

if a caller makes threats, you should

back 21

document the info about the caller and the threat and end the call

front 22

if a person claiming to be a patient's attorney calls to request info from the patient's medical record you should

back 22

verify that the attorney is authorized to receive it and offer to call them back

front 23

If you are speaking to a patient face-to-face at the office and the phone rings, you should

back 23

say, "excuse me for a moment, please, "and answer the call

front 24

it is most appropriate to use an answering machine

back 24

during the office lunch break

front 25

phone menus are designed to

back 25

increase efficiency

front 26

the use of mobile devices in health care settings is commonplace, which of the following is not considered a concern when using mobile devices

back 26

convenience and connectivity

front 27

when a patient calls and asks to speak directly with the provider, never respond by saying

back 27

the doctor is busy

front 28

when a patient calls with a medical question, you should

back 28

document the patient's info and relay it to the doctor for review

front 29

when answering a telephone call, you should not

back 29

remain expressionless

front 30

when conducting phone calls, on average, how long doe it takes a person to pick up on attitude from listening to the tone of the person's voice?

back 30

10 seconds

front 31

When documenting a telephone call, you should

back 31

include your own name or initials

front 32

When it comes to your personal mobile device, it would be considered best practice to

back 32

put the phone away during office hours

front 33

When obtaining a telephone message from a recording device or outside answering service, you should not

back 33

prioritize messages according to the order in which they were received

front 34

when responding to a nonemergency phone call and the person needs additional info, it is appropriate to respond

back 34

"may i call you back with that info", confirm the patient's phone number before hanging up because it might have changed since the patient's last appointment, excuse yourself from the phone call by saying, "may i put you on hold for a moment?

front 35

when scheduling appointments, you must do all but which of the following?

back 35

use at least 3 identifiers of the patient

front 36

Which calling feature allows several people in various locations to converse at the same time?

back 36

conference calling

front 37

Which of the following is the most appropriate question to ask when scheduling an appointment?

back 37

What is the reason for the visit?

front 38

your provider has a scheduling template that has 3 time slots held for same day or urgent visits, two in the morning and one in the afternoon. when booking a same-day or urgent visit, you ahouls

back 38

book same-day appointment for patients requiring more immediate attention, fill your afternoon appointment first

front 39

which of these are used to provide specific written instructions regarding the examinations and diagnostic tests performed in your office?

back 39

information sheets

front 40

any identified materials to be sent with the letter

back 40

enclosures

front 41

identifies another person o persons to whom a copy of the letter is sent

back 41

Cc

front 42

Expressing the closing of the letter

back 42

complimentary closing

front 43

content of the letter

back 43

body

front 44

address of the person to whom the letter is being sent

back 44

inside address

front 45

signature of the writer

back 45

sender's signature

front 46

writer's title, if appropriate

back 46

title

front 47

initials of the letter's typist

back 47

reference initials

front 48

greetings to the recipient

back 48

salutation

front 49

used to identify what or about whom the letter is concerning

back 49

reference

front 50

date when a letter is dictated or composed(if not dictated)

back 50

dateline

front 51

preprinted name, complete address and phone number(optional)

back 51

letterhead

front 52

word that modifies a verb, adjective or adverb

back 52

adverb

front 53

word that is used to express strong feeling or emotion

back 53

interjection

front 54

word that connects words, phrases and clauses

back 54

conjunction

front 55

word or word group that expresses action or a state of being

back 55

verb

front 56

word that describes, limits or restricts a noun or pronoun

back 56

adjective

front 57

Name of anything, such as a person, a place, an object, an occurrence or a state

back 57

noun

front 58

word that shows the relationship of an object to some other word in the sentence

back 58

preposition

front 59

substitute for a noun

back 59

pronoun

front 60

used to enclose a direct quote

back 60

quotation marks

front 61

used to formally introduce a word, a list, a statement or question, a series of statements or a long quotation

back 61

colon

front 62

Used when omitting a word, phrase, line, paragraph, or more from a quoted passage

back 62

ellipsis

front 63

used after words, expressions, or sentences to show strong fee lings

back 63

exclamation mark

front 64

placed after every direct question

back 64

question mark

front 65

used in contractions to signify that one or more letters have been left out

back 65

apostrophe

front 66

used between two clauses of a compound sentence when they are not joined by a conjunction, unless they are very short and are used informally

back 66

semicolon

front 67

used to separate two adjectives when the word can be inserted between them

back 67

comma

front 68

placed at the end of a statement

back 68

period

front 69

used to enclose matter apart from them main thought

back 69

parenthesis

front 70

usually are personal and informal in nature

back 70

informal notes

front 71

annual diagnostic examination reminders

back 71

from letters and templates

front 72

used for thank-you, congratulations, or similar expressions

back 72

informal notes

front 73

a powerful tool, enabling us to communicated at. times without picking up the phone or worse getting on a plane; provides round-the-clock convenience and service, reducing cost and increasing productivity at work

back 73

email

front 74

an informal, memo-style communication that is usually specific to one concern

back 74

interoffice communication

front 75

allows for the almost instant exchange of information

back 75

email

front 76

professional associations, licensing boards, and other physicians regarding some issue or concern affecting personal medical activities or their professional practice

back 76

professional letters

front 77

correspondence with travel agencies, mail-order catalogs, uniform or clothing suppliers and specialty shops

back 77

personal letters

front 78

an effective way of being certain that everyone is aware of some event, policy, concern and other internal communication, circulated electronically or by a copy of a memo

back 78

interoffice communication

front 79

often written on a first-name basis

back 79

informal notes

front 80

provide specific written instructions regarding the examinations and diagnostic tests performed in your office

back 80

information sheets(patient education)

front 81

noncompliance, missed appointments, and dismissal from practice

back 81

form letters and templates

front 82

return-to-work or school approvals

back 82

form letters and templates

front 83

referrals, consultations, annual examinations reminders, collection letters, school and work releases, suppliers of equipment and materials and other correspondence necessary to the office operation

back 83

form letters and templates

front 84

A form letter would not be appropriate for

back 84

outlining an accident victim's injuries

front 85

a release would be required to give information about a patient to

back 85

life insurance questionnaire

front 86

a ______ sentence contains two or more independent clauses, separated by a comma

back 86

compound

front 87

adverbs commonly end in

back 87

-ly

front 88

how many sheets of paper are in a ream?

back 88

500

front 89

if you receive a letter or package that you suspect is contaminated, you should

back 89

wash your hands throughly with soap and water

front 90

the characteristic feature of the _______ letter style is that the dateline, complimentary close, and typed signature begin a bit right of center

back 90

modified block

front 91

the first step in composing a letter is to

back 91

determine what information needs to be included

front 92

There are three letter styles. which of the following is NOT considered a letter style

back 92

partial block letter

front 93

when addressing a letter, it is recommended that you use a(n)_____ type font to help expedite delivery

back 93

standard

front 94

when typing a business letter, the sender's name is entered _____ spaces below the closing

back 94

four

front 95

When using the three-read system of proofreading, which of the following do you check for first?

back 95

errors in composition

front 96

when you annotate the incoming mail, you

back 96

identify for the physician important points to be noticed

front 97

which main service is used to ensure that mail is delivered only to a specific addressee or an authorized agent for the addressee

back 97

restricted delivery

front 98

which of the following would sent to a licensing board

back 98

professional letter

front 99

which of these is a disadvantage of using email

back 99

it is not as secure, private, and confidential as people think

front 100

which of these statements is true

back 100

emails can be sent or forwarded without your knowledge or permission

front 101

Which of these words should be capitalized

back 101

Tylenol

front 102

which of these zip codes is written correctly

back 102

74820-2772

front 103

a bit is either

back 103

0 or 1

front 104

A safe environment begins at the front door. Thereceptionroom requires a safety check every morning to ensure that it presents no hazards for patients and visitors. Which of the following is not part of evaluating the reception area

back 104

placing charts for check-in

front 105

At the beginning of the day, visually inspect all exam rooms and lab areas. What items should you inspect and tasks should you perform

back 105

restock supplies and maintain inventory, observe temperature and plug in any disconnected electrical equipment; check the water level in the autoclave and turn it on

front 106

Chemicals kept in the office for laboratory work

back 106

must be properly labeled and stored

front 107

daily equipment maintenance includes all but which of the following

back 107

ordering replacement parts

front 108

dragon naturally speaking is an example of

back 108

speech recognition

front 109

electronic health record (EHR) software allows you to do all but which of the following?

back 109

Determine the best drug for a patient without consulting the provider

front 110

hardware and software devices that protect and organization's network from intruders are called

back 110

firewalls

front 111

identify advantages of using encoder software

back 111

medicare CCI edits

front 112

if a medical office has a computer network, passwords should be used on

back 112

all computers and all software applications

front 113

if you are the first person to arrive at the office and there is evidence of forced entry you should

back 113

leave at once and call building security or police

front 114

it is recommended that all central computer data be backed up

back 114

daily

front 115

regardless of whether your office has electronic health record(EHR) software or not, you must employ best practices for safe computer use. there are a number of consideration for security. which of the following is not considered best practices for computer security

back 115

placing printers, fax, copier, and so on in high-traffic and visual sight areas

front 116

The internet is a system of interconnected computer networks by which to access information from all over the world. to access the internet, you need

back 116

modem, web browser, and computer

front 117

The national task force on violence against health care providers recommends that medical facilities conduct ________ inventories

back 117

semi-annual

front 118

to avoid alignment or repetitive injuries while working, use

back 118

proper ergonomics

front 119

when using a computer, you should not keep your

back 119

thighs perpendicular to the floor and the lower legs parallel to the floor

front 120

when using a fax machine, you should not

back 120

transmit material without a cover page

front 121

when using electronic health record (EHR) software, the electronic superbill

back 121

can be done in conjunction with charting

front 122

which is not considered part of preparing the front desk at the beginning of the day

back 122

checking the reading material, toys and books

front 123

which of the following is an example of software

back 123

application program

front 124

which of the following working postures is NOT considered proper ergonomics

back 124

upper arms and elbow extended outward

front 125

which statement about the internet is correct

back 125

some type of web browser is required to access web sites on the internet

front 126

why is careful monitoring of inventory vital in a medical practice, and what is considered best practice

back 126

you do not want to over-order items, you do not want to run out of supplies, time-sensitive (date expirations) items should be stored in order of expiration, with the first to expire in front

front 127

patients are scheduled in the same way as wave scheduling, with the exception of scheduling patients in the last 30 minutes at 10 to 20 minute intervals

back 127

modified wave

front 128

scheduling patients for specific types of visits or procedures at specific times

back 128

clustering

front 129

no scheduled appointments; patients sign in upon arrival and are seen by the physician in that order

back 129

walk in/ open hours

front 130

appointments are scheduled for a particular, amount of time based on patients need

back 130

streaming

front 131

each patient is booked for a specific amount of time

back 131

single-booking

front 132

patients are scheduled during the first 30 min if each hour, leaving the last 30 min for same-day appointments

back 132

wave

front 133

same appointment time is given to two or more patients

back 133

double-booking

front 134

a disadvantage of clustering is that

back 134

if one visit gets off track, it may throw the entire appointment flow off track

front 135

a disadvantage of electronic appointment scheduling software (practice management ) would be

back 135

printing copies of schedules, therefore not reducing the amount of paper consumed

front 136

a patient does not need to provide signed consent for the medical office to release information about

back 136

a public health risk

front 137

A_________ refers to blocking off time slots in a paper schedule with an "X" or having specified time periods automatically blocked out in the computer's schedule screen

back 137

matrix

front 138

during a telephone screening, you should not

back 138

paraphrase the caller's description of their symptoms

front 139

electronic appointment scheduling software (practice management) offers several advantages over paper schedules. which of the following is not considered an advantage of electronic scheduling?

back 139

downtime resulting in lost information

front 140

if a new patient appears reluctant to complete the intake forms, you should

back 140

quietly offer to assist in completing them in a separate closed room

front 141

if a patient engages in clearly inappropriate behavior, you should

back 141

have a witness come in and instruct the patient to cease the behavior

front 142

if you have a patient who is habitually late, it is recommended that you

back 142

ask the office manager to discuss the scheduling policy with the patient

front 143

insurance companies typically require patients to obtain a _____ before they will pay for a visit to a specialist

back 143

referral

front 144

one way to ease fears and maintain good rapport with patients is to communicate clearly what is expected from patients of the practice as well as what patients can expect from the office staff. why would explaining payment options and billing procedures be an important part of communications

back 144

to help avoid misunderstandings regarding financial matters

front 145

posting a ______ is one way to communicate not only the legal rights patients have while under the care of a practitioner of facility but also what rights they have ethically

back 145

patients bill of rights

front 146

the main disadvantage of single-booking is that

back 146

if patients problems are easily addressed, there may be gaps in the schedule

front 147

the primary benefit of _____ is that patients have an opportunity to present for complaints that have an unexpected onset

back 147

walk in/open hours scheduling

front 148

to help a patient develop a payment plan for elective surgery, the medical assistant should

back 148

review insurance coverage with the patient

front 149

weekly schedules for the providers should be accessible to

back 149

everyone in the office

front 150

when patients arrive at the office, the administrative medical assistant should

back 150

explain all instructions thoroughly

front 151

when using a computerized scheduling system, a(n) ______ refers to having specified time periods automatically blocked out

back 151

matrix

front 152

when using a paper scheduling system if a patient cancels an appointment at the last minute, you should_______ the original entry

back 152

draw a single line through

front 153

when you recognize that a patient in the waiting room will be required to wait much longer than originally expected, you should

back 153

notify the patient tactfully and offer the option to reschedule

front 154

which method of scheduling is designed to keep a continuous flow of patients coming through the office

back 154

streaming

front 155

which of the following is an advantage of a paper scheduling system

back 155

several styles of appointment books allow for scheduling as far out as a year or more

front 156

what act was signed into law as part of the American recovery and reinvestment act that provides health and human services (HHS) with the authority the promotion of health information technology

back 156

health information technology for economic and clinical health (HITECH)

front 157

what do the two Ds in CHEDDAR stand for

back 157

details and drugs

front 158

What does the "P" stand for in POMR

back 158

problem

front 159

what does the P in SOAP stand for

back 159

plans for further studies, treatment, or management

front 160

when making a correction to the progress note in an electronic medical record, you should

back 160

use the edit feature

front 161

when recording progress notes, the specific chief complaint should be

back 161

written using the patient's own words

front 162

when terminating or severing the physician/patient relationship the physician should notify patients in writing, which of the following statements is NOT true

back 162

advise the last day the physician will be available to render medical care, assuring the patient has been provided at least 5 days of emergency treatment and prescription before discontinuing the physician's availability

front 163

when you purge a file, you

back 163

clean it out

front 164

which of the following system provides the most patient privacy

back 164

numerical

front 165

which of the following is an objective statement

back 165

the patient's heart rate is elevated at 120 beats per minute

front 166

Which of the following is not an advantage of electronic health records (EHRs)

back 166

they completely eliminate the necessity for paper records

front 167

which of the following would be a subjective statement

back 167

you don't look well

front 168

identify what would be part of maintaining a patient's medical record

back 168

straighten and tidy the forms before filing

front 169

a complete and accurate medical record provides legal protection for

back 169

both patients and physicians

front 170

health insurance portability and accountability act (HIPAA) requires all medical records, signed consent forms, authorization forms, and any other HIPPAA-related documents to be retained for ____ years

back 170

six

front 171

in regards to filing____ is done by marking the index identifier on the paper to be filed

back 171

coding

front 172

it is recommended that filing dividers or guides be constructed of _______ material

back 172

heavy, sturdy

front 173

the patient chart belongs to the

back 173

medical practice

front 174

When coding, the primary reason for the office visit is listed first, and other reasons are listed in what order

back 174

order of importance

front 175

when records are reviewed by third-party payers, if a procedure is not documented, it

back 175

is considered to never have been performed

front 176

where in the current procedural technology (CPT) manual would you find information about modifiers

back 176

appendix A

front 177

which of the following statements is true regarding healthcare common procedural coding system (HCPCS) level II codes

back 177

level II G codes are temporary codes for procedures/professional services. Level II codes are composed of one alpha and four numeric characters. Level II codes were developed to identify products and supplies for which there are no current procedural terminology (CPT) codes

front 178

who publishes current procedural terminology (CPT)

back 178

American medical association (AMA)

front 179

As a result of the Medicare modernization act of 2004, new, revised, and deleted healthcare common procedural terminology (CPT) codes must be implemented every year on which date

back 179

January 1

front 180

Assigning a procedure code that dose not match patient documentation for the purpose or increasing reimbursement is known as

back 180

upcoding

front 181

international classification of diseases (ICD) codes are descriptive of the

back 181

presenting disease or condition

front 182

services performed in the office are generally selected on a patient's encounter in the EMR by the

back 182

provider

front 183

the AMA defines medical necessity as services or procedures that a prudent physician would provide to a patient in order to prevent, diagnose, or treat an illness, injury, or disease or the associated symptoms in a manner that is

back 183

clinically appropriate in terms of frequency, type, extent, site, and duration, in accordance with the generally accepted standard of medical practice, not for the intended economic benefit of the health plan or purchaser or the convenience of the patient, physician, or other health care provider

front 184

the current procedural terminology (CPT) manual uses symbols to indicate information about code numbers, for example the + symbol stands for

back 184

add-on code

front 185

the international classification of diseases, 9th revision, clinical modification (ICD-9-CM) remained in use in the united states until September 30th of what year

back 185

2015

front 186

the main rule to remember of the international classification of diseases(ICD) coding rules, which says that the reason for the patient visit (Encounter) is coded first in known as

back 186

reason rule

front 187

upcoding can result in

back 187

serious fines and penalties