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Cards In This Set
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EMR stands for
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Electronic Medical Record
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EHR stands for
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Electronic Health Record
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What is a Tickler File
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A chronological file used as a reminder that something must be dealt with on a certain date
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True or false, you cannot erase an entry in a medical record but you can use correction tape?
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False
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True or false, the physician owns the record but the patient has the right to access their information?
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True
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True or false, when making an electronic correction you need to delete the original entry to be corrected?
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False
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True or false, open is considered a record classification?
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False
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What is conditioning?
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Conditioning is a process of mending damaged records. Also includes removing staples, paper clips or brads to prepare the documents to be filed.
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True or flase, terminal digit accounts read right to left.
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True
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True or false, nothing comes before something when filing?
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True
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What is releasing?
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Releasing is an indication the record is ready to be filed. This is done by the physician's signature, initials, or stamp and date.
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What does POMR stand for?
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POMR stands for problem oriented medical record and is used for documenting information in the medical record.
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True or flase, medical records offer legal protection for the provider?
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True
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