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67 Cards in this Set
- Front
- Back
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Most medical assisting positions are in physicians' offices, although some medical assistants do work in
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various hospital departments
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______expressing an idea in different wording in an effort to enhance communication and clarify meaning.
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Paraphrasing
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___________still considered unethical and is illegal in most states.
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Physician-assisted suicide
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It is good form to ask permission before_________?
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placing a caller on hold
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_____________ should screen the calls for physicians.
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Medical assistants
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Immediately=________?
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STAT
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Several patients may arrive at the same time when the office uses _____________.
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wave scheduling
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Appointments for new patients usually take _______ than those for established patients.
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longer
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Patients must cooperate with a physician's orders and instructions, or the doctor can __________ care of the patient.
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terminate
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Something in which a thing originates, develops, takes shape, or is contained is called a _________. A ________ is also a base on which you build.
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Matrix
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The physician's habits can greatly influence the schedule; if he or she is often late, the schedule can be thrown off for the entire day. The ______________ must take the physician's habits into account when scheduling appointments.
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Medical Assistant
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The maker of the medical record is ___________; in the physician's office, ____________ is the maker/owner of the patient medical records.
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It's owner
The physician |
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The three basic filing methods are___________, ___________, and ____________.
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Alphabetic
Numeric Alphanumeric |
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___________ diagnoses usually are made before the final diagnosis and before all test results have been obtained.
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Provisional
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If medical records are accurate and complete, they will protect the actions of the physician during __________________________.
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medical professional liability proceedings
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If an action is not charted in the medical record, then it is considered _________________.
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not to have happened
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The medical records system used must first provide for ____________ and ___________.
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easy access and retrieval
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Patients' medical records should ________ leave the medical office.
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never
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The EHR is an electronic record of health-related information about a patient that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff from _______________________.
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more than one healthcare organization
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The EMR is an electronic health-related information about an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within ______________________.
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a single healthcare organization
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PHI stands for __________________
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protected health information
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The _____________ of health information is synonymous with accuracy.
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validity
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______________ activities are designed to improve or increase efficiency or effectiveness.
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Quality assurance
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All medical records must be _________ and __________ properly.
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Legible
Authenticated |
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Patients do have the right to notification of a facility's_____________.
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privacy policies
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Medical assistants should regularly ask for patient identification, especially when releasing ______.
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PHI
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Any form of communication about patient preferences regarding PHI must be documented in the __________.
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medical record
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__________ regulations have given patients more control over their medical records than ever before.
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HIPAA's
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Patients can request to restrict part of their _______. The facility must review that request and make all resonable efforts to __________.
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PHI
abide by it |
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Patients need to sign a new _________ if the notice changes. Some facilities have patients sign a new ________ annually.
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NPP
(Notice of Private Practice) |
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The NPP should be signed as soon as reasonably possible in ___________ situations.
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emergency
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The ____________________ contributed phrases and words that were derived from mythology. These words form the base or parts of much of our medical terminology.
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Greeks and Romans
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A hospital inpatient is not considered to be inside a/an _______________.
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ambulatory care center
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Medical Assistants Creed
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I believe in the principles and purposes of the profession of medical assisting. I endeavor to be more effective. I aspire to render greater service. I protect the confidence entrusted to me. I am dedicated to the care and well-being of all patients. I am loyal to my physician-employer. I am true to the ethics of my profession. I am strengthened by compassion, courage, and faith.
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_____________ is important because not only does a patient have a right to privacy, but also laws have been enacted to guarantee those rights and protect against breaches of ______________. Patients trusted medical professionals to hold that right sacred.
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Confidentiality
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The medical assitant with a good ____________ arrives on time, is rarely absent, and uses his or her best abilities.
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work ethic
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All information about the patient is considered confidential in the physician's office, and none of it can be shared with others without the patient's specific__________.
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permission
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_________ is defined as the thought, judgments, and actions on issues that have implications of moral right and wrong. The concept of ethics concerns itself with the philosophies underlying ideal relationships between human beings, as well as the promotion of the highest good for humanity as a whole.
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Ethics
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A _________ is defined as an obligatory task, conduct, service, or function that arises from one's position, as in life or in a group.
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duty
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______________ face the task of making ethical decisions every day, so when difficult questions are raised concerning ethics, each individual faced with the ethical choice must make decisions.
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Medical professionals
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A __________ expresses the wishes of patients in case of terminal illness or an accident.
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living will
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A ___________ is a type of ethical problem in which two or more authority figures have their own ideas about how a situation should be handled, but only one authority figure can prevail.
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locus of authority
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__________ means, "Let the master answer."
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Respondeat superior
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Attempting to overthrow the government, the most serious crime, is called ____________.
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treason
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A major crime, such as rape or murder, is a __________.
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felony
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__________ is the performance of an act that is wholly wrongful and unlawful.
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Malfeasance
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Improper performance of a lawful act is called___________.
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misfeasance
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_________ is the failure to perform an act that should have been performed.
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Nonfeasance
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__________ is a set of laws that were designed to standardize electronic data exchange and protect health information.
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HIPAA
(Health Insurance Portability and Accountability Act) |
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A minor crime is called a ___________.
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misdemeanor
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The three basic types of civil law that affect medical practices are _____________, ______________, and ______________. A misdemeanor is a type of criminal law.
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Administrative law
Contract law Tort law |
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The four Ds of negligence are ________, ________, _________, and __________. A deposition is testimony taken during the course of a lawsuit.
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Duty, Dereliction, Direct cause, and Damages
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_________ is the technical terminology of a particular group, such as the medical community, and should be avoided when a medical assistant is talking with patients.
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Jargon
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________ is a method of determining the order in which patients should be seen, based on the severity of each patient's illness or injury.
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Screening
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_________ listening involves giving the same attention to a person on the phone as would be given to a person face to face, concentrating on the conversation at hand, and discovering vital information.
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Active
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Computers cannot usually determine patients' needs, but the computer can keep track of future _________. Many types of scheduling software are available to the medical office, and more than one person can use computer scheduling programs at a time.
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appointments
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A ________ patient fails to keep a scheduled appointment without giving advance notice to the office.
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no-show
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The medical assistant should explain why requested times are not available and offer an ________ day and time the patient can see the physician.
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alternative
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________ information is gained by questioning the patient or is taken from a form.
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Subjective
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___________ for filing means that a mark has been placed on it to indicate that it is ready for filing.
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Releasing a record
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Only ________ should be drawn through errors when corrections are made.
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one line
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Records should be released only with a _________ authorization from the patient.
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written
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The most efficient medical record is the __________.
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computer-based medical record
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The _________ can be created, managed, and consulted by authorized clinicians and staff from more than one healthcare organization.
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EHR
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The _________ is compiled by the staff at a single organization involved in the patient's care.
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EMR
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___________ infections are usually acquired in a hospital or other healthcare facility.
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Nosocomial
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Patients do not have the right to obtain their original medical record except in ___________ circumstances.
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extreme
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