Records Managment

2. The type of medical record organization that has observations and data is categorized in sections such as; provider, laboratory, radiology, hospital, and consultations.
4. Accurate records are kept by the physician to provide appropriate ______ care.
6. use. Using EHRs for e-prescribing and CPOE will meet the requirements of ______________________.
9. Most experts agree that the EHR system will help reduce medical __________.
10. The _____________________ system can be created, managed, and consulted by authorized clinicians and staff from more than one healthcare organization.
11. The EHR system should be backed up ______________.
15. The patient portal can allow patients to set their own appointments using the _____.
16. The physical medical record belongs to the __________or provider.
17. filing A filing system that requires the use of alphabetic cross-reference to locate specific files is called a(n) _____________ system.
19. release The medical record should be released only with a _____________________ from the patient.
22. Terminal digit filing is a type of _________________ filing system.
23. Information that is gained by questioning the patient or that is taken from a form is called ________________ information.

1. The software of an EHR system can be designed to be compatible with a medical _________ office, such as pediatrics or oncology.
3. The EHR system is capable of telling whether a certain procedure matches a specific ________ code.
5. file. The most frequently used follow-up method used by the physician as a reminder to contact the patient is a ___________________.
7. complaint The concise account of the patient’s symptoms in his or her own words is the __________.
8. The type of medical record organization that has the following four components; database, problem list, treatment plan, progress notes.
12. A process of electronic data entry of the provider’s instructions for the treatment of patients is called _______________.
13. A new entry or addendum must be added close to the original entry with the correct information and then __________.
14. health information. PHI stands for?
16. The process of moving an active file to inactive status is called ____________________.
18. Files for patients who have died, moved away, or otherwise terminated their relationship with the physician are called _____________ files.
20. In a paper record, it is not acceptable to _______ or use correction fluid to correct a handwritten entry in order to keep the record free from errors
21. filing Which of the following indirect filing systems is used by a majority of large clinics and hospitals?