Wk1Assignment copy 2

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Feb 20, 2024

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MOA115 Medical Records and Insurance Week 1 Assignment – Health Records Part 1 – Releasing Information and NPP Directions: Answer the following questions. Use your Kinn’s The Medical Assistant e-book as a resource. Type your answers below the question. 1. Describe when a release form must be signed and indicate what information is included on the release form. A release form must be signed when moving to different doctors offices or when one specialty needs records from another specialty 2. Describe the Notice of Privacy Practices (NPP) – what is it? Why is it important for patients to receive the information? (Hint: Use the Index to find the NPP in the textbook.) The note of privacy practices helps educate new patients on how their provider will manage and protect their data Part 2– Study Guide Questions Directions: Use the Kinn’s The Medical Assistant – Study Guide and Procedure Checklist Manual for this assignment. You will also need to use the Kinn’s The Medical Assistant textbook as a resource. Assigned Study Guide Questions: Chapter 10 Health Records Skills and Concepts A. Health Record Basics (Answer #1-3) 1. Describe the following types of information found in a patient’s health record. Demographics: Date of birth Past health history: Past diagnosis/ surgeries Family history: Any diseases that run in family Social history:

MOA115 Medical Records and Insurance Week 1 Assignment – Health Records Smoking or drinking Chief complaint: What patient says is wrong with them Vital signs and anthropometric measurements: Blood pressure . Height and weight Diagnosis: What physician says is wrong with patient Progress notes: How treatment is going 2. Explain the importance of data backup: Just incase something happens nothing is lost 3. Define meaningful use . How well facilities keep up with their equipment B. Organization and Documentation in a Health Record (Answer #1-6) 1. Identify the categories used for organizing information in a POR system. Includes chief complaint , present illness, patient profile, review of systems, physical exam, and lab reports. 2. Identify the method of organizing information in an SOR system. Source orientated records system , observations and data are cataloged . 3. Identify equipment and supplies needed to create, maintain, and store health records. (Your answer) 4. Describe the medical assistant’s responsibilities when documenting in the health record including skills and responsibilities (Your answer)

MOA115 Medical Records and Insurance Week 1 Assignment – Health Records Correct the following entries as would be done in the health record. Then rewrite the entries correctly. Handwritten corrections are acceptable on these exercises. 5. The correct date of the appointment below was October 12, 20XX. 10-21-20XX 1330 Patient did not arrive for scheduled appointment. P. Smith, RMA (Your answer) 6. The patient stated that the chest pain began 2 weeks ago. 1-31-20XX 10:00 am Patient complained of chest pain for the past 2 months. No pain noted in arms. No nausea. Desires ECG and blood work to check for heart problems. R. Smithee, CMA (AAM) (Your answer) Document the following exercises. 7. Eric Robertson canceled his surgical follow-up appointment today for the third time. Document this information. (Your answer) C. Indexing and Filing Rules (Answer #1-4) 1. Describe the indexing rules for alphabetic filing. (Your answer) 2. Using alphabetic filing, place the names below in correct alphabetic order. Cassidy Kay Hale 1. _______________________ Candace Cassidy LeGrand 2. _______________________ Taylor Ann Jackson 3. _______________________ Anton Douglas Conn 4. _______________________ Mitchel Michael Gibson 5. _______________________ Lorienda Gaye Robison 6. _______________________ LaNelle Elva Crumley 7. _______________________ Allison Gaile Yarbrough 8. _______________________ Sarah Kay Haile 9. _______________________ Marie Gracelia Stuart 10. _______________________ Karry Madge Chapmann 11. _______________________

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MOA115 Medical Records and Insurance Week 1 Assignment – Health Records Randi Ann Perez 12. _______________________ Cecelia Gayle Raglan 13. _______________________ Sarah Sue Ragland 14. _______________________ Riley Americus Belk 15. _______________________ Starr Ellen Beall 16. _______________________ Mitchell Thomas Gibson 17. _______________________ George Scott Turner 18. _______________________ Winston Roger Murchison 19. _______________________ Sara Suzelle Montgomery 20. _______________________ Tamika Noelle Frazier 21. _______________________ Alisa Jordan Williams 22. _______________________ Alisha Dawn Chapman 23. _______________________ Bentley James Adams 24. _______________________ Montana Skye Kizer 25. _______________________ Dakota Marie LaRose 26. _______________________ Robbie Sue Metzger 27. _______________________ Thomas Charles Bruin 28. _______________________ Percival “Butch” Adams 29. _______________________ Carlos Perez Santos 30. _______________________ 3. Why might color-coded files be more efficient than an alphabetic filing system? Because you’ll be able to place each patient with their own color based on diagnosis or which doctor they see . 4. Using terminal filing, place the numbers below in the correct order. 01-64-22 1. 17-41-20__________________ 72-55-20 2. 44-21-20__________________ 44-41-20 3. 82-49–20__________________ 17-41-20 4. 72-55-20__________________ 56-42-21 5. 56-42-21__________________ 91-88-21 6. 91-88-21__________________ 15-24-22 7. 08-94-21__________________ 82-49-20 8. 10-24-22__________________ 08-94-21 9. 22-42-22__________________ 24-42-22 10. 01-64-22_________________ D. Miscellaneous (Answer #1-2) 1. Describe the difference between an EMR and a practice management system.

MOA115 Medical Records and Insurance Week 1 Assignment – Health Records EMR allows you to store patient health records and PMS gives you the functionality to run your clinic 2. Describe a manual tickler file. (Your answer) Workplace Applications (Answer #1-2) 1. Dr. Martin wants to be sure the Walden-Martin Family Medical (WMFM) Clinic is meeting all of the requirements for meaningful use that are specified in the HITECH Act. He has asked Susan to put together a list of what WMFM Clinic should be doing to meet those requirements. What would be on Susan’s list? (Your answer) 2. Susan has been learning about the various EHR systems available. She has also been learning about the need to back up to protect the information stored in the EHR. Susan has asked the office manager at WMFC how the EHR is backed up at their facility. The office manager states that they currently use an external hard drive, but would like to look more closely at other options. She asks Susan to determine what other options are available. Write a brief description of each of the options below: a. External hard drive: (Your answer) b. Full server backup: (Your answer) c. Online backup system: (Your answer)

Wk1Assignment copy 2

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