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51. The __________________ form contains the medical and financial information for the corresponding visit. a.Physician’s Note b.History and Physical c.Accounting d.Encounter 52. The patient’s signature releasing information is good for how long? a.5 years b.The amount of time specified on the form c.10 days d.2 years 53. If necessary, a medical biller will use a ___________________ form to obtain further information in order to bill the payer accurately. a.Authorization to Release Information b.Request for Information c.Request for Additional Information d.Denial 54. The Assignment of Benefits form is used to allow the insurance company to: a.pay the provider directly. b.pay the beneficiary directly. c.pay for the services provided. d.bill other insurance companies. 55. The Patient History Form is important to: a.bill the appropriate insurance company. b.refer the patient to the appropriate specialist. c.help the physician make decisions about the care of the patient. d.None of the above 56. Many offices ___________ Patient Information forms ahead of time so the patient can complete the forms thoroughly prior to the visit. a.mail b.post in the reception office c.post outside the office door d.None of the above 57. The medical biller must understand the __________________ related to office forms in order to save time in gathering information from the patient. a.directions b.placement c.office policies d.Spanish version 58. Patient forms should be completed in a consistent manner to allow for: a.quick billing. b.multiple individuals to complete data entry. c.ease in finding information. d.identification of the patient. 59. To make sure the medical biller can bill for services: a.train the medical biller in all types of insurance. b.secure all the insurance information. c.copy the front of the insurance card. d.copy the back of the insurance card. 60. Who is most likely responsible for maintaining the medical record in a medical office? a.Medical biller, assistant, or receptionist b.Medical records department c.An outside agency d.All of the above 62. Larger practices or hospitals will have a department that maintains medical records, this department is often called the: a.Records Room. b.Medical Information. c.Health Information. d.Filing Room. 63. The term used to describe changing information in a medical record is: a.destruction. b.erasing. c.correcting. d.altering. 64. It is illegal to __________ medical information in a medical record. a.alter b.change c.erase d.destroy 65. One of the differences in an adult chart versus a pediatric chart is the a.Vital Sign form b.Growth Chart c.Laboratory forms d.Guarantor Information form 66. A disadvantage of an electronic medical records system is: a.the dependency on hardware functioning. b.legibility. c.the need for electricity. d.decreased storage space. 67. All of the following are advantages of electronic health records EXCEPT: a.decreased need for physical storage space. b.increased skill necessary for all staff. c.legibility of records. d.opportunities for saving time. 68. Which name would McIntyre be filed after in an alphabetic system? a.MacIntyre b.Meninger c.McBerry d.MacWilliams 69. It is important to ______________ a new chart as soon as it is created. a.file b.label c.stack d.prepare 70. Every page of a patient chart should include: a.the patient account number. b.the signature of a physician. c.the patient identifying information. d.None of the above.

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