AAPC CPMA Practice Exam Study Graded A+
1. What essential elements must be included in a medical record?
A) Patient ID, medical history, lab report, and clinical impression
B) Patient ID, assignment of benefits, medical history, and physical exam
C) Patient ID, assignment of benefits, immun...
AAPC CPMA Practice Exam Study Graded A+
1. What essential elements must be included in a medical record?
A) Patient ID, medical history, lab report, and clinical impression
B) Patient ID, assignment of benefits, medical history, and physical exam
C) Patient ID, assignment of benefits, immunizations, and physician orders
D) Patient ID, medical history, lab report, physical exam, and clinical impression
Correct answer: C) Patient ID, assignment of benefits, medical history, and physical exam
2. What is the minimum signature requirement for an author of an entry in a medical record?
A) First initial and last name only
B) First initial and last name with credentials
C) Full name with credentials
D) Only credentials
Correct answer: B) First initial and last name with credentials
3. According to JC accreditation guidelines for personal data, what two elements must be evident in a
medical record?
A) Patient information sheet with biographical data and treatment authorization
B) Patient information sheet with biographical data only
C) Treatment authorization only
D) Biographical data only
Correct answer: A) Patient information sheet with biographical data and treatment authorization
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