41 Questions
Using this option, slots will not be displayed during appointment searches (except in Browse mode) or on the Provider Schedule Summary Report.
The Freeze/Release Schedules option.
This option allows you to adjust schedule slots by changing the appointment type or number of patients per slot and by entering or editing comments.
The Modify/Add/Delete Schedules option
This option allows you to cancel all or part of an existing schedule at the request of a provider or other agency at an MTF.
The Cancellation by Facility option
This option makes it simple for you to add, delete, cancel, freeze and release schedule time slots for specific days within any providers’ schedule.
The Maintain/Cancel Schedules option.
This option allows you to copy an existing schedule to another provider.
The Replicate Schedule option
What minimum identification is placed on each document filed in the outpatient record?
Patient’s name, family member prefix, sponsor’s SSN, facility name, and name of MTF maintaining the records.
What will be placed in the health record in place of the AF Form 1480 or DD Form2766A?
Copy of the AF Form 1480 or DD Form 2766A.
What type of documentation is filed in Section 1, AF Form 2100A series health record?
AF Forms 1480/B or DD Forms 2766/C, 2796, 2569, HEAR PCM, result from HEAR, AF Forms 1480, 3922, 3922, and copies of inpatientforms.
What forms may be filed in Section 2, AF Form 2100A series health record?
AF Form 745 when applicable; AF Form 966, if used; patient signed informed consent, SF 600 interfiled with SF 558s; DD Form 2161 on top of the SF 600 to which it was ordered, AF Forms 1352, 1446, and SFs 88 and 93.
What forms may be filed in Section 4, AF Form 2100A series health record?
Diagnostic test reports such as lab forms, SFs 519B, OFs 520, other diagnostic test reports, and advanced directives (self-determined acts or living wills)
When should a new health record be created for a patient?
When the existing folder no longer protects the contents of the record
What website can most Air Force, Standard, and Optional Forms be obtained from?
The Air Force e-Publishing website at: http://www.e-publishing.af.mil
Who owns all of the military health records?
The United States Government
What system is used to file outpatient records?
Terminal digit filing system
Using the social security number “20/000–12–3456,” break down the number into the following categories: 1st part tertiary:
12
Using the social security number “20/000–12–3456,” break down the number into the following categories: Family Member Prefix
20
Using the social security number “20/000–12–3456,” break down the number into the following categories: Primary number
56
Using the social security number “20/000–12–3456,” break down the number into the following categories: 2nd part tertiary
000
Using the social security number “20/000–12–3456,” break down the number into the following categories: Secondary number
34
What type of documentation must be received by the sending MTF before medical records are mailed to another medical facility?
DD Form 2138; DD Form 877; or other legal request.
How are AF Forms 1942 filed, and for how long are they maintained?
Alphabetically; 6 months.
What category of records is inventoried?
Active duty personnel records
How often are outpatient records inventoried?
Annually
When are outpatient records for nonmilitary, dependents, and retired military personnel retired?
At the end of each calendar year
What is used as a pull list to retrieve medical records eligible for retirement?
Records retirement index
What can happen if the physical records sent to NPRC do not match the records retirement index?
NPRC can return the shipment at MTF expense
Under a CSS in-processing system, to what type of medical team are active duty members and their family members assigned?
PCO team
After members’ records are in-processed through the MTF, to whom does the 4A0 charge them out for review?
Primary Care Manager (PCM)
When an active duty member is transferring and a dependent’s record cannot be found, what two documents must the requester fill out so the records can be forwarded to the active duty member’s next base of assignment once recovered?
A tracer (a locally developed form) and a DD Form2138
When an active duty member is retiring and has a dependent over the age of 18, who must fill out the DD Form 2138 for the dependent?
The dependent over the age of 18
If an active duty member needs medical records for the discharge review board, but does not have any orders, what must he or she provide before you can release the records?
A memorandum from their squadron stating that discharge/separation is pending and their records are needed for the discharge review board to review
Where is documentation generated by a canceled admission filed?
Annotate the admission worksheet with the reason for cancellation and place a copy in the outpatient record. File all other paperwork generated by the admission in the inpatient record’s folder.
Where are APV records filed?
File original documentation on a patient seen during an APV episode in the EAR folder.
What minimum patient identification information is required when filling out inpatient forms?
Patient’s name, register number, FMP, sponsor’s social security number, and name of treating MTF
When is a narrative summary prepared?
For patients who die after admission; who are received by transfer for further treatment; and who remained in the hospital as a bed occupant for 8 days or more.
When may a final progress note substitute for a narrative summary?
For patients with minor problems requiring less than a 48-hour stay, normal newborn infants or uncomplicated obstetrical deliveries
Who owns the inpatient records of a family member of a retired Air Force Chief MSgt?
Department of Defense
Why are inpatient records safeguarded?
To protect against loss, defacement, tampering, or use by unauthorized individuals.
What are the responsibilities of an MTF’s medical record review function committee?
For reviewing records to ensure quality, clinical pertinence and the timely completion of records and compliance with AF directives and JCAHO standards
Who grants the authority to set up or close down an inpatient record library?
Air Force Medical Support Agency (AFMSA/SGOI)
What is the cutoff date for inpatient record retirement?
31 December of each year
Learn about different options for managing outpatient schedules, such as adjusting slots, changing appointment types, canceling schedules, and copying schedules between providers. Understand the minimum identification requirements for documents in outpatient records.
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