Volume 2 Unit 1 Part 2

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Using this option, slots will not be displayed during appointment searches (except in Browse mode) or on the Provider Schedule Summary Report.

The Modify/Add/Delete Schedules option

The Maintain/Cancel Schedules option

The Replicate Schedule option

The Freeze/Release Schedules option. (correct)

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 (correct)

The Maintain/Cancel Schedules option

The Freeze/Release Schedules option

The Cancellation by Facility 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 Replicate Schedule option

The Modify/Add/Delete Schedules option

The Maintain/Cancel Schedules option

The Cancellation by Facility option (correct)

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. Signup and view all the answers

This option allows you to copy an existing schedule to another provider.

The Replicate Schedule option Signup and view all the answers

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. Signup and view all the answers

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. Signup and view all the answers

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. Signup and view all the answers

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. Signup and view all the answers

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) Signup and view all the answers

When should a new health record be created for a patient?

When the existing folder no longer protects the contents of the record Signup and view all the answers

What website can most Air Force, Standard, and Optional Forms be obtained from?

The Air Force e-Publishing website at: <a href="http://www.e-publishing.af.mil">http://www.e-publishing.af.mil</a> Signup and view all the answers

Who owns all of the military health records?

The United States Government Signup and view all the answers

What system is used to file outpatient records?

Terminal digit filing system Signup and view all the answers

Using the social security number “20/000–12–3456,” break down the number into the following categories: 1st part tertiary:

12 Signup and view all the answers

Using the social security number “20/000–12–3456,” break down the number into the following categories: Family Member Prefix

20 Signup and view all the answers

Using the social security number “20/000–12–3456,” break down the number into the following categories: Primary number

56 Signup and view all the answers

Using the social security number “20/000–12–3456,” break down the number into the following categories: 2nd part tertiary

000 Signup and view all the answers

Using the social security number “20/000–12–3456,” break down the number into the following categories: Secondary number

34 Signup and view all the answers

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. Signup and view all the answers

How are AF Forms 1942 filed, and for how long are they maintained?

Alphabetically; 6 months. Signup and view all the answers

What category of records is inventoried?

Active duty personnel records Signup and view all the answers

How often are outpatient records inventoried?

Annually Signup and view all the answers

When are outpatient records for nonmilitary, dependents, and retired military personnel retired?

At the end of each calendar year Signup and view all the answers

What is used as a pull list to retrieve medical records eligible for retirement?

Records retirement index Signup and view all the answers

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 Signup and view all the answers

Under a CSS in-processing system, to what type of medical team are active duty members and their family members assigned?

PCO team Signup and view all the answers

After members’ records are in-processed through the MTF, to whom does the 4A0 charge them out for review?

Primary Care Manager (PCM) Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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 Signup and view all the answers

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. Signup and view all the answers

Where are APV records filed?

File original documentation on a patient seen during an APV episode in the EAR folder. Signup and view all the answers

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 Signup and view all the answers

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. Signup and view all the answers

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 Signup and view all the answers

Who owns the inpatient records of a family member of a retired Air Force Chief MSgt?

Department of Defense Signup and view all the answers

Why are inpatient records safeguarded?

To protect against loss, defacement, tampering, or use by unauthorized individuals. Signup and view all the answers

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 Signup and view all the answers

Who grants the authority to set up or close down an inpatient record library?

Air Force Medical Support Agency (AFMSA/SGOI) Signup and view all the answers

What is the cutoff date for inpatient record retirement?

31 December of each year Signup and view all the answers

Volume 2 Unit 1 Part 2

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Questions and Answers

Using this option, slots will not be displayed during appointment searches (except in Browse mode) or on the Provider Schedule Summary Report.

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.

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.

This option makes it simple for you to add, delete, cancel, freeze and release schedule time slots for specific days within any providers’ schedule.

This option allows you to copy an existing schedule to another provider.

What minimum identification is placed on each document filed in the outpatient record?

What will be placed in the health record in place of the AF Form 1480 or DD Form2766A?

What type of documentation is filed in Section 1, AF Form 2100A series health record?

What forms may be filed in Section 2, AF Form 2100A series health record?

What forms may be filed in Section 4, AF Form 2100A series health record?

When should a new health record be created for a patient?

What website can most Air Force, Standard, and Optional Forms be obtained from?

Who owns all of the military health records?

What system is used to file outpatient records?

Using the social security number “20/000–12–3456,” break down the number into the following categories: 1st part tertiary:

Using the social security number “20/000–12–3456,” break down the number into the following categories: Family Member Prefix

Using the social security number “20/000–12–3456,” break down the number into the following categories: Primary number

Using the social security number “20/000–12–3456,” break down the number into the following categories: 2nd part tertiary

Using the social security number “20/000–12–3456,” break down the number into the following categories: Secondary number

What type of documentation must be received by the sending MTF before medical records are mailed to another medical facility?

How are AF Forms 1942 filed, and for how long are they maintained?

What category of records is inventoried?

How often are outpatient records inventoried?

When are outpatient records for nonmilitary, dependents, and retired military personnel retired?

What is used as a pull list to retrieve medical records eligible for retirement?

What can happen if the physical records sent to NPRC do not match the records retirement index?

Under a CSS in-processing system, to what type of medical team are active duty members and their family members assigned?

After members’ records are in-processed through the MTF, to whom does the 4A0 charge them out for review?

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?

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?

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?

Where is documentation generated by a canceled admission filed?

Where are APV records filed?

What minimum patient identification information is required when filling out inpatient forms?

When is a narrative summary prepared?

When may a final progress note substitute for a narrative summary?

Who owns the inpatient records of a family member of a retired Air Force Chief MSgt?

Why are inpatient records safeguarded?

What are the responsibilities of an MTF’s medical record review function committee?

Who grants the authority to set up or close down an inpatient record library?

What is the cutoff date for inpatient record retirement?

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