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124 Cards in this Set
- Front
- Back
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Medical personnel must comply with the Privacy Act, Freedom of Information Act, Health Insurance Portability and Accountability Act, Drug Abuse Offense and Treatment Act, and
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Comprehensive Alcohol Abuse Amendments
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Which laws take precedence over other directives pertaining to access and release of medical information?
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Drug and alocohol
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Which of the following is a valid consent authorizing the release of a dependent husband's medical record information to an insurance company?
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Written consent from husband
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Information that may affect a patient's morale, character, medical progress, or mental health is considered
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Sensitive
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Who reviews and approves requests for release of medical information?
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MDG commander
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What action do you take when an incorrect payment is received from an insurance company for copies of medical records?
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Send the info requested along with a letter to the company specifying the amount owed to the govt.
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If a physician determines that a direct disclosure of medical information to the patient could have an adverse effect on the physical or mental health or safety and welfare of the individual,
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Only release the info to a physician named by the patient or to a person qualified to make psychiatric or mental determinations
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An individual's medical record information is not released to medical research or scientific organizations when
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Reproducing the info would be a burden or it is contrary to existing laws
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What is the MINIMUM standard of adequate protection for medical records stored in open storage areas?
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Doors locked or access and entry controlled
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What information is needed to log on to the Composite Health Care System (CHCS)?
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Username, access/verify codes
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What establishes your identity to CHCS and authenticates your use of the system?
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Access and verify codes
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What two purposes does the user record serve?
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Lets the system know who you are and how you can use the system
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Which of the following is NOT an input used for accessing help in the Composite Health Care System (CHCS)?
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??OLUM
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Before any other automated task can be completed in the Composite Health Care System (CHCS), the patient must
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Be registered
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The validity of registration data entered into the Composite Health Care System (CHCS) is critical because
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It is used by every CHCS user within the MTF
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Which example shows the correct way to enter a patient's name during Composite Health Care System (CHCS) Regristration?
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Lastname(comma)Firstname(space)MiddleInitial
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A perpetual link exists between the Composite Health Care System (CHCS) and the Defense Enrollment Eligibility System (DEERS) to accomplish what task?
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Verify the patient's eligibility for care
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What Composite Health Care System (CHCS) option(s) is/are used to trasfer records from one clinic to another prior to being returned to the outpatient records section?
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Recharge Records
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What information does the Composite Health Care System (CHCS) record when using the Check-In Record option?
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Date and time of record being returned
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Which Composite Health Care System (CHCS) component is composed of timeslots that have been assigned appropriate types, durations and a maximum number of patient slots?
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Schedule
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Which Composite Health Care System (CHCS) component is a pattern of timeslots that is specific to a provider but is not linked to any particular date?
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Template
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What is the proper sequence for setting up a provider's schedule in the Composite Health Care System (CHCS)?
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Profile first, template second, and schedule last
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What Composite Health Care System (CHCS) option makes it simple for the user to add, delete, and cancel schedule timeslots for specific days within any provider's schedule?
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Maintain/Cancel Schedule option
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What does freezing a schedule in the Composite Health Care System (CHCS) accomplish?
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Prevents any further appointment booking for schedule timeslots or daily schedules
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What does the Schedule Hold Duration parameter (located in the clinic profile) accomplish?
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Defines how much time will elapse before the system automatically releases frozen slots
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Where is the Medical Records Tracking (MRT) lable placed on the AF Form 2100 or 2100A?
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Front cover, in the patient identification block
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What is the family member prefix for a retired Air Force Colonel?
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20
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Which number is blocked on the right hand side of the AF Form 2100A series health record for a sponsor whose social security number is 987-65-4321?
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1
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What procedure would be used to identify the outpatient record of an individual assigned to the Personnel Reliablity Program(PRP)?
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Block the last character of the social security number along the right hand side of the record with red tape or marker
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Copies of inpatient care documents are filed in what section of the AF Form 2100A, Health Record-Outpatient?
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Section 1
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An AF Form 422, Physical Profile, should be filed in what section of the AF Form 2100A Health Record-Outpatient?
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Section 3
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Living wills (Self- Determination Act forms) will be filed in what section of the AF Form 2100A Health Record-Outpatient?
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Section 4
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When should outpatient records personnel create a new record folder?
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When the existing folder no longer protects the contents of the record
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Where is the withdrawal of material from an outpatient medical record to an inpatient record recorded?
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On SF 600, Health Record-Chronological Record of Medical Care
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Outpatient records are the property of the?
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Department of Defense
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Which statement BEST describes the outpatient records filing system?
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Terminal digit filing
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A properly developed and maintained terminal digit (color coded and blocked) filing system makes it easier to
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Identify a misfiled record
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If a record must be transferred from one clinic to another, whose responsibility is it to change the location of the record on the AF Form 250, Health Record Charge Out Request?
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Outpatient records personnel
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When allowing a patient to hand-carry his or her outpatient record to another military treatment facility (MTF) permanently, which form is used as a receipt?
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AF Form 1942, Clinical Index
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The AF Form 1942, Clinical Index is maintained for
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6 months in an alphabetical file
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How often are active duty records inventoried?
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At least once a year
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When must the inventory of records of active duty personnel assigned to the base be completed?
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31 March of each year
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What type of team are active duty member and their beneficiaries assigned to after the mass medical in-processing briefing?
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Primary Care Optimization team
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When you in-process a medical record and then generate a computer charge-out, to whom do you deliver the records?
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Primary Care Manager
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When an active duty sponsor is retiring and they have a dependent over the age of 18, who must fill out the DD Form 2138, Request for Trasfer of Outpatient Record, for the dependent?
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The dependent
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For which of the following would you NOT create an inpatient record?
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Stillbirths
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The AF Form 788 (series), Inpatient Record, is filed using which filing system?
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Terminal digit (by sponsor's Social Security Number)
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Who prepares AF forms 788 series folders for filing inpatient documentation?
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Inpatient records section technician
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Final progress notes on SF 509 may be substituted for narrative summaries for all of the following patients EXCEPT
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Patients treated at tactical MTFs
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When documenting care in inpatient records, symbols and abbreviations
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Cannot be used when recording the final diagnoses on the AF Form 560
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Inpatient records on a family member of a retired Air Force Chief are the property of the
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Department of Defense
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Which documents are sent with a patient being transferred to a nonmilitary medical treatment facility?
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Copies of any material pertinent to the case
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Authority to set up or close down an inpatient record library is granted by the
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Air Force Medical Support Agency (AFMSA)
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An inpatient record of an Air Force Staff Sergeant admitted on 28 Dec 98 and dispositioned on 4 Jan 99 (no other episodes) at a facility with an inpatient records library is
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Eligible for retirement 31 Dec 2004
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What documentation is required to prove eligibility when a patient's sponsor is a member of the Reserve or National Guard, ordered to federal active duty for more than 30 days?
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Copy of the sponsor's orders
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What documentation is used to prove eligibility under the Secretary of the Air Force Designee Program?
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The designee letter
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After the risk assessment, what determines if a patient with questionable eligibility is treated in the military treatment facility?
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If there is a possibility of risk to the Air Force or patient
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A Secretary of the Air Force designee letter must contain the effective date, period covered and
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Determination as to whether the Air Force is providing aeromedical evacuation
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When an abused family member applies for Secretary of the Air Force designee status after the sponsor was discharged from the service, the approval authority is the
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Medical Group Commander
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Under the Secretary of the Air Force Designee Program, pregnant former active duty females are limited to prenatal and delivery, as well as follow-up care not to exceed
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6 weeks
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For sponsors on unaccompanied assignments, a family member clearance screening is accomplished by the
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military training facility (MTF) in closest proximity to the family
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Which of the following is NOT a requirement for selection to the Personnel Reliability Program (PRP)?
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Individuals MUST be a citizen of the United States by birth
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Positions to which individuals are assigned duties on a permanent or full-time basis in direct support of the President of the United States are called
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Category 1
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Who is responsible for identifying positions filled by Personnel Reliability Program (PRP) certified personnel?
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Unit commander of each individual organization
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When a member is relieved from PRP duties temporarily, because of medication that may cause drowsiness, the appropriate action is
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Suspension
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When a situation CANNOT be resolved in the near term, a commander may remove an individual from Personnel Reliability Program (PRP) duties by
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Permanent decertification
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Which agency uses line of duty (LOD) determinations to determine eligibility for physical disability retirement?
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Air Force
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Which agency uses line of duty (LOD) determinations to determine eligibility for disability compensation and hospital benefits?
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Dept of Veterans' Affairs
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Which agency uses line of duty (LOD) determinations to evaluate eligibility for Civil Service hiring preference?
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Office of Personnel Management
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Which agency uses line of duty (LOD) determinations to evaluate the eligibility of an Air Force Reserve Training Corps (AFROTC) cadet for compensation for injuries sustained while training?
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Dept of Labor
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The purpose of what type of line of duty (LOD) and misconduct investigation is to protect the interests of the member being investigated and to ensure Govt benefits are awarded justly and according to law?
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Formal
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The interim line of duty (LOD) for reserve members is valid
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For no more than 90 days
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The responsibility for identifying cases in which line of duty (LOD) and misconduct determinations are required is the responsibility of the
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MTF
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If a member of a branch of service other than the Air Force (AF) is first treated at an AF MTF, and requires a line of duty (LOD) determination, what would be the appropriate course of action?
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Notify the patient's unit commander; the parent service will process the determination
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Who may direct a reinvestigation of the final findings of a Line of Duty and Misconduct Determination when new or significant evidence shows the chance of an error?
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The appointing of higher authority
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Who has the authority to retire or separate members who can no longer perform the duties of their grade because of medical impairment?
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Secretary of the United States Air Force
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When can a medical board be convened to determine an individual's mental competence for pay and records purposes?
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When specific psychiatric illness or illnesses are present
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Which condition DOES NOT indicate the need for a Medical Evaluation Board?
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Temporary medical or surgical condition that can be expected to resolve within 12 months without disqualifying residuals or risk of recurrence
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Who appoints the Medical Evaluation Board (MEB) recorder and the Physical Evaluation Board liaison officer (PEBLO), and by what means are they tasked?
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MTF Commander, published orders
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The Physical Evaluation Board liaison officer (PEBLO) maintains coordination between the patient, MTF, PEB, and the
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MPF
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Which of the following is an appropriate Medical Evaluation Board (MEB) recommmendation?
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Return to duty
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Who is held financially accoutable for all care delivered to their enrollees, both w/in and outside of their facility?
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Medical Group commanders
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Who will be reimbursed from MTF operting funds on a monthly basis?
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Managed care support contractor
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What process is used to manage and track patient referrals, both internal and external to the MTF?
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Referral management
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What should be reviewed every 30 days to ensure MTF capabilities are fully and accurately defined?
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Service availability listings (SAL)
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For which patient would an AF commander at the nearest medical treatment facility (MTF) accept administrative responsibility?
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Active duty Staff Sergeant admitted to a nearby civilian hospital while on leave status
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Register numbers are assigned in numerical sequence
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Until the facility is closed down
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When is the only occasion a register number may be omitted?
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Never
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What is entered in block 8 (Type Case) of an AF Form 560, for a patient who receives an accidental injury while on the job?
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INJ
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What is entered in block 8 (Type Case) of AF Form 560 for a patient who is pregnant?
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DIS
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Use the INTERWARD TRANSFER CHCH function to
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Move a patient from one unit to another unit w/in the MTF
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A Composite Health Care System (CHCS) admission notification letter is generated each time
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An active duty patient is admitted to the MTF
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The admissions and dispositions report is a daily report of
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Admissions, dispositions, change of status, newborns, and interward transfers
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Which of the following is NOT included in the admission package that accompanies a patient to the inpatient unit?
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Patient suspense file
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Which category of patients requires cards to be placed in the ACTIVE section of the master index of patients, and how are they filed?
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All patients currently under treatment; alphabetically
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When must notification to HQ AF/SGXO be accomplished for active duty flag officers admitted to a MTF?
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By 0600 hours eastern standard time following admission
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The authority and responsibility for accepting patient valuables for storage and safekeeping rests with the
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Medical Group Commander
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Which of the following criteria applies when commanders select a patient valuables custodian?
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Is NOT restricted to any rank or grade
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Which of the following individuals would NOT be eligible to perform an inventory of patient valuables?
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Senior Airman Hill, Pharmacy Technician
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The disposition processing feature of the Composite Health Care System (CHCS) allows you to do all of the following EXCEPT
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Update admission data
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A patient is given an incapacitating illness or injury casualty status when the illness or injury
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Involves serious disfigurement
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What form is used to document dates and times of casualty status notifications made to outside organizations and individuals?
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AF Form 570, Notification of Patient's Medical Status
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Where are the personal effects of a deceased civilian who died in a MTF sent?
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Executor
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The activities of the unit inpatient records technician (UIRT) generally fall under the direct supervision of
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Nursing services
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By performing nursing functions, a unit inpatient records technician (UIRT) MAY be placing the AF in legal jeopardy; the MTF may face Joint Accreditation of Hospital Organization write ups/discrepancies and may
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Be doing harm to the patient
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Who is responsible for all health record entries regarding the diagnosis or treatment of patients?
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Health care providers
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Who cares for and protects the inpatient record while it is maintained on the inpatient unit?
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The unit inpatient records technician (UIRT)
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To monitor patient absences, use
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A patient sign-out register
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If convalescent leave is DIRECTED, the inpatient record is
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Forwarded to the disposition office and filed in the suspense file
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RECOMMENDED convalescent leave must be approved by the
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Patient's unit commander
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What will dictate the clearance process for patients being discharged from your MTF?
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Local policy
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The Army is responsible for forward aeromedical evacuation (AE) using aircraft commonly referred to as
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Dustoffs
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What usually accommodates from 50-250 patients and receives, shelters, processes and provides care to patients who enter in or leave the aeromedical evacuation (AE) system?
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Aeromedical Staging Facility (ASF)
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What is generally strategically positioned at or near a flightline, and used to provide quick access to enplaning/deplaning patients involved with aeromedical evacuation (AE)?
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Mobile Aeromedical Staging Facility (MASF)
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What is the largest turbo prop driven cargo aircraft in the Air Force inventory?
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C-130 Hercules
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What aircraft is used as the back up for the C-9 Nightingale during peace time aeromedical evacuation (AE)?
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C-130 Hercules
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What primary aircraft can be used to support both intratheater and intertheater aeromedical evacuation (AE) missions?
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C-9A Nightingale
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What aircraft assists in the aeromedical evacuation (AE) process by providing forward AE?
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UH 60 Q Medevac Black Hawk
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What automated information system is CURRENTLY RESPONSIBLE for combining transportation, logistics and clinical decision support elements into a seamless patient movement information management system?
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TRANSCOM Regulating and Command & Control Evacuation System (TRAC2ES)
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A patient requiring the use of restraining apparatus, sedation, and close supervision should be classified as a
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Severe psychiatric litter patient
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Patients requiring rest during a long AE flight because of recent surgery should be classified as
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litter
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Patients who require emergency aeromedical movement to save life, limb, or to prevent serious complications are categorized as
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Urgent
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Which aeromedical evacuation squadron does NOT have geographical responsibilities?
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43 AES
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What does the International Civil Aviation Organization (ICAO) code written to the left of the red cross on the DD Form 600, Patient's Baggage Tag represent?
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The facility where an aeromedical evacuation (AE) patient will remain overnight (RON)
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