What must be done if an update alters the method of managing orders?

Automatic alerts regarding change

Subjective data is the ___.

patient's own words of chief complaint

A benefit of using the CPOE feature is__?

preventing the duplication of orders

Duplicate orders are expected when ---.

going from paper to electronic records

What can be reviewed to see if patients PHI has been compromised?

Information systems activity review

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Duplicate of EHR Specialist Study Guide

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Questions 89

Answers

1
The provider documented a diagnosis of Hypertension during an office visit. This is _____documentation.
progress note
consent
real-time
nurse note
2
Evaluation and Management codes are found in the ICD-10-CM book.
True
False
3
Aging reports can be generated to determine past due accounts.
False
True
4
External lab resources can be mapped by __.
CMS
LOINC
HIPAA
MIPS
5
Completed encounter forms contain ____, which are used for billing.
diagnosis codes
insurance verification
chief complaint
review of systems
6
Diagnosis based lists help who when charting?
patient
physician
janitor
receptionists
7
What must be created when implementing an EHR system?
financial account
steering committee
Office
computer system
8
A Release of Information must be signed before a patient can have a noncovered procedure.
False
True
9
How is billing information exchanged from the physician to the insurance carriers?
Electronic Data Interchange
Electronic data exchange
Internet
Health information exchange
10
Where can Health care literature can be accessed within the EHR .
medical reference links
Demographic
CDC
Progress notes
11
You must do this to process to link an image to the correct patient.
export
downloading
uploading
import
12
Cloned progress notes lead to __.
increased work flow
higher reimbursement
out dated documentation
coding accuracies
13
Who requires information to backed up in a secure location?
OIC
DHHS
HIPAA
CMS
14
By the using telemetry, a patients medical device information is transferred into the ___.
patient's subjective data
patient's EHR
patient's demographic data
patient's financial statements
15
CMS is responsible for the minimum number of years medical records should be retained.
True
False
16
An example of subjective data is __?
Pt.s address
past operative note in chart
sore throat and abdominal pain
BP 110/72
17
What information is used to see what the next patient is being seen for?
demographic data
chief complaint
appointment time
date of birth
18
What must be done if an update alters the method of managing orders?
Automatic alerts regarding change
Automatic alerts to the receptionists
Automatic alerts to the provider
Automatic alerts to the billing department
19
You must you do first when checking in an established patient.
verify date of birth
verify appointment time
verify contact information
collect insurance information
20
HIPAA sets standards for who can access protected health information.
True
False
21
If you have overlapping appointments, what can improve the efficiency of the office?
age of patients
types of appointments
amount of copays
type of insurance
22
Scope of practice helps to maintain ____ of EHR data.
integrity
OIG Compliance plan
Progress notes
HIPAA
23
In what section of the EHR would a patient's smoking and drinking status be documented?
physical examination
HIPAA form
medical history
demographic data
24
Recommended immunizations are what type of EHR feature and requirement?
Clinical Quality Measures
Past medical History
Utilization Review
E-scribing
25
____ is where the chief complaint is documented.
Day sheet
Admission sheet
Intake form
Encounter form
26
Medicare patient's must sign a ___ for noncovered services, procedures. etc.
Release of Informaton
HIPAA forms
ABN
Notice of Privacy Practices
27
Appointment time is an example of a patient identifier.
False
True
28
Corrections to clinical data can only be done by creating a (an)__.
superbill
new patient visit
new progress note
addendum
29
What is used to help collect administrative data for verification of patient identity in the hospital?
superbill
admission face sheet
encounter form
day sheet
30
Real-time data is considered____ data.
subjective
objective
assessment
demographic
31
Subjective data is the ___.
physicians documentation of visit
patient's own words of chief complaint
EHR specialists billing documentation
nurse's documentation of vitals
32
EHR specialists should first verify insurance coverage before doing what?
taking money on balance owed
verifying appointment time
verifying physician being seen
taking point of care payments
33
What section of the medical record is the chief complaint listed?
objective
plan
assessment
subjective
34
Formulary compliance is not a feature of e-scribing software.
False
True
35
Guidelines for research date is set by what organization?
Healthlevel 7
CMS
OIG
OCR
36
Why would a provider ask you to generate a provider report?
determine number of past due accounts
determine monthly revenue
determine number of no show patients
determine number of patients seen
37
You are allowed to leave a patients information on a computer screen without having any security issues.
False
True
38
The use of EHR systems had made the record process__.
stream lined
improved
difficult
blue and green
39
Protocols are used to determine __ per medical conditions.
referring surgeons
payments
therapies
medications
40
A benefit of using the CPOE feature is__?
verifies patient identity
preventing the duplication of orders
calculates E/M level
adds the facility cost of orders
41
Point-of-Care documentation benefits the EHR by helping with __.
templates
e-scribing
progress notes
completeness and accuracy
42
Duplicate orders are expected when ---.
going from paper to electronic records
going from receptionists to nurse
going from one doctor to another
going from one facility to another
43
MIPS is used by whom?
Cigna
Medicaid
Blue Cross
Medicare
44
What can be reviewed to see if patients PHI has been compromised?
Aging report
Accounts payable
Information systems activity review
Demographic data
45
Transmitted data must be__ to meet security standards.
all numeric
all alpha numeric
encrypted
readable
46
CPOE can be used to help prevent __.
duplicate prescriptions for pharmacies
radiology requests
laboratory requests
All of the above
47
ICD codes are examples of what type of date?
templates
objective
structured
subjective
48
When computer systems share a unified language system, they are termed _.
Clinical Quality Measures
HIPAA Compliant
EHR/PMS Software
Interoperable
49
Information for EHR systems is stored on USB drives.
True
False
50
Electronically verifying insurance information the night before can be the role of the __.
EHR Specialists
insurance clerk
nurse
physician
51
Cost of implementation is a barrier for transitioning to an EHR system.
True
False
52
What can you correct in the medical record by an addendum?
lab results
date of birth
patients address
insurance information
53
CPOE...
Computerized Program Order Entry
Computerized Physician Outpatient Entry
Computerized Program Order Entity
Computerized Physician Order Entry
54
How does templates help an EHR ?
increases requirements for CMS
increases timely filing
increases completeness and accuracy
increases effectiveness and accuracy
55
Day sheets are used at the beginning of the day.
False
True
56
Patients must be notified within how many days of a breach of security?
60 days
45 days
15 days
never
57
PMS are equipped with a scheduling tool. How are they used effectively?
How many patients are left for the day.
How many patients were seen by the NP.
How many patients were seen with HTN.
How many patients lived locally.
58
Integrity deals with what type of data?
encrypted
unreadable till reaches destination
modified data
both red and green
59
Accessible data between providers is considered?
Referral of data
Continuity of Care
Transfer of data
Data network
60
The encounter form includes a comprehensive and up to date list of a patient's medical conditions.
False
True
61
Joan logins to an unattended workspace using her credentials. This is an example of_.
None
Both red and green
HIPAA Security Rule
Internal Audit Access control
62
How can the billing department prevent inaccuracies in coding?
perform routine internal audits
perform peer to peer reviews
set alerts for coding changes
perform mandatory updates
63
Syntactic interoperability provides the most efficient communication between systems.
False
True
64
Who is responsible for verifying insurance?
physician
billing staff
lab tech
nurse
65
CMS uses what to determine quality improvement?
CPT
DRG's
MIPS
ICD-10
66
EHR hardware includes
urinalysis machine
BP machine-manual
storage device
glucose meter
67
Third party payers are whom?
patients
insurance carriers
laboratories
physicians
68
Immunizations can be provided to public health agencies only when it is provided ____.
anonymous and confidential
HIPAA form signed
consent from patient
Release of information is signed
69
Professional charge reports are generated by __?
Functional Modifiers
POS Codes
CPT Codes
ICD-10-CM Codes
70
What would help in ordering multiple tests at one time on a template?
checkboxes
empty lines
CPT codes
specimen types
71
Decision support software can be used to help determine ___ of drugs.
side effects
procedural codes
therapeutic equivalence
billing diagnosis
72
Alcohol usage is documented in the social history section of the EHR record.
True
False
73
What is another way to look for an established patient in the EHR system?
zip code
chief complaint
social security number
patient's mother
74
BY eliminating written prescriptions, the office can ___.
streamline workflow
increase prescription adherence
decrease patient portal activity
increase visit times
75
A _ review is done before billing to ensure encounter forms match appointment schedule.
internal
retrospective
prospective
external
76
Administrative safeguards are included in __.
Transcripted data
Clearinghouse guidelines
OIG Compliance plan
biannual security awareness training
77
What type of database is used to crosscheck the accuracy in data reports?
database of medical links
data warehouse
data registry
data medical set
78
Digital image data is the best method to prevent data discrepancy.
False
True
79
Zip code is considered an example of de-identified information.
False
True
80
Where can you find out how may refills was on a prescription?
MAR
CDSS
CPOE
CMS
81
Where can you find and print out educational materials about a specific diagnosis?
patient portal
clinical decision support
chief complaint
diagnosis list
82
MSO4 is a "Do not use" abbreviation.
True
False
83
What section of the EHR can an EHR specialists document?
ALL of the answers
chief complaint
progress note
third party payers
84
What type of report can see the revenue from CPT codes?
Billing Department
Pending Transactions
Accounts Payable
Accounts Receivable
85
The physical examination includes___.
Diagnosis
Plan of care
subjective data
T-P-R-BP
86
Patient payments are posted at what stage in the patient flow?
after the patient leaves the office
during check out
during check in at time of service
during the triage
87
Reporting of health outbreaks to the public is down by what means?
lab reports
physician registry
syndromic surveillance
data registry
88
How do you make sure the process of requesting reimbursement are accurate after receiving an operative report ?
confirming the physician, patient, and date of service
confirming diagnosis and procedure codes support the documentation
confirming the diagnosis is covered under the patients insurance
confirming the patients demographic
89
The process of selecting data from the clinical and administrative decision making is __.
abstracting the physicians schedule
abstracting a medical record
abstracting the laboratory schedule
abstracting the appointment schedule

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