EHR final term 3

icd-10 volume that contains codes used by hospital to report inpatient care is

the privacy officer is always the office manager of the practice

established patients is one who has been seen by a member of the team within 4 years

maintaining patient records is optional for healthcare providers

smoking status of the patient would be discussed under which history type

practive of enforcing penalties for staff failing to comply with security measures falls under

the manager preforms __ on her staff to determine if unauthorized info was accessed

someone having a drug test done is given an id number instead of there name this is anonymity

a __ occurs when a physician requests advice or an opinion from another physician

a patients blook pressure is 120/80 mm hg this constitutes

message linking feature allows the user to link an email to a portion of the patients charts

which of the following is not a way to avoid duplicate charts

the patient is the owner of the PHR

the amount of money a patient is contracted to pay out of pocket at each visit is called

which is not an example of backing up the EHR

outpatient procedures are coding using the CPT manual

a patients diagnosis is type 1 diabetes. The type of information is categorized as

a lab result would be an example of IIHI

ROS means review of symptoms

all additions to the medical record may be signed by the

solution for patients who want to have their health info in electronic form but not online

a patient having a drug test is given an id number instead of his name this is anonymity

office submitting claims electronically are called

EHR eliminates the need for the ma to pull charts for appt

a tetnus injection would be coded from

dragon naturally speaking is a common speech recongnition program used by doctors and patients

privacy and security are interchangeable terms

the CPT - 4 coding system

standards for what each software system should be able to accomplish are set by

PFSH means present family status history

the medical assistant is a frequent documenter of the patient record

once the retention period is over the chart may be

an audit identifies poor coding documentation and billing practices so that additional training

medicaid is a 3rd party payer

medicare is an example of a

which of the following is not a covered entity

CPT and diagnosis codes may be updated and edited in SCMO

a medical office may charge for copying medical records. because the info belongs to them

an output device that encodes documents in order to transmit them over the phone line

giving two or more patients the same apt slot with the same provider is called

the prescription that the doctor sent over the pharmacists notices they are allergic and tells

electronic claims are sent via fax machine

phrs can monitor drug interactions and usages

the ___ is a statement of checks and balances for the office as it prepares to make deposit

accessing info on the internet has increased to need for hipaa implementation

congestive heart disease and asthma are examples of

the privacy rule requires providers to do all of the following except

note is signed electronically provider is representing that everything within the note is right

confidentiality and anonymity have the same meaning

paper claims to a clearing house that scans them into electronic for is not a covered entity

patients use their social security numbers as a secondary identifier under hipaa

___ codes are temporary codes applied to emerging technology

EHR message templates are more efficient than traditional paper based

who is not a documenter of the patient chart

V-Y codes

the largest amount of time in maintaining the phr is during the initial set up

which of the following piece of info is not found on the patient encounter form

the most frequently used CPT codes are the surgery section

passwords and screen savers are examples of

IC-10-CM assigns outpatients procedural codes

an mri of the patients brain will help guide the physicians

unethical nehaviors are always unlawful

doctor asks the ma to print a handout on hypertension for a patient to take home this is what?

__ is a legal doctiren which holds that med services rendered must be reasonable & necessary

claims may only be submitted electronically

documentation of immunization would include

which of the following is not true regarding electronic messaging procedures

introducing the EHR into the doctors office will result in little to no employee resistance

documentation

genetic disease risk would be covered under which part of the patients history

employees are generally assigned the same privileges as the physician

ABC insurance has decided to stop insurance due to info they got from the local consumer report

info the patient tells you is

Z codes

a coalition of health care organization that promotes the adoption of ineroperable EHR

photocopies of claim forms are acceptable for submission

no shows

the receptionlist usually provides the first impression of the office

an individual who is responsible for putting information in the patient chart is called a

which of the following is not a core function of a well designed ehr

__ is an unintentional deception in which a provider inappropriately bills for services

good communication reduces the likelihood of patient will bring a lawsuit even when med error

a patient complains of urinary frequency this is the patients

a standard form that speeds claims processing for doctor is the

retention of records is maintained at the federal level

which of the following are features of phr

___ are a set of rules & standards of conduct that grow from our understanding of right & wrong

services related to office visits and hospital observation codes are coded from

process of assigning standard numeric or alphnumeric characters to diagnoses procedures &treat

the __ is a universal claim form used to gather reimbursement from insurance payer for the doc.

generating patient letters from the her is a common task of the front office assistant

a physical collection of an individual info is termed

icd-10-cm coding manual includes

sever that provides data transfer and storage space at remote locations

a technology that converts speech into text as the provider speaks into a microphone is

the phr is owned by the patient

2 digit numeric modifiers are added to CPT codes to specify more percisely procedures

the hippa security rule outlines the administrative physical and tech measures covered entities

power outages and crashes pose other safety and security concerns for offices using EHR

an established patient

patient information

the contents of the phr are standardized from office to office

a condition that presents suddenly and is usualy severe but of brief duration is

the encounter form holds info from the patients visit

when accompanying a patient in the exam room the ma commonly documented

method of keeping a phr include a monthly subscription & is secure patients have access

weight and height are considered

hipaa addressed which of the following

determining whether the insurance will pay for a ct of the abdomen for the diagnosis of pain

workers compensation programs are not considered to be health plans under hipaa

encryptions and decryption technology are examples of

__ is a uniform language for describing procedures and treatments performed by healthcare

patient data such as blood sugar results from glucometers may be downloaded into a phr

patient correspondence may be

hipaa focuss on protecting privacy and security concerns only

purging is

which of the following is not an acceptable use of email in the office

which of the following is not a common duty of the front office assistant

guidelines for written messages include all except

the reason the patient to skeek care from the provider is called

patient records are classified by all the following except

system that keeps data secure by converting it to an unreadable code is called

retention of records is maintained at the federal level

nonprofit industry group &consumers reporting agency that maintains a database of med info is

records of visits to the school nurse are maintained under hippa

hipaa doesn't allow email communications between the doctor and patient

the ehr is owned by the patient

dr. smith office a covered entity may transmit electronic claims for reimbursment

ultrasound would be coded from

a consumer reporting agency is regulated under the __ act

another name for coding variances is

1 disadvantage of using EHR messages is that the person creating the message is unable to sign

__ codes are supplemental codes used to help researchers collect datat and measure quality care

an outcomes based payment model that rewards providers for delivering evidence based care

the phyr is a covered entity under hipaa

method is inexpensive easy to maintain and secure chief drawback is the difficulty of sharing

patients with prior continuous health coverage cannot be denied due to prexisiting conditions

information documented in the patients chart may be handwritten

protected health information pertains to

needs a copy of her pmh to be sent to the specialist the term for this is

is misrepresentation of the medical services provided to deceive or mislead another person

a legal chart document that may include a do not resuscitate order would be called a

after kevisn HIV results are in the doctors asks him to make an apt to review the results

dawn was asked to sign a ___ when receiving her flu shot

if individuals believe their patients rights have been violated they may file a complaint with

security guards are an example of

phr have not increased the level of patient compliance with provider instructions

doctors cannot charge fees for telephone consults

a patient insurances form is an example of

comprehensive electronic or paperbased record of health info controlled by the patient

voice recognition software

the doctrine of professional discretion is intended to protect mentally ill patients from harm

the implementation of an EHR increases patient satisfaction with the medical office

patients should be asked about allergy history at each encounter

early documentation of present day posttraumatic stress syndrome was first seen in

the privacy rule prohibits the discussion of patient info in all the following areas except

the receptionist would commonly document

hipaa supports the adoption of electronic health records by physicians office

which of the following is not a benefit of phr