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EHR Final Flashcards | StudBud
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EHR Final
EHR Final
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1
Which statement is true about a paper record?
written notes more accurate
paper records are often illegible
info is retrieved in a timelier manner
2
Reg. Health info admn, & certif. health data analysists work in ? type of facility?
long term care facilities
Urgent care
service offices
hospitals
3
Dana performs admn duties, and performs clinical duties, she is a ?
medical assistant
health information tech.
nurse
nurse practitioner
4
You entered data into an online form, the box that you entered the information in is the?
locator
menu item
space
field
5
Blocking access to a facility's computer sys. by unauth. users is accom. through the use of?
special hardware
hack prevention services
encryption services
Firewalls
6
After taking vital signs, wt., and brief history of present illness, next step?
the patient will be taken through check out process
the patient will check in
the care provider will see the patient
clinical support will meet the patient
7
In the hosp.maint. & retrieving data from health records are certified through what Profess. organization?
AHA
AHIMA
AAPC
AAMA
8
The Pt Centered Medical Home model was developed by ?
American family of Practitioners
American College of Medicine
American College of Patient Centered Medical Homes
American College of Internal Medicine
9
Keeping health info to oneself is known as protecting ____?
secrecy
confidentiality
privacy
security
10
Law that strengthened HIPAA privacy & security regulations was?
HITECH
ACA-Affordable Care Act
MU meaningful use
CLIA-Clinical Lab Improvment Amendments
11
What is NOT part of the patients past medical or surgical history?
current medications
marital status
prev surgeries
medical allergies
12
A pt is registering for outpatient test, what do you do first?
master patient (person) index
master list
Diagnosis Index
account summary
13
Where would you find the meaning of the field permanent address in the practices?
master list
library
data dictionary
thesaurus
14
"Do you have frequency?", "Do you have difficulty sleepy sleeping?" Those questions are part of the ___?
Physical exam
social history
patient medical history
review of systems
15
Nat says that he is there for f/u for HTN, this is known as ?
diagnosis
chief complaint
past medical history
history of present illness
16
Pt resting , pain is 7 on a 1-10 scale this is an example of __data?
qualitative
quantitative
structured
unstructured
17
Emails or faxes sent & arrive at the wrong location constitute a privacy ___?
error
code
encryption
breach
18
What statement is true about a PHR?
It is maintained by the patient or guardian
It is a legal document
must be maintained in paper form
maintained by the care provider
19
What statement is true about a paper record?
paper record sys allows for more efficient, thorough patient care
paper records are often illegible
written notes are more accurate
20
The ___ would be responsible for assessing the budgetingvprocess, funding & monetary aspects?
chief financial officer
billing manager
CEO
health information manager
21
Offices use internal, secure environ. to comm important info. to their employees known as?
Internet
World Wide Web
voicemail system
intranet
22
Every form should include the___so that the form's use is obvious!
pt chart number
form name
provider name
patients name
23
Marital status of a patient are values found where in the system?
master list
value list
library
dictionary
24
What piece of information would the physician NOT be interested in knowing?
name of surgeon who performed operation
name of the anesthesiologist in the operation
name of operation
approx. date of the operation
25
Dans responsibilities include the maint & security of all systems & the EHR, what is he?
health sys admnistrator
chief nursing admn
health resourses admn
human resources admn
26
HIPAA defines a pt name, ssn, employer, medical record/account #s that tie info. to a particular person as ?
private health info.
protected health info.
privileged health info.
confidential health info.
27
Diagnostic & Tx protocols that are based on proven research & practice are known as ?
decision based medicine
evidence based medicine
clinical based medicine
data based medicine
28
Demographic data is a subset of ___ data?
administrative data
billing
medical
clinical
29
Pt says, "I have headache w/pressure above eyebrows, low grade fever x 4d," this is known as?
an assessment
subjective info.
a diagnosis
objective info.
30
Pt access of their HR via the internet & can email office w/questions, is called___?
E-Health
pt portal
clinical support
PHR
31
Planning for conversion to the EHR, admn. members of the staff should expect?
the conversion will take less time than expected
the conversion will take more time than expected
the process will be easy and fast
no paer record will exist effective on the day of the conversion
32
Which of the following is NOT included in a Notice of Privacy Practices?
the name of the indiv. to whom a record was released
how a pt health info may be used
pt req and amendment to his/her health record
the name of indiv. to whom a record was released
33
The following req. completion of a competency exam but does not result in certification?
RMA
Reg. Health Info Tech
Practice workflow & information mngmt Redsign specialist
Reg Health Info Admnistrator
34
If there's a mistake in the record what would you do next?
Have the office manager take care of it.
Nothing leave the doument same as is
Place a paper note in pts folder noting that there is an error in pt
Amend the record to show the corrected info. according to policy
35
Which of the following is NOT an application of the EHR system?
capture of insurance policy #
capture of past medical, family, and social history
capture of known medication allergies
capture of details of operative procedures
36
Med office that doesn't have health info. may use record-keeping procedures & legal health record from the __?
Local medical Society
Medical Assistants
Care provider
EHR service provider
37
Computers & devices that are physically close together are connected by a?
BAN
LAN
WAN
NAN
38
Security feature that plays a role in the EHR by encrypting data sent via the internet & verifies auth. user
VPN-Virtual Private Network
LAN-Local Area Network
PIN-Private Internet Network
WAN-Wide Area Network
39
A __ is a security method that prevents unauth. access into/out of the network?
router
Firewall
modem
decryptor
40
Major goal of EHR, sharing clinical pt.info, the use of ___ is directly related to that goal?
transfer summaries
CCD
QRDA
CDA
41
The healthcare professional finished submitting claims to BCBS they were performing what function?
administrative
assessment
clinical
registration
42
The provider never used the EHR & is frustrated what advice would you give?
direct to users guide in EHR clinic with contents & search features
have them ask another provider
have them call EHR 24 hr help service
43
Clinical Documentation Architechture & Quality Reporting Documentation are data standards of___?
HL7
HL8
HL6
HL5
44
Health info. manager & the __ work closely to ensure secure EHR meets all needs of users at the facility?
Chief Operating Officer
Chief Financial Officer
Info tech Manager/Officer
CEO
45
The staff of the __will enter, maintain, & retrieve data from the EHR in the hosp. setting?
business office
health info. dept.
info technology dept.
admn offices
46
Which type of software would you find, charge capture, collections, and reporting?
compliance reporting
practice management
EHR
database management
47
The service that processes insurance claims is ?
coding service
fiscal intermediary
billing service
clearing house
48
The field that focuses on capture, retrieval, storage, and use of health info. is __?
health literacy
health informatics
health information
medical assisting