Duplicate orders are expected when ---.

going from paper to electronic records

PMS are equipped with a scheduling tool. How are they used effectively?

How many patients are left for the day.

How do you make sure the process of requesting reimbursement are accurate after receiving an operative report ?

confirming diagnosis and procedure codes support the documentation

Patient payments are posted at what stage in the patient flow?

during check in at time of service

A benefit of using the CPOE feature is__?

preventing the duplication of orders

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

Information systems activity review

Administrative safeguards are included in __.

biannual security awareness training

Subjective data is the ___.

patient's own words of chief complaint

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Duplicate of EHR Specialist Study Guide

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Questions 90

Answers

1
Who requires information to backed up in a secure location?
CMS
OIC
DHHS
HIPAA
2
Medicare patient's must sign a ___ for noncovered services, procedures. etc.
HIPAA forms
Release of Informaton
Notice of Privacy Practices
ABN
3
A _ review is done before billing to ensure encounter forms match appointment schedule.
external
prospective
internal
retrospective
4
What type of database is used to crosscheck the accuracy in data reports?
data warehouse
data medical set
database of medical links
data registry
5
Protocols are used to determine __ per medical conditions.
payments
referring surgeons
therapies
medications
6
MSO4 is a "Do not use" abbreviation.
False
True
7
External lab resources can be mapped by __.
MIPS
CMS
HIPAA
LOINC
8
Duplicate orders are expected when ---.
going from paper to electronic records
going from one facility to another
going from one doctor to another
going from receptionists to nurse
9
PMS are equipped with a scheduling tool. How are they used effectively?
How many patients lived locally.
How many patients were seen by the NP.
How many patients were seen with HTN.
How many patients are left for the day.
10
CMS is responsible for the minimum number of years medical records should be retained.
False
True
11
Recommended immunizations are what type of EHR feature and requirement?
E-scribing
Clinical Quality Measures
Past medical History
Utilization Review
12
In what section of the EHR would a patient's smoking and drinking status be documented?
HIPAA form
demographic data
medical history
physical examination
13
How is billing information exchanged from the physician to the insurance carriers?
Health information exchange
Electronic Data Interchange
Internet
Electronic data exchange
14
CMS uses what to determine quality improvement?
ICD-10
MIPS
DRG's
CPT
15
Completed encounter forms contain ____, which are used for billing.
insurance verification
review of systems
diagnosis codes
chief complaint
16
By the using telemetry, a patients medical device information is transferred into the ___.
patient's EHR
patient's demographic data
patient's subjective data
patient's financial statements
17
Where can you find and print out educational materials about a specific diagnosis?
clinical decision support
diagnosis list
chief complaint
patient portal
18
The encounter form includes a comprehensive and up to date list of a patient's medical conditions.
False
True
19
Real-time data is considered____ data.
subjective
demographic
objective
assessment
20
When computer systems share a unified language system, they are termed _.
Interoperable
Clinical Quality Measures
HIPAA Compliant
EHR/PMS Software
21
How do you make sure the process of requesting reimbursement are accurate after receiving an operative report ?
confirming the diagnosis is covered under the patients insurance
confirming diagnosis and procedure codes support the documentation
confirming the patients demographic
confirming the physician, patient, and date of service
22
Electronically verifying insurance information the night before can be the role of the __.
physician
insurance clerk
EHR Specialists
nurse
23
What section of the medical record is the chief complaint listed?
plan
objective
subjective
assessment
24
If you have overlapping appointments, what can improve the efficiency of the office?
types of appointments
age of patients
type of insurance
amount of copays
25
MIPS is used by whom?
Cigna
Blue Cross
Medicaid
Medicare
26
ICD codes are examples of what type of date?
templates
objective
subjective
structured
27
Digital image data is the best method to prevent data discrepancy.
True
False
28
Where can Health care literature can be accessed within the EHR .
medical reference links
CDC
Demographic
Progress notes
29
Integrity deals with what type of data?
modified data
both red and green
encrypted
unreadable till reaches destination
30
Alcohol usage is documented in the social history section of the EHR record.
True
False
31
Patient payments are posted at what stage in the patient flow?
during the triage
after the patient leaves the office
during check in at time of service
during check out
32
Information for EHR systems is stored on USB drives.
False
True
33
Immunizations can be provided to public health agencies only when it is provided ____.
anonymous and confidential
consent from patient
HIPAA form signed
Release of information is signed
34
The provider documented a diagnosis of Hypertension during an office visit. This is _____documentation.
consent
real-time
nurse note
progress note
35
Decision support software can be used to help determine ___ of drugs.
billing diagnosis
side effects
procedural codes
therapeutic equivalence
36
You are allowed to leave a patients information on a computer screen without having any security issues.
False
True
37
Guidelines for research date is set by what organization?
OCR
Healthlevel 7
CMS
OIG
38
What information is used to see what the next patient is being seen for?
demographic data
chief complaint
date of birth
appointment time
39
A benefit of using the CPOE feature is__?
verifies patient identity
calculates E/M level
preventing the duplication of orders
adds the facility cost of orders
40
What can be reviewed to see if patients PHI has been compromised?
Demographic data
Information systems activity review
Accounts payable
Aging report
41
Third party payers are whom?
laboratories
insurance carriers
patients
physicians
42
Point-of-Care documentation benefits the EHR by helping with __.
completeness and accuracy
templates
e-scribing
progress notes
43
What would help in ordering multiple tests at one time on a template?
CPT codes
checkboxes
empty lines
specimen types
44
Reporting of health outbreaks to the public is down by what means?
data registry
lab reports
physician registry
syndromic surveillance
45
An example of subjective data is __?
Pt.s address
sore throat and abdominal pain
past operative note in chart
BP 110/72
46
Administrative safeguards are included in __.
Transcripted data
Clearinghouse guidelines
biannual security awareness training
OIG Compliance plan
47
Syntactic interoperability provides the most efficient communication between systems.
False
True
48
You are important!!! Relax
True
False
49
Scope of practice helps to maintain ____ of EHR data.
OIG Compliance plan
HIPAA
Progress notes
integrity
50
Subjective data is the ___.
patient's own words of chief complaint
nurse's documentation of vitals
physicians documentation of visit
EHR specialists billing documentation
51
Cost of implementation is a barrier for transitioning to an EHR system.
False
True
52
What is another way to look for an established patient in the EHR system?
social security number
zip code
chief complaint
patient's mother
53
____ is where the chief complaint is documented.
Day sheet
Encounter form
Intake form
Admission sheet
54
Evaluation and Management codes are found in the ICD-10-CM book.
True
False
55
BY eliminating written prescriptions, the office can ___.
streamline workflow
increase prescription adherence
increase visit times
decrease patient portal activity
56
Accessible data between providers is considered?
Referral of data
Transfer of data
Continuity of Care
Data network
57
Aging reports can be generated to determine past due accounts.
True
False
58
EHR hardware includes
urinalysis machine
BP machine-manual
glucose meter
storage device
59
The physical examination includes___.
Plan of care
Diagnosis
subjective data
T-P-R-BP
60
What section of the EHR can an EHR specialists document?
third party payers
ALL of the answers
progress note
chief complaint
61
You must you do first when checking in an established patient.
verify appointment time
verify date of birth
verify contact information
collect insurance information
62
Who is responsible for verifying insurance?
lab tech
physician
billing staff
nurse
63
What must be created when implementing an EHR system?
Office
computer system
steering committee
financial account
64
Day sheets are used at the beginning of the day.
False
True
65
What is used to help collect administrative data for verification of patient identity in the hospital?
day sheet
admission face sheet
encounter form
superbill
66
Corrections to clinical data can only be done by creating a (an)__.
addendum
superbill
new patient visit
new progress note
67
You must do this to process to link an image to the correct patient.
import
export
uploading
downloading
68
What must be done if an update alters the method of managing orders?
Automatic alerts to the billing department
Automatic alerts to the provider
Automatic alerts to the receptionists
Automatic alerts regarding change
69
Joan logins to an unattended workspace using her credentials. This is an example of_.
Internal Audit Access control
HIPAA Security Rule
Both red and green
None
70
Professional charge reports are generated by __?
CPT Codes
Functional Modifiers
ICD-10-CM Codes
POS Codes
71
How can the billing department prevent inaccuracies in coding?
perform mandatory updates
perform peer to peer reviews
perform routine internal audits
set alerts for coding changes
72
The use of EHR systems had made the record process__.
stream lined
improved
difficult
blue and green
73
CPOE...
Computerized Program Order Entity
Computerized Program Order Entry
Computerized Physician Outpatient Entry
Computerized Physician Order Entry
74
Appointment time is an example of a patient identifier.
False
True
75
Diagnosis based lists help who when charting?
physician
receptionists
janitor
patient
76
EHR specialists should first verify insurance coverage before doing what?
taking money on balance owed
verifying appointment time
taking point of care payments
verifying physician being seen
77
Why would a provider ask you to generate a provider report?
determine number of patients seen
determine monthly revenue
determine number of no show patients
determine number of past due accounts
78
Where can you find out how may refills was on a prescription?
CDSS
MAR
CPOE
CMS
79
A Release of Information must be signed before a patient can have a noncovered procedure.
False
True
80
Formulary compliance is not a feature of e-scribing software.
True
False
81
How does templates help an EHR ?
increases effectiveness and accuracy
increases requirements for CMS
increases completeness and accuracy
increases timely filing
82
CPOE can be used to help prevent __.
radiology requests
laboratory requests
duplicate prescriptions for pharmacies
All of the above
83
HIPAA sets standards for who can access protected health information.
False
True
84
Transmitted data must be__ to meet security standards.
encrypted
readable
all numeric
all alpha numeric
85
Patients must be notified within how many days of a breach of security?
45 days
never
15 days
60 days
86
Zip code is considered an example of de-identified information.
False
True
87
Cloned progress notes lead to __.
higher reimbursement
out dated documentation
increased work flow
coding accuracies
88
What type of report can see the revenue from CPT codes?
Accounts Receivable
Billing Department
Accounts Payable
Pending Transactions
89
What can you correct in the medical record by an addendum?
lab results
patients address
date of birth
insurance information
90
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

Duplicate of EHR Specialist Study Guide Flashcards | StudBud