Which of the following actions would generate a real-time alert message in the EHR?

The provider enters a prescription for a duplicate therapy

An EHRS receives a request to generate a report for a pt's worker's compensation case. What action should the EHRS take?

Ensure the pt's PHI is not included w/ their workers' compensation record

An EHRS collects data about pts in the region who have cancer. Which action should be taken when preparing this data?

De-identify protected PHI prior to release

Which of the following functions can an EHRS perform while in a typical electronic scheduling module?

Rescheduling patient appointments to a different day

Which of the following penalties does Medicare impose when providers have not implemented certified EHR technology?

They can no longer receive the full reimbursement for services

An EHRS is entering prescriptions. A provider asks which pharmacy will receive the prescription. How should they reply?

"The patient's preferred pharmacy must be entered"

1 diagnosis was on a superbill for services requiring 3 diagnoses for pt w/ Medicare. What should be done after payment?

Submit a Claim Adjustment Reason Code (CARC)

A pt brings a copy of a hematology result to their 1st visit w/ an oncologist & gives it to the EHRS. What is done next?

Scan the document into the patient's EHR

What behavior should an EHRS identify as a threat to data security when transmitting electronic PHI?

Sending an unencrypted email to a pharmacy

Which step must be taken in the release of information (ROI) workflow process before honoring the request?

The request is reviewed to verify the legitimacy for the ROI

Which method should an organization use to disseminate new info to staff about changes due to a software upgrade?

Conducting a training session for staff members

Which reason was the Security Standards Matrix created by the Centers for Medicare & Medicaid Services (CMS)

Ensuring that covered entities assess their compliance with HIPAA Security

An EHRS needs info regarding pt outcomes linked to individual providers. What action should be taken?

Generate an electronic clinical report that addresses the information

Which medical record review findings indicates upcoding of clinical documentation in the EHR?

Using a CPT code yielding higher reimbursement than what was documented

Info including $ received from Medicare & Medicaid excluding private insurers was requested. What should be done?

Create a custom report using the EHR insurance field

A staff member approaches an EHRS & requests for access to their parent's EHR. What statement should be made?

"Entry is restricted to those who need access."

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CEHRS Study Guide

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1
Which of the following actions would generate a real-time alert message in the EHR?
The provider enters a prescription for a duplicate therapy
The provider reviews medication administration
The provider enters a patient's vital signs
The provider reviews a Subjective, Objective, Assessment, Plan (SOAP) note
2
In which of the following areas of the EHR should a patient's progress notes be recorded?
Financial
Administrative
Legal
Clinical
3
A pt met their deductible and has 20% coinsurance. The total cost of services is $1000. How much does the patient pay?
$20
$800
$80
$200
4
An EHRS is working at a hospital. Which personnel should have access to financial data of a pt's EHR?
Quality improvement staff members
Providers
Billing clerks
Charge nurses
5
An EHRS is compiling data about pt immunizayion records to report to the public health dpt. What sources can be used?
Immunization registries
Automated clinical results report
Radiology report
Reportable laboratory results
6
Which history section of the EHR would a patient's history of alcohol be documented?
Surgical
Medical
Social
Family
7
An EHRS receives a request to generate a report for a pt's worker's compensation case. What action should the EHRS take?
Verify that the pt has consented to release their PHI related to the case
Ensure the pt's PHI is not included w/ their workers' compensation record
Confirm the copayments are included in the workers' compensation report
De-identify the workers' compsentation report
8
What data format eliminates ambiguity through universally understood documents and promotes system interoperability?
Coded data
Fielded data
Scanned documents
Diagnostic images
9
An EHRS collects data about pts in the region who have cancer. Which action should be taken when preparing this data?
Ask patients to sign a release of information form
De-identify protected PHI prior to release
Notify the risk management department about the release of data
Forward the request to the patients' providers
10
What coding techniques allows an EHR specialist to review clinical docs while the pt is actively receiving treatment?
Undercoding
Concurrent coding
Computer-assisted coding
Upcoding
11
Which of the following forms should an EHRS navigate to in the EHR system to create a bill for services provided to pts?
Encounter form
CMS-1500 claim form
UB-04 claim form
Insurance form
12
A CDC report is made about the # of pts who tested positive for measles in the past year. What type of data is this?
Notifiable condition
Treatment plan
Progress note
Subjective element
13
Which of the following functions can an EHRS perform while in a typical electronic scheduling module?
Notifying the provider of patient arrivals to the exam room
Transferring patient charges to the billing sections
Rescheduling patient appointments to a different day
Sending diagnostic test results to a patient
14
An EHRS is compiling a report for marketing. The EHRS should identify that which is a secondary data source?
Clinical notes
Administrative data
Cancer registry
Diagnosis and procedure codes
15
Which of the following penalties does Medicare impose when providers have not implemented certified EHR technology?
They can no longer accept new patients
They can no longer submit Medicare claims for reimbursement
They can no longer perform certain health care services
They can no longer receive the full reimbursement for services
16
Which action by a staff member should an EHRS identify as a threat to PHI security?
Using the system hibernation mode
Using a key to decrypt an encoded message
Refusing to share a password
Using public internet access
17
An EHRS is entering prescriptions. A provider asks which pharmacy will receive the prescription. How should they reply?
"The patient can walk into any pharmacy to fill an e-prescription"
"The pharmacy closest to the patient's address"
"The patient's preferred pharmacy must be entered"
"The pharmacy closest to our office's location"
18
1 diagnosis was on a superbill for services requiring 3 diagnoses for pt w/ Medicare. What should be done after payment?
Create two superbills for this patient
Submit a Claim Adjustment Reason Code (CARC)
Use a CMS-1500 form to enter all diagnosis codes
File a Remittance Advice Remark Code (RARC)
19
A pt asks, "Where can I find the outstanding balance I owe for surgery?" What section should be directed to the pt?
Messages
Administrative information
Billing
Preferences
20
Which of the following components of a SOAP note would pull in real-time test results from the EHR?
Plan
Objective
Assessment
Subjective
21
Which of the following methods should an EHRS use to arrange info by procedure on the production by procedure report?
Conversion factor
Flowchart
Cluster
Data sort
22
Which of the following medication types are covered by Medicare part D?
Medications for cosmetic purposes
Medications for weight loss
Fertility medication
Chemotherapy medications
23
A pt brings a copy of a hematology result to their 1st visit w/ an oncologist & gives it to the EHRS. What is done next?
Ask the pt to request that the laboratory fax the results for verification
Inform the patient that the provider will be perfoming a repeat test
Scan the document into the patient's EHR
Place the document on the provider's desk for review
24
What behavior should an EHRS identify as a threat to data security when transmitting electronic PHI?
De-identifying patient data sent to a research company
Sending an unencrypted email to a pharmacy
Supplying a patient's room number to the provider
Using initials when referring to a patient
25
Using CPT codes, which procedure should an EHRS expect to find associated w/ the diagnosis of asthma during code review?
Sigmoidoscopy
Bronchoscopy
Endoscopy
Colposcopy
26
When entering a patient's new insurance information, which must be entered into the EHR to verify eligibility?
Patient account
Guarantor
Consent form
Policy holder
27
Which step must be taken in the release of information (ROI) workflow process before honoring the request?
The request is reviewed to verify the legitimacy for the ROI
The patient is notified of the request for an ROI
The risk management department is notified of the ROI request
The ROI request is logged in the Security Standards Matrix
28
During a pediatric clinic visit, a pt's parent states their family moved. What section of the EHR should be updated?
Financial
Clinical
Legal
Administrative
29
An EHRS is asked to generate a report that lists the financial status of all pt accounts. Which report should be done?
Claim scrubbing report
Patient day sheet
Billing payment status report
Remittance advice report
30
What can be used to generate statistical information as an early warning for public health agencies?
Cancer registry
Reportable lab results
Syndromic surveillance
Immunization registries
31
Which method should an organization use to disseminate new info to staff about changes due to a software upgrade?
Asking staff members to spread new information among the team
Administering a written test to staff members
Placing informational brochures in break rooms
Conducting a training session for staff members
32
Which reason was the Security Standards Matrix created by the Centers for Medicare & Medicaid Services (CMS)
Determining if passwords were being routinely changed within institutions
Ensuring that covered entities assess their compliance with HIPAA Security
Tracking breaches in the security of facility EHRs
Facilitating the auditing process of EHR systems
33
An EHRS is assisting with accepting a patient from one provider to another. What disclosure is the provider retrieving?
Treatment
Payment
Research
Health care operations
34
An EHRS obtains medical records from an institutional database. What is used to identify the pt before integrating data?
Date of birth
Place of birth
Mother's maiden name
Allergy list
35
What service converts data into standard HIPAA compliant format transaction & checks for all errors in the EHR?
Physician query
Clinical encoder
Diagnosis-related grouping
Clearinghouse
36
A scheduling report is made to bill pts who missed their apts for the day. What is done to verify info in the report?
Run a patient aging report
Create a no-show report
Create a billing status report
Contact appointment scheduling
37
The 1st statement has date of service & is mailed every 30 days. What should be selected for the next statement?
61 to 90 days
31 to 60 days
0 to 30 days
After 90 days
38
What ensures that a digital image imported from a fax machine w/ scanning is linked to the correct pt in EHR?
Cataloging the image
Downloading the image
De-identifying the image
Importing the image
39
Which of the following fields is included in a production by procedure report in the EHR system?
DSM-5 code
DRGs
CPT code
ICD-10-CM code
40
An EHRS needs info regarding pt outcomes linked to individual providers. What action should be taken?
Ask for the information from the quality improvement organization
Contact the providers' patients to gather the information
Generate an electronic clinical report that addresses the information
Meet with each provider to obtain the information
41
Which of the following detects and eliminates errors in billing codes prior to submission to the third party paper?
Physician query
Remittance advice
Claim scrubber
Superbill
42
Which medical record review findings indicates upcoding of clinical documentation in the EHR?
Using a CPT code yielding lower reimbursement than what was documented
Assigning a CPT code for a service that was performed as scheduled
Using an automatically assigned code
Using a CPT code yielding higher reimbursement than what was documented
43
Which report should be run to determine the # of $ due to the organization from each individual pt or insurance carrier?
Deposit report
Patient aging report
Remittance advice report
Production by provider report
44
An EHRS is obtaining HIPAA Privacy Rule authorization forms for an audit. Which element should be ensured is documented?
Expiration date
Encounter date
Date of discharge
Patient's date of birth
45
An EHRS is preparing to generate a production report. The EHRS should use what process to verify the report's accuracy?
Concurrent coding
Internal audit
Crosswalking
Reconciliation
46
An EHRS receives a prescription stating "Give apsirin 81 mg PO QD." How should it be written in the pt's medical record?
Aspirin 0.0081 g PO QD
Aspirin .081 g by mouth QD
Aspirin 81 mg per os QD
Aspirin 81 mg PO daily
47
Info including $ received from Medicare & Medicaid excluding private insurers was requested. What should be done?
Create a complete production report by the insurer
Create a custom report using the EHR insurance field
Search the corresponding insurers' websites
Create an electronic billing/payment status report
48
When reviewing history & physical templates, the review of systems include which components?
Constitutional symptoms
Tobacco use
Medical examination
Medication status
49
An account statement was created and will be mailed to a pt. Which payment option should appear for fastest payment?
Money order
Personal check
Cash
Credit card
50
An EHRS is researching # of pt falls per year over the past 5 yrs. What health care initiatives is used with this data?
Clinical decision support
Clinical documentation improvement
Clinical quality improvement
Resident Assessment Instrument
51
A staff member approaches an EHRS & requests for access to their parent's EHR. What statement should be made?
"You will need a submit a request to your supervisor."
"Entry is restricted to those who need access."
"You can have access after the patient is discharged."
"You should speak with your parent's provider about this."
52
An EHRS notes that a pt has a different medical record # in the EHR than the database. What action should be taken?
Recognize this as a normal occurrence
Repor tthe discrepancy to a supervisor
Request an external audit
Change the number in the EHR system
53
Which of the following providers is eligible for Medicare EHR incentive program?
Physical therapy assistant
Chiropractor
Certified midwife
Licensed practical nurse
54
An EHRS should identify that SOF is an abbreviation for which of the following?
Signature on file
Short option form
Signs of fatigue
Symptoms observed first
55
What automatically assigns the appropriate diagnosis and procedure codes based on clinical documentation in the EHR?
Upcoding
Computer-assisted coding
Physician query
Superbill
56
Which of the following is used to document payment or nonpayment by an insurance company?
UB-04 claim form
Fee schedule
Remittance advice
CMS-1500 claim form
57
Which of the following should an EHRS use to reconcile patient accounts in a 24 hr period?
Patient aging report
Patient ledger
Day sheet
Deposit report
58
To limit use, disclosure, & request for PHI, HIPAA Privacy Rule requires covered entities to adhere to which concepts?
Addressable standard
Minimum necessary
Technical safeguards
Required standard
59
Which types of clinical data can be ordered during a pt visit in the computerized provider order entry workflow?
Vital signs
Allergies
Laboratory testing
Progress note
60
An office manager needs to ensure schedulers are aware of a provider's vacation days. What action should be taken?
Record the provider's vaction days on the schedule as nonpatient appts
Notify the staff of the provider's projected days by email
Place a note with the provider's vacation days on the schedulers' calendars
Inform the schedulers of the change during the weekly staff meeting
61
A marketing dpt receives records from an EHRS. What should the EHRS de-identify on the documents before releasing them?
Patient medical record numbers
Patient ZIP codes
Patient ethnicities
Patient diagnoses
62
A nurse asks EHRS to locate the education sheets for smoking cessation. What pt education form should the EHRS suggest?
"National Institutes of Health (NIH): Pulmonary Embolism Information"
"American Heart Association (AHA): What is Hypotension?"
"Centers for DIsease Control and Prevent (CDC): COPD Are You At RIsk?"
"Centers for DIsease Control and Prevent (CDC): Diabetes Are You At RIsk?"
63
For a pt's admission documentation, whichshould be entered into the EHR under the administrative section?
Consent form
Insurance provider
Medication list
Emergency contact
64
What information about a pt should an EHRS match with the pt's name to their identity before entering it into the EHR?
Room number
Diagnosis
Provider name
Medical record number
65
Which of the following sections of the EHR should an EHR specialist review to obtain a patient's flu vaccine status?
Preventative care
Allergies
Medical history
Immunizations
66
What type of data should an EHRS reference to determine which patients are covered by a specific insurance carrier?
Legal
Financial
Administrative
Clinical
67
What prescription is written correctly according to the Joint Commission's "do not use" list of abbreviations?"
Morphine sulfate 2.0 mg IV daily before dressing change
Levothyroxine 0.1 mg PO every morning before breakfast
Furosemide 20 mg IV QD
NPH insulin 20 u SC daily before breakfast
68
Which of the following forms of data capture should be identified as demographic information?
Alcohol use
Chief complaint
Marital status
Vital signs
69
An EHRS should identify that which answer is on the Joint Commisision's official "do not use" list of abbreviations?
DPT
ABN
ENMT
IU
70
The HIPAA Privacy Rule prohibits PHI from being diclosed without written patient authorization in which instance?
As a limited data set for research purposes
To the partner of the patient
For public interest activities
To the individual patient
71
An EHRS trains new staff when a pt dies. Which term should be used to enter into the pt's EHR for discharge disposition?
Expired
No signs of life
Dead
Breathing absent
72
An EHRS explains to a pt about accessing the pt portal. The EHRS instructs them to use the username and what else?
Access code
Date of birth
Social security number
Complete name
73
An auditor reviews medical records of a 6ft tall pt w/ obesity. Which notes in the EHR constitutes as data discrepancy?
"Patient weight is 56.7 kg (125 lbs)"
"Patient height is 72 inches"
"Patient has a poor appetite"
"Patient has a good appetite"
74
A compliance director asks an EHRS to verify a pt received info on privacy practices. What form is needed for the EHR?
Informed consent
HIPAA Consent form
Advance directives
Release of records
75
A pt says to an EHRS, "I don't know where to access education materials about my disease." What response should be made?
"You should try not to think too much about your disease."
"You can access patient eeucation materials using the patient portal."
"You can ask your provider more questions at your next visit"
"You should use social media to learn more about your disease."
76
What part of Device and Media Controls standard is the EHRS adhering when creating a record of hardware & media to move?
Disposal
Media reuse
Accountability
Data backup and storage
77
Which PHI objectives involves securely transferring data relating to measle cases to public health care agencies?
Syndromic surveillance
Trauma registries
Immunizations registries
Reportable laboratory results
78
An EHRS is assisting a pt with documentation. The pt asks, "Where do I include drug use?" How should the EHRS reply?
Caffeine use
Alcohol use
Recreational use
Tobacco use
79
Which elements of EHR is required for elibility in the Quality Payment Program (QPP) and promotes interoperability?
Duplicate testing alert
Data mining
Remote access
E-prescribing
80
Which of the following codes are found in ICD-10-CM database?
Audiometry
Anoscopy
Acute bronchitis
Cerumen removal
81
A provider asks "Where should I document my treatment instructions and ordered tests?" How should the EHRS reply?
"This can be documented in the subjective details portion of the SOAP note"
"This can be documented in the assessment details portion of the SOAP note"
"This can be documented in the objective details portion of the SOAP note"
"This can be documented in the plan details portion of the SOAP note"
82
A provider an EHRS is training asks "How can I make sure to include all relevant data elements?" How should they reply?
"Use a progress note template"
"Use a personal note template"
"Use a specialized note with negative prompts"
"Use a cloned progress note"
83
Which of the following parts of the EHR indicates if a health record documentation has been modified?
User Activity Feed
Messages
Patient Tracker
Reports
84
A claim was denied for a surgery due to another procedure was already adjudicated. What should be done next?
Check the procedure code
Submit a corrected claim with the appropriate modifer
Submit the claim with medical records
Verify the diagnosis code
85
An EHRS is preparing to enter PHI into the EHR. Which action should be taken to maintain PHI security?
Communicate patient PHI via personal email
Use the provider's EHR login info when recording data
Use a personal computer to store patient information
Log off of the EHR system when not in use
86
When EHR downtime procedures are intitated during a power outage, what should be implemented to restore lost data?
Emergency mode operation plan
Risk analysis
Disaster recovery plan
Sanction policy
87
An EHRS is preparing to share a spreadsheet with PHI from a holter monitor. What action should be taken to protect info?
Send the spreadsheet to the provider's email address
Use a public internet connection to transmit the spreadsheet
Share the spreadsheet password with the provider
Send the spreadsheet without a password
88
An EHRS is making a report about a pt's financial status, insurance payments, & what's owed. What report should be used?
Patient ledger
Deposit reports
Patient aging report
Day sheet
89
Which would be helpful to a health care organization when initating inventory tracking of e-signature pads?
National Provider Identifier (NPI)
Source-oriented record
Unified medical language
Universal Medical Device Nomenclature (UMND)
90
An EHRS is asked to generate a report regarding pt health outcomes. Which of the following is used for this purpose?
Clinical quality measures (CQM)
Patient ledger
Physician query
HIPAA Uniform identifiers
91
Which of the following should be included in a nonsufficient funds (NSF) letter?
Social security number
Patient's employer
Routing number
Check number
92
Which type of information is included when entering the CPT code from the superbill into the EHR system?
Modifier
Primary diagnosis
Procedure
Secondary diagnosis
93
Which of the following forms generated from the EHR would be given to a pt upon leaving a provider's office?
Day sheet
Insurance claim
Patient statement
Charge slip
94
A cancer pt w/ Medicare asks "After the deductible is met what will Medicare pay for my chemotherapy?" What can be said?
"Medicare pays 80%"
"Mediare pays 0%"
"Medicare pays 100%"
"Medicare pays 25%"
95
Which statements documented in the EHR indicates the HIPAA Privacy Rule was upheld regarding PHI?
"Partner's request was granted for read-only access to pt medication list."
"Partner was given a copy of the patient's medical history."
"Patient's request for an accounting of disclosures was granted."
"Patient was denied the provider's personal telephone number."
96
Which staff members should be assigned access in the EHR system to authorize new prescriptions electronically?
Pharmacists
Nurses
Providers
Pharmacy technicians
97
An EHRS is asked to run an electronic production report. This report includes information on which of the following?
Revenue
Demographics
Future appointments
Infection occurrences
98
An EHRS is submitting information to Medicaid. Medicaid is which of the following types of guarantor?
Personal/family
Workers' compensation
Research
Third-party liability
99
An EHRS is educated new staff about safeguarding PHI in the EHR. Which statement should the EHRS make?
"Demographic information is not considered a part of patient PHI."
"Disabling automatic EHR system logoff enhances efficiency & security."
"Biometric measurements are acceptable for individual ID for EHR access."
"We are authorized to share EHR system passwords when necessary."
100
An EHRS is tracking pt outcomes following heart cathetherization. What EHR feature should be used to complete this task?
Reporting
Clinical decision support system
Orders and results management
Interoperability

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