AMB400 - Recertification Flashcards
Procedure Build - Orders
True or False
In Epic 2018, Orders can be placed from the Orders Task Bar
True
Procedure Build - Orders
Orders placed using the “Add Order” button on the Orders Task Bar appear where:
A. Order Flowsheet
B. Shopping Cart
C. Order Report
D. SmartSet Navigator Section for Orders
B. Shopping Cart
Procedure Build - Shopping Cart
True or False
The shopping cart shows all the details of every order you have selected.
False. Only shows a summary for each order. You must click on the summary to view details in the order composer window.
Procedure Build - Order Composer
Which of the following are display items in the order composer?
A. Status: B. Priority: C. Class: D. Specimen Source: E. Comments: F. Resulting Agency G. All of the above
G. All of the above
Procedure Build - Order Composer
True of False
All of the Order Details are shown in the Order Composer.
False. There is a link labeled “Show Additional Order Details” at the bottom of the window you can click on to see additional order details
Procedure Build - Order Composer
Category List items that can be selected by clicking on the magnifying glass are now referred to as:
A. Category Selection Items
B. Category Picks
C. Allowed Items
D. Any of these is fine
C. Allowed Items
Procedure Build - Hierarchy
True or False
The Procedure Hierarchy has 4 tiers
False. The Procedure Hierarchy has 3 tiers.
Procedure Build - Hierarchy
The three levels of the Procedure Hierarchy, arranged from specific to general are:
Fill in the values
A.
B.
C.
A. Procedure (EAP)
B. Procedure Category (EDP)
C. System Definitions (LSD)
Procedure Build - Order Composer Configuration
True of False
All Procedure Configuration is completed in the OCC
False. Some but not all
Procedure Build - Order Composer Configuration
How many items are controlled by the OCC?
A. One
B. Two
C. Three
D. Four
C. Three
Procedure Build - Order Composer Configuration
Which three items are controlled by the OCC?
A.
B.
C.
A. Summary Sentence
B. Display Items (Route, Frequency, Duration, etc)
C. Controlled Item
Procedure Build - Order Composer Configuration
True or False
There is a special type of OCC record with a special context of Additional Outpatient Display Items that can be used.
True.
Procedure Build - Order Composer Configuration
Which of the following are set up in the Procedure Hierarchy (not using the Order Composer)
A. Default Value
B. Item Buttons
C. Allowed Items
D. All of the above
D. All of the above
Procedure Build - Order Composer Configuration
True or False
Order composer configurations are only linked to the most specific level of the Procedure hierarchy.
False. Order Composer Configurations can be linked to any of the levels in the Procedure Hierarchy.
SmartSets
The three types of BPA records that control smartset behavior are:
A.
B.
C.
A. Criteria
B. SmartSet Suggestion
C. SmartSet Base
SmartSets
Which of the following Triggers a suggested SmartSet from patient data?
A. SmartSet Suggestion
B. Criteria
C. SmartSet Base
A. Criteria
SmartSets
Which of the following triggers a suggested SmartSet from non-patient (contextual) data?
A. SmartSet Suggestion
B. Criteria
C. SmartSet Base
A. SmartSet Suggestion
SmartSets
Examples of patient data used by Criteria Records include which of the following?
A. RFV, Med List B. Age C. Problem List D. Diagnosis E. All of the above
E. All of the above
SmartSets
Examples of non-patient (contextual) data used by Smartset Suggestion records includes:
A. Encounter Type
B. Provider Type
C. Department Specialty
D. All of the above and others
D. All of the above and others
SmartSets
True of False
SmartSet Base records “suggest” a specific smartset.
False. SmartSet Base records “restrict” which SmartSets, Sections, or SmartGroups are available.
SmartSets
A SmartSet Base record can evaluate ___________ data and _______ ___.
Non-Patient
Patient Sex
SmartSets
A SmartSet Base record can/cannot link to BPA criteria records that define other patient data
can
SmartSets
Since SmartSet Base records can only evaluate non-patient data and patient sex, how could you “restrict” what SmartSets, sections, or SmartGroups are available based on patient data?
Link the SmartSet Base to a BPA Criteria Record
Therapy Plans
True or False
Orders in a therapy plan are always available.
True
Therapy Plans
An order’s “interval” specifies what?
A. When the first treatment should first be administered and the spacing of subsequent treatments.
B. Only the spacing of each treatment
C. The spacing and duration of each treatment
D. None of these is accurate.
A. When the first treatment should be administered and the spacing of subsequent treatments.
Therapy Plans
True of False
Intervals are hard-coded in Epic
True.
Therapy Plans
Intervals can be which of the following:
A. Daily B. Weekly C. Every Visit D. Monthly E. Once F. PRN G. Quarterly H. Selected Dates I. Selected Treatments J. All of the above
J. All of the above
Therapy Plans
Which of the following is true about a therapy plan’s duration?
A. The duration might stop after a set number of treatments.
B. The duration might stop after a specific date.
C. The duration cannot continue indefinitely.
D. All of the above
E. A and B only
E. A and B only because the duration can continue indefinitely.
Therapy Plans
True or False
The frequency determines how many times the order is administered/performed each week during the duration of the plan.
False. The frequency determines how many times the order is administered or performed on the day of treatment.
Dynamic Documentation
What is Dynamic Documentation all about?
It’s about making smarttolls smarter by leveraging CER Rules.
Ex. SmartText Placeholder is replaced if one of two CER rules returns “True”. If neither is true then the Placeholder SmartText remains in place.
Dynamic Documentation
Which of the following statements are true?
A. Dynamic Documentation can be used to swap an entire SmartText with another SmartText.
B. Dynamic Documentation can be used to add a SmartText to an existing SmartText
C. Dynamic Documentation can only be used with Smartforms.
D. A and B are true
D. A and B are true
Dynamic Documentation
Making parts of a note Dynamic can be done by using which of the following:
A. @CERMSG(CERID:SMARTTEXT ID)@
B. @(CERID:CERMSG):SMARTTEXT ID@
C. @CERTXT(CERID:SMARTTEXT ID)@
D. All of these will work
A. @CERMSG(CERID:SMARTTEXT ID)@
CERMSG is the Smartlink
CERID is the record number of the CER record that evaluates to TRUE
SMARTTEXT ID is the record number of the smarttext that will be inserted if the CER evaluates to true
Flowsheets
True or False
Flowsheets are also called Documentation Flowsheets
True
Flowsheets
What are the 3 parts of a Flowsheet?
A.
B.
C.
A. Flowsheet Template (FLT)
B. Flowsheet Group (FLO)
C. Flowsheet Row (FLO)
Flowsheets
True or False
Only flowsheet groups and rows can be created in the Flowsheet Editor
False. Templates, Groups, and Rows are all created in the Flowsheet Editor
Flowsheets
Yes or No
Row type is a required field
Yes
Flowsheets
Value Type can only be entered when you have completed which other item?
A. Display Name
B. Units
C. After-file Ext
D. Row Type
D. Row Type
Flowsheets
How do you create a new flowsheet group in the flowsheet editor?
A. Click the Group box at the top of the editor
B. Choose Row Type and select Flowsheet Group
C. Choose Context and select Flowsheet Group
D. The system creates the group based on your naming strategy
B. Choose Row Type and select Flowsheet Group
Procedures
Where are display and summary items set for a procedure?
A. Directly in the EAP record
B. They are set in the OCC (order composer configuration) master file
C. The settings are imported from First Data Bank.
D. All of the above
B. They are set in the OCC master file
In the OCC, which of the following controls the information that end users can see?
A. The security profile for the underlying EAP record
B. The Summary item
C. The Display item
D. B and C
C. The Display item
True or False
In the OCC, the Summary item controls the information that appears in the Summary sentence of Order Entry.
True
Which of the following statements is true?
A. The Procedure Record is linked to the OCC record.
B. The OCC Record is linked to the Procedure record.
C. EAPs and OCCs are matched in the EAP/OCC table record.
D. B and C
B. The OCC Record is linked to the Procedure Record.
Which of the following statuses can be set in the OCC for Display items?
A. Required
B. Recommended
C. Not applicable
D. Not Required
A. Required
B. Recommended
D. Not Required
True or False
Epic recommends linking the OCC directly to the Procedure Record.
False.
Epic recommends linking the OCC to the Procedure Category Record.
True of False
Settings at the Procedure Category level take precedence over the settings in the Procedure Record.
False. The Procedure Record is most specific and if there is a setting in the procedure record it takes precedence.
Which of the following statements is true concerning order-specific questions?
A. Order-specific questions at the Procedure level automatically override questions at the Procedure Category level
B. The system always shows the questions from the Procedure and the Procedure Category.
C. A setting in the Procedure determines if the Procedure Category questions are shown.
D. None of the above
C. A setting in the Procedure determines if the Procedure Category questions are shown.
Epic uses the Procedure Master file for which of the following? Choose all that apply.
A. Billing B. Scheduling C. MyChart Letters D. Ordering Integration E. All of the above
A. Billing
B. Scheduling
D. Ordering Integration
True or False
All procedure records must be assigned a record purpose.
True
Which of the following are valid purposes that can be assigned to a procedure record?
A. Chargeable B. Performable C. Historical D. Orderable E. All of the above
E. All of the above
True or False
An orderable procedure record represents anything, including a medication, that a clinician might order.
False. Does NOT include medications.
True or False
An orderable procedure can include a service or a supply.
True.
Which of the following statements is true?
A. All orderables are generic, allowing the performing user to choose the specific procedure.
B. All orderables are specific, requiring the ordering provider to know which specific procedure is to be done.
C. Some orderables are generic because a provider might not know the specific procedure needed at the time of ordering.
D. All of the above could be true, depending on the order.
C. Some orderable are generic because a provider might not know the specific procedure needed at the time of ordering.
An orderable must have a record purpose of?
A. Orderable
B. Orderable and performable
C. Orderable and chargeable
A. Orderable
An orderable should have a (Yes or No) next to the Clinically Inactive item?
A. Yes
B. No
B. No, indicating that it is clinically active. Stupid way to ask the question but that’s Epic.
The Billing Status for an Orderable should be:
A. Inactive
B. Active
C. Blank
D. A or C
A. Inactive, because the orderable is not responsible for charge information.
Which of the following statements is/are true about Performable procedures?
A. They represent the actual procedure that was performed.
B. They can be linked to chargeables if needed.
C. They are always linked to chargeables.
D. A and B
E. A and C
D. A and B
A. They represent the actual procedure that was performed.
B. The can be linked to chargeables if needed.
Performables usually have a dual record purpose as either _____and _____ or _______ and _______
A. Orderable and chargeable or chargeable and historical
B. Orderable and performable or performable and chargeable.
C. Historical and performable or orerable and chargeable
B. Orderable and performable or performable and chargeable.
True or False
Only performable and chargeable procedures can automatically trigger charges when an order is resulted or completed.
False. Orderable and performable or performable and chargeable procedures can automatically trigger charges.
Which type of Procedure record is used to bill for a procedure, service, or supply?
A. Orderable B. Historical C. Performable D. Chargeable E. A and D
D. Chargeable
Which type of Procedure record is usually imported from a 3rd part Vendor?
A. Chargeable
B. Historical
C. Performable
D. Orderable
A. Chargeable
When a charge is triggered where does it appear?
A. In the Snapshot report
B. At the bottom of the Results Report
C. In the Charge Capture section of a navigator
D. All of the above
C. In the Charge Capture section of a navigator
What are the two types of chargeables?
A. Periodic chargeables
B. Professional chargeables
C. Immunization chargeables
D. Hospital and Technical Chargeables
B. Professional Chargeables
D. Hospital and Technical Chargeables
Which of the following is true about Professional Chargeables?
A. They are generated by physicians
B. They are used to charge for supplies or a physician’s time.
C. They are made up of CPT or HCPCS codes
D. They are usually maintained by EPIC
A, B, and C are true.
A. They are generated by physicians
B. They are used to charge for supplies or a physician’s time.
C. They are made up of CPT or HCPCS codes
Within Epic’s foundation system, all professional chargeables appear with what prefix?
A. PC
B. PRC
C. PR
D. PB
C. PR
True or False?
Hospital charges are generated by Hospital Physicians.
False. Hospital and Technical charges are generated by non-physician providers and are used to bill the patient for things such as the use of equipment involved in a procedure, the cost of an inpatient room. or services of support personnel.
Hospital and Technical Chargeables have a prefix of:
A. HTC
B. THC
C. HCR
D. HC
D. HC
And codes come from the Charge Description Master (CDM).
True or False
An order can be both Orderable and Chargeable
False.
The possibilities are: Orderable Orderable and Performable Performable Performable and chargeable Chargeable
Assigning a record purpose of historical allows what?
A. A past procedure to be ordered an resulted as if it were new.
B. A past procedure to be documented in the Orders section of a navigator.
C. A past procedure to be documented in the History Section of a navigator
D. A and C
C. A past procedure to be documented in the History Section of a navigator.
Building Blocks for Procedures
SmartText (ETX) and Question (LQL) records are linked at which of the following level(s)?
A. Procedure level only
B. Procedure category only
C. System Definitions only
D. Procedure and Procedure Category levels
E. System Definitions and Procedure Category levels
D. Procedure and Procedure Category levels.
“Chargeable” Procedure, Result Component, and Immunizations are linked at which level(s)?
A. Procedure level only
B. Procedure and Procedure category
C. System Definitions only
D. None of the above
A. Procedure level only
Order composer Configuration (OCC) is linked at which level(s)?
A. Procedure
B. Procedure Category
C. System Definitions
D. A and B
A. Procedure
B. Procedure Category
C. System Definitions
Preference List Editor
True or False
Security classifications and payor/plan overrides can be specified only when first creating a preference list.
True. Can’t be done late when editing the preference list.
The Preference List Editor makes preference lists for all types of records except:
A. Meds, Orders, Immunizations
B. Meds, Immunizations, Procedures
C. Meds, Orders, Procedures
C. Meds, Orders, Procedures
The Preference List Composer makes preference lists for which types of records? (Choose all that apply)
A. Meds B. Procedures C. Immunizations D. Patient Communication (letters) E. Orders
A. Meds
B. Procedures
E. Orders
Smartsets/Order sets
Which of these is true?
A. A Smartset consists of a SmartSet record, which is divided into SmartGroups that contain sections.
B. A Smartset consists of a SmartSet record, which is divided into sections that contain SmartGroups.
C. A Smartset does not contain sections but does contain SmartGroups
D. A Smartset can have only one section per SmartGroup.
B. A Smartset consists of a SmartSet record, which is divided into sections that contain SmartGroups
Epic tries to trick you on this one. Be careful.
To re-use a SmartGroup in multiple SmartSets you should do what?
A. Make sure the SmartGroup is released
B. Select the Use as building block checkbox
C. Use a naming convention that starts with BB for Building Block
D. All of the above
B. Select the Use as building block checkbox.
True or False
You can prevent a user from saving their own version of a SmartGroup.
True
True or False
You can restrict a user to a single response for a SmartGroup.
True
