EHR Flashcards
EHR
When thinking of an EHR, the word audit means…
Review of employee activity within the EHR system
An EHR function that allows a doc/other prescriber to order medication &tests using an automated format is called…
Computerized Physicians Order Entry
THe ability of separate EHR systems to share information in compatible formats is called…
introperability
If both parents cover dependents on their plan, the child’s primary insurance in usually determined by the b-day rule. what does that mean?
The parent whose b-day is earlier in the calender year is the primary
An active patient is defined as…
one who saw the provider within the last three years ……
Which code indicates the type of visit code?
Type of visit code (ToV)
When you electronically archive patient records, where do they go?
Archive media (CD/hard drive)
Why should closed patient records be purged?
Liability in the event of medical malpractice
what is the purpose of a billing audit?
To identify poor coding
Lack of documentation during a patient visit could result in…
decreased reimbursement
A reference database of medical vocabularies is called….
UMLS
Claire works for a pediatrician’s office that is considering implementing an EHR. She has been asked to research the different systems available. Before she begins, she’d like to create a list of functions the EHR should have specific to the program
Doctor recommendations
If a patient has had a malignancy removed and no further treatment is needed, it is coded as…
History
The best definition for a company that processes health information and executes transactions is…
Clearinghouse
Which of the followed terms is unique to the ICD-10-CM & indicates the condition being excluded is not considered
Excludes
