EHR NHA Study Guide Flashcards
What does HL7 do?
Establishes research guidelines
Clinical Quality Measures can recommend _____ to patients?
Immunizations
EHR specialists would use ____ to locate the number of refills for a patient.
EMAR
What feature could you use for ordering multiple labs?
Checkboxes
Where would you gather educational material for a patient?
Clinical Decision Support (CDS)
EHR templates increase what?
Accuracy and completeness
What is considered real time clinical data?
Subjective data
This is considered a barrier to EHR transition.
Cost
What would you use to generate a charge report for a provider?
CPT codes
This is a benefit of CPOE.
Prevents duplicating orders, reduce prescription errors, radiology and lab requests.
This is utilized to alert EHR updates and changes.
Automatic alerts
This form contains the diagnostic codes for billing.
Encounter form
When would you post patient payments?
At check in
This is needed for an EHR to be interoperable.
A unified medical language system
What would you utilize to cross check data report accuracy?
Data registry
Biomedical device information are transferred via what?
Telemetry
Utilizing digital image data is the best method to prevent what?
Discrepancies in data
What data is accessible between providers?
Continuity of Care data
What must occur before billing is submitted to verify completed forms match?
Prospective review
How can you increase schedule efficiency when overlapping appointments?
Determine the type of appointment
ABN must be signed when?
When Medicare won’t cover a cost
Who uses Merit Based Incentives?
Medicare
Where can an EHR specialist document?
Under third party payment
This allows billing info exchange with third party payers.
Electronic data interchange
This is listed as a do not use abbreviation on the list of abbreviations.
MS04
Formulary compliance is used where within the EHR?
E-scribing
What prevents facility coding inaccuracies?
Routine audits
Where do you find E/M codes
CPT manual
Prevents duplicating orders.
CPOE
Aging reports provide what?
Past due accounts.
Why would you generate a provider report?
To look at practice revenue.
This is why you would use access controls to comply with HIPAA?
So people can’t use a computer that’s been unattended.
What would be structured data?
ICD 10 codes
How would you correct an entry in the EHR?
Addendum
The best place to obtain educational resources.
www.CDC.gov
This safeguard includes annual security awareness training.
Administrative safeguards
What would you eliminate to streamline workflows?
Written prescriptions
When would you utilize a patient tracker?
To monitor the patient’s location.
Patient transactions are documented where?
Day sheet
To locate revenue associated with specific CPT codes, you go to?
Accounts receivable
This maps lab results from vendors.
Logical Observation Identifiers Name and Codes (LOINC)
What would you utilize if you think someone has accessed charts inappropriately?
Activity review
What would a patient identifier be?
Appointment time, DOB, SSN
There has been a data breach. How long do you have to notify patients?
60 days
How would you code a bilateral diagnosis?
Each side separately
Who sets the standard for who can access PHI?
DHHS
Insurance reports that are past due are run on ____.
Aging reports
What is always required on completed lab results?
Provider signature
What is syndromic surveillance?
It is used to report outbreaks of disease to the public.
Who insurance pays first?
Whoever’s birthday comes first in the calendar year.
Outdated documentation is a result of ___.
Cloned progress notes
How would you correct a handwritten chart entry?
Strike through it, initial and date it.
Who’s is responsible for the remaining balance after Medicare pays?
Patient
What is the best method to protect the EHR system?
Limit access to the system
What provides access to a patient’s chart while they are out of town?
Interoperability
A CDS reduces what with prescriptions?
Errors
What is a PACS?
Picture Archiving Communication System used for radiology images.
What are role based security groups?
They grant access based on job title.
An entercounter is updated how often?
Annually
You would obtain this to determine if a necessary service is covered.
Pre authorization
Who requires EHR data to be back up?
HIPAA
The provider documenting while examining a patient is what?
Real time documentation
What should always match when requesting insurance reimbursement?
Diagnosis codes and procedure codes
What helps with accuracy and completeness?
Point of care documentation
Where in the EHR would you document a patients use of alcohol?
Social history
Subjective date is considered what?
Patients symptoms in their own words
Integrity controls on transmitted information.
Coverts it to unreadable text until the person receives it.
Vaccinations will be logged under ____ in the EHR.
Immunizations
What percentage does Medicare pay after the deductible is met?
80% Medicare / 20% Patient
What is utilized in the recovery process after a catastrophic event?
Back up
Encryption is used for what?
Security during electronic transmission of data.
What should you do prior to accepting payments from a patient?
Verify insurance coverage
HIPAA forms are considered what?
Legal data
What is a benefit of using EHRs?
Improves and streamlines documentation
If labs are awaiting processing, they are ____.
Pending
CMS uses what to determine quality improvements?
Diagnosis Related Group (DRG)
PMS scheduling tool shows ____.
How many patients left for the day
HIPAA and Internal Access Controls prohibit ____.
Unattended computer access.
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