EHR Study Guide

Question 1

establish guidelines specific to research..

Answer 1

health level 7

Question 2

an EHRS would use what to locate the number of medication refills for a patient?

Answer 2

MAR (medication administration record)

Question 3

what feature could you utilize for ordering multiple labs?

Answer 3

check boxes

Question 4

where would you gather education material for a patient?

Answer 4

clinical decision support

Question 5

EHR templates increase what?

Answer 5

accuracy and completeness

Question 6

what is considered real-time clinical data?

Answer 6

subjective data

Question 7

what is a barrier to EHR transition?

Answer 7

cost

Question 8

what would you use to generate a charge report for a provider?

Answer 8

CPT Codes

Question 9

what form contains the diagnostic codes for billing?

Answer 9

encounter form

Question 10

when would you post patient payments?

Answer 10

at check in

Question 11

What is needed for an EHR to be interoperable?

Answer 11

Unified Medical Language System

Question 12

What would you utilize to cross-check data report accuracy?

Answer 12

data registry

Question 13

how is biomedical device information transferred?

Answer 13

telemetry

Question 14

utilizing digital image data is the best method to prevent what?

Answer 14

discrepancies in data

Question 15

what data is accessible between different providers?

Answer 15

continuity of care data

Question 16

what must occur before billing is submitted to verify completed forms match?

Answer 16

prospective review

Question 17

how can you increase schedule efficiency when overlapping appointments?

Answer 17

determine type of appointment

Question 18

When must an ABN be signed?

Answer 18

when medicare will not cover services

Question 19

who/what uses merit-based incentives?

Answer 19

medicare

Question 20

where can an EHRS document?

Answer 20

3rd party payment

Question 21

what allows billing info exchange with 3rd party payers?

Answer 21

Electronic Data Interchange

Question 22

What is listed as DO NOT USE in the abbreviations?

Answer 22

MSO4

Question 23

formulary compliance is used where within EHR?

Answer 23

E-scribing

Question 24

what prevents facility coding inaccuracies?

Answer 24

routine audits

Question 25

where do you find E/M codes?

Answer 25

CPT manual

Question 26

what prevents prescription duplicating?

Answer 26

CPOE

Question 27

what does an aging report provide?

Answer 27

past due accounts information

Question 28

why would you generate a provider report?

Answer 28

to track revenue per provider

Question 29

what is an example of structured data?

Answer 29

ICD codes

Question 30

what is the best place to obtain education resources?

Answer 30

CDC.gov

Question 31

which safeguard includes annual security awareness training?

Answer 31

administrative

Question 32

what can you eliminate to streamline workflows?

Answer 32

written prescriptions

Question 33

where are patient transactions documented?

Answer 33

day sheet

Question 34

to locate revenue associated with specific CPT codes you go to?

Answer 34

accounts receivable

Question 35

What maps lab results from vendors?

Answer 35

LOINC (logical observation identifiers names and codes)

Question 36

what would you utilize if you think someone has accessed charts inappropriately?

Answer 36

activity review

Question 37

how would you abstract a medical record?

Answer 37

clinical and administrative decision making

Question 38

what would a patient identifier be?

Answer 38

appointment time

Question 39

How long do you have to notify a patient about a data breach?

Answer 39

60 days

Question 40

how would you code a bilateral diagnosis?

Answer 40

each side separately

Question 41

who sets the standard for who can access PHI?

Answer 41

DHHS

Question 42

Insurance claims that are past due are run how?

Answer 42

aging report by carrier

Question 43

what is always required on completed lab results?

Answer 43

provider signature

Question 44

what is syndromic surveillance

Answer 44

to report outbreaks of disease to the public

Question 45

whose insurance pays first if both parents cover the child?

Answer 45

use the birthday rule

Question 46

whhere would you place a new template for mammogram results?

Answer 46

radiology

Question 47

outdated documentation is a result of?

Answer 47

cloned progress notes

Question 48

What is a PACS (picture archiving communications sytem) used for?

Answer 48

radiology images

Question 49

how often is an encounter form updated?

Answer 49

minimum of once a year

Question 50

this is needed to determine if a procedure is a covered service..

Answer 50

preauthorization

Question 51

what shoiuld always match when requesting insurance reimbursement?

Answer 51

dx code and procedure

Question 52

In this model, PCP is selected, and one must see this person first for illness or injury. Costs typically less than other insurance forms. Network restriction for care. Care outside network requires physician referral. These are typically sought after more because they cost less.

Answer 52

HMO (Health maintenance organization)

Question 53

In this model, there may be no requirement for PCP. Network of various providers provided for selection based on need. Greater flexibility for provider selection. Out of network care is provided. Increased cost. (Can typically see anyone you choose with no referral)

Answer 53

PPO (preferred provider organtization)

Question 54

This model includes characteristics of both HMO and PPO. It does not require a PCP and access to specialized care does not require a referral. The network may restrict specialized care access. (restrictive in who you can see)

Answer 54

EPO (exclusive provider organziation)

Question 55

establishes national standards to protect electronic personal information that is created, received, used or maintained by entities with permission to use them

Answer 55

The HIPPA security rule Key is electronic PHI

Question 56

sets limits and conditions on uses and disclosures of PHI without a person's authorization.

Answer 56

The HIPPA privacy rule

Question 57

Compliance with HIPPA is mandatory, and enforcement falls under the obligation of the ( )

Answer 57

office of civil rights (OCR)

Question 58

makes funds available for states to provide health care coverage to low income uninsured children through the age of 18 and pregnant women who have an income too high to qualify for Medicaid.

Answer 58

CHIP (children's health insurance program)

Question 59

HIT

Answer 59

health insurance technology

Question 60

MIPS is a performance-based payment system with five healthcare participation options, which are..

Answer 60

Individual, group, virtual groups, subgroup, APM entity

Question 61

MIPS

Answer 61

Merit based incentive payment system

Question 62

CMS offered ( ) for the use of certified EHR technology.

Answer 62

incentives

Question 63

Meaningful use leveraged EHR technology to achieve the best ( )

Answer 63

outcomes for patients

Question 64

( ) are currently not regulated by the US FDA

Answer 64

EHRs

Question 65

Are CPT or ICD codes billed for first?

Answer 65

CPT

Question 66

A secure way to transmit information between insures, institutions and patients..

Answer 66

EDI (Electronic data interchange)

Question 67

a set of standardized codes used for processing, billing and reimbursement of health insurance claims

Answer 67

health care common procedure coding system (HCPCS)

Question 68

( ) document clinical encounters, which include the chief complaint, diagnoses, treatment plans with ( ), and ( ).

Answer 68

Providers, medicinal prescriptions, progress notes

Question 69

( ) allows providers to manage patient orders in a fashion that reduces errors in duplicate orders by allowing medication reconciliation and identification of potential interactions

Answer 69

Order Management

Question 70

( ) is the electronic sharing of healthcare information between various providers and settings

Answer 70

Health Information Exchange