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MAA > EHR Study Guide > Flashcards

EHR Study Guide Flashcards

1
Q

establish guidelines specific to research..

A

health level 7

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2
Q

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

A

MAR (medication administration record)

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3
Q

what feature could you utilize for ordering multiple labs?

A

check boxes

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4
Q

where would you gather education material for a patient?

A

clinical decision support

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5
Q

EHR templates increase what?

A

accuracy and completeness

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6
Q

what is considered real-time clinical data?

A

subjective data

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7
Q

what is a barrier to EHR transition?

A

cost

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8
Q

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

A

CPT Codes

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9
Q

what form contains the diagnostic codes for billing?

A

encounter form

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10
Q

when would you post patient payments?

A

at check in

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11
Q

What is needed for an EHR to be interoperable?

A

Unified Medical Language System

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12
Q

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

A

data registry

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13
Q

how is biomedical device information transferred?

A

telemetry

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14
Q

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

A

discrepancies in data

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15
Q

what data is accessible between different providers?

A

continuity of care data

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16
Q

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

A

prospective review

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17
Q

how can you increase schedule efficiency when overlapping appointments?

A

determine type of appointment

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18
Q

When must an ABN be signed?

A

when medicare will not cover services

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19
Q

who/what uses merit-based incentives?

A

medicare

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20
Q

where can an EHRS document?

A

3rd party payment

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21
Q

what allows billing info exchange with 3rd party payers?

A

Electronic Data Interchange

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22
Q

What is listed as DO NOT USE in the abbreviations?

A

MSO4

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23
Q

formulary compliance is used where within EHR?

A

E-scribing

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24
Q

what prevents facility coding inaccuracies?

A

routine audits

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25
Q

where do you find E/M codes?

A

CPT manual

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26
Q

what prevents prescription duplicating?

A

CPOE

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27
Q

what does an aging report provide?

A

past due accounts information

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28
Q

why would you generate a provider report?

A

to track revenue per provider

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29
Q

what is an example of structured data?

A

ICD codes

30
Q

what is the best place to obtain education resources?

A

CDC.gov

31
Q

which safeguard includes annual security awareness training?

A

administrative

32
Q

what can you eliminate to streamline workflows?

A

written prescriptions

33
Q

where are patient transactions documented?

A

day sheet

34
Q

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

A

accounts receivable

35
Q

What maps lab results from vendors?

A

LOINC (logical observation identifiers names and codes)

36
Q

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

A

activity review

37
Q

how would you abstract a medical record?

A

clinical and administrative decision making

38
Q

what would a patient identifier be?

A

appointment time

39
Q

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

A

60 days

40
Q

how would you code a bilateral diagnosis?

A

each side separately

41
Q

who sets the standard for who can access PHI?

A

DHHS

42
Q

Insurance claims that are past due are run how?

A

aging report by carrier

43
Q

what is always required on completed lab results?

A

provider signature

44
Q

what is syndromic surveillance

A

to report outbreaks of disease to the public

45
Q

whose insurance pays first if both parents cover the child?

A

use the birthday rule

46
Q

whhere would you place a new template for mammogram results?

A

radiology

47
Q

outdated documentation is a result of?

A

cloned progress notes

48
Q

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

A

radiology images

49
Q

how often is an encounter form updated?

A

minimum of once a year

50
Q

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

A

preauthorization

51
Q

what shoiuld always match when requesting insurance reimbursement?

A

dx code and procedure

52
Q

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.

A

HMO (Health maintenance organization)

53
Q

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)

A

PPO (preferred provider organtization)

54
Q

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)

A

EPO (exclusive provider organziation)

55
Q

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

A

The HIPPA security rule
Key is electronic PHI

56
Q

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

A

The HIPPA privacy rule

57
Q

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

A

office of civil rights (OCR)

58
Q

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.

A

CHIP (children’s health insurance program)

59
Q

HIT

A

health insurance technology

60
Q

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

A

Individual, group, virtual groups, subgroup, APM entity

61
Q

MIPS

A

Merit based incentive payment system

62
Q

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

A

incentives

63
Q

Meaningful use leveraged EHR technology to achieve the best ( )

A

outcomes for patients

64
Q

( ) are currently not regulated by the US FDA

A

EHRs

65
Q

Are CPT or ICD codes billed for first?

A

CPT

66
Q

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

A

EDI (Electronic data interchange)

67
Q

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

A

health care common procedure coding system (HCPCS)

68
Q

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

A

Providers, medicinal prescriptions, progress notes

69
Q

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

A

Order Management

70
Q

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

A

Health Information Exchange

71
Q
A

MAA (23 decks)

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