NHA Quizzes Flashcards
An EHR specialist is explaining to a patient about the process from accessing the patient portal. The EHR specialist should instruct the patient to use the provided username and which of the following other items to gain entry into the portal?
A. Date of birth
B. Access Code
C. Complete Name
D. SSN
Access Code
An office manager needs to ensure schedulers are aware of a provider’s vacation days to avoid errors in patient scheduling and disruption of the workflow. Which of the following actions should the office manager take?
A. Notify the staff of the provider’s projected vacation days by email
B. Inform the schedulers of the change during the weekly staff meeting
C. Record the provider’s vacation days on the schedule as non patient appointments
D.Place a note listing the dates of the provider’s vacation on the schedulers’ calendars
Record the provider’s vacation days on the schedule as nonpatient appointments
An EHR specialist has obtained medical records from an institutional database, and the data needs to be integrated into a patient’s EHR. Which of the following information should the EHR specialist use to identify the patient before integrating the data?
A. Allergy List
B. Place of Birth
C. Mother’s maiden name
D. Date of Birth
Date of Birth
An EHR specialist is training a newly hired staff member when a patient who is receiving inpatient care dies. Which of the following terms should the EHR specialist tell the staff member to enter into the patient’s EHR for discharge disposition?
A. Dead
B. Expired
C. No signs of life
D. Breathing absent
Expired
Which of the following functions can an EHR specialist perform while in a typical electronic scheduling module?
A. Sending diagnostic test results to a patient
B. Transferring patient charges to the billing section
C. Rescheduling patient appointments to a different day
D. Notifying the provider of patient arrivals to the examination room
Rescheduling patient appointments to a different day
In which of the following areas of the EHR should a patient’s progress notes be recorded?
A. Legal
B. Clinical
C. Financial
D. Administrative
Clinical
Which of the following would be helpful to a health care organization when tracking inventory of e-signature pads?
A. National Provider Identifier (NPI)
B. Source-oriented record
C. Unified Medical Language
D. Universal Medical Device Nomenclature (UMDN)
Universal Medical Device Nomenclature (UMDN)
What type of data should an EHR specialist reference to determine which patients are covered by a specific insurance carrier?
A. Clinical
B. Administrative
C. Financial
D. Legal
Financial
An EHR specialist answers a query origination from the patient portal that states, “Where can I find the outstanding balance I owe for my surgery?” To which of the following sections within the patient portal should the EHR specialist direct the patient?
A. Billing
B. Messages
C. Preferences
D. Administrative Info
Billing
An EHR specialist is assisting with moving a provider’s office into a new building. To which portion of the Device and Medical Controls standard is the EHR specialist adhering when creating a record of hardware and media to move?
A. Disposal
B. Media reuse
C. Accountability
D. Data backup and storage
Accountability
When generating admission documentation for a patient, which of the following information should be entered into the EHR under the administrative section?
A. Consent form
B. Medication List
C. Insurance Provider
D. Emergency Contact
Emergency Contact
An EHR specialist receives a patient prescription stating, “Give Aspirin 81mg PO QD.” The EHR specialist confirms the prescription with the provider and reconciles the information to read as which of the following in the patient’s medical record?
A. Aspirin 81 mg PO daily
B. Aspirin 0.081 g PO QD
C. Aspirin 81 mg per os QD
D. Aspirin 0.081 g by mouth QD
Aspirin 81 mg PO daily
Which of the following methods should an organization use to disseminate new information to staff members about charges to implement due to an upgrade to the EHR general compliance software?
A. Administering a written test to staff members
B. Conducting a training session for staff members
C. Asking staff members to spread the new information among the team
D. Placing information brochures in break rooms
Conducting a training session for staff members
Which of the following actions ensures that a digital image imported from a fax machine with scanning capabilities is linked to the correct patient in the EHR?
A. Importing the image
B. Cataloging the image
C. De-identifying the image
D. Downloading the image
Cataloging the image
During a pediatric clinic visit, a patient’s parent tells a staff member that the family has recently moved. Which of the following sections of the EHR should an EHR specialist update with the new address?
A. Legal
B. Financial
C. Administrative
D. Clinical
Administrative
An auditor is reviewing the medical record of an adult patient who is 6 feet tall and has a diagnosis of obesity. Which of the following notes in the patient’s EHR would constitute a data discrepancy?
A. “Patient has a good appetite”
B. “Patient has a poor appetite”
C. “Patient height is 72 inches”
D. “Patient weight is 56.7 kg (125 lb)”
“Patient weight is 56.7 kg (125 lb)”
An EHR specialist notes that a patient has a different medical record number in the EHR then the organization’s administrative database. Which of the following actions should the EHR specialist take?
A. Report the discrepancy to a supervisor
B. Change the number in the EHR system
C. Request an external audit
D. Recognize this as a normal occurance
Report the discrepancy to a supervisor
Which of the following information about a patient should an EHR specialist match with the patient’s name to verify the patient’s identity before entering information into the EHR?
A. Medical Record Number
B. Diagnosis
C. Room number
D. Provider name
Medical record number
A patient brings a copy of a recent hematology result to their first visit with an oncologist and gives the document to an EHR specialist. Which of the following actions should the EHR specialist take?
A. Place the document on the provider’s desk for review
B. Ask the patient to request that the laboratory fax the results for verification
C. Inform the patient that the provider will be preforming a repeat hematology test
D. Scan the document into the patient’s EHR
Scan the document into the patient’s EHR
A marketing department received records for marketing purposes from an EHR specialist. Which of the following information should the EHR specialist have de-identified on the document before releasing them to the marketing department?
A. Patient ethnicities
B. Patient ZIP codes
C. Patient diagnoses
D. Patient medical record numbers
Patient medical record numbers
An EHR specialist is assisting a provider with navigating the EHR system to accept a patient from one health care provider to another. Under which of the following types of permitted disclosures is the provider retrieving the patient data?
A. Payment
B. Treatment
C. Health care operations
D. Research
Treatment
Which of the following code techniques allows an EHR specialist to review clinical documentation while the patient is actively receiving treatment?
A. Upcoding
B. Computer-assisted coding
C. Concurrent Coding
D. Undercoding
Concurrent Coding
An EHR specialist is training providers on required clinical documentation in the hospital setting. A provider asks, “How can I make sure to include all relevant data elements?” Which of the following statements should the EHR specialist make?
A. “Use a cloned progress note.”
B. “Use a specialized note with negative prompts.”
C.” Use a progress note template.”
D. “Use a personal note template.”
“Use a progress note template”
Which of the following medical record review findings indicates upcoding of clinical documentation in the EHR?
A. Using a CPT code that yields a higher reimbursement than what was documented
B. Using a CPT code that yields a lower reimbursement than what was documented
C. Assigning a CPT code for a service that was performed as scheduled
D. Using an automatically assigned code
Using a CPT code that yields a higher reimbursement than what was
Which of the following forms of data capture should be identified as demographic information?
A. Vital signs
B. Chief complaint
C. Marital status
D. Alcohol use
Marital status
Which of the following sections of the EHR should an EHR specialist review to obtain a patient’s influenza vaccine status?
A. Allergies
B. Immunizations
C. Preventive care
D. Medical history
Immunizations
A nurse asks an EHR specialist for help to locate the education sheets for smoking cessation in the EHR. Which of the following patient education forms should the EHR specialist suggest?
A. “American Heart Association (AHA): What is Hypotension?”
B. “Centers for Disease Control and Prevention (CDC): COPD Are You at Risk?”
C. “Centers for Disease Control and Prevention (CDC): Diabetes Are You at Risk?”
D. “National Institutes of Health (NIH): Pulmonary Embolism Information”
“Centers for Disease Control and Prevention (CDC): COPD Are You at Risk?”
An EHR specialist is speaking with a patient who states, “I don’t know where to access education materials about my disease.” Which of the following responses should the HR specialist make?
A. “You should use social media to learn more about your disease.”
B. “You can access patient education materials using the patient portal.”
C. “You should try not to think too much about your disease.”
D. “You can ask your provider more questions at your next visit.”
“You can access patient education materials using the patient portal.”
When reviewing history and physical templates, the review of systems includes which of the following components?
A. Medical examination
B. Medication status
C. Constitutional symptoms
D. Tobacco use
Constitutional Symptoms
An EHR specialist is preparing to share a secure spreadsheet containing patient heart information from a Holter monitoring device with the provider. Which of the following actions should the EHR specialist take to protect the information?
A. Share the spreadsheet password with the provider.
B. Send the spreadsheet without a password.
C. Send the spreadsheet to the provider’s personal email address.
D. Use a public internet connection to transmit the spreadsheet.
Share the spreadsheet password with the provider
Which of the following automatically assigns the appropriate diagnosis and procedure codes based on clinical documentation in the EHR?
A. Computer-assisted coding
B. Superbill
C. Upcoding
D. Physician query
Computer-assisted coding
In which of the following history sections of the EHR would a patient’s history of alcohol use be documented?
A. Medical
B. Surgical
C. Family
D. Social
Social
Which of the following public health objectives involves securely transferring data and information related to cases of measles to public health care agencies (PHAs)?
A. Trauma registries
B. Syndromic surveillance
C. Immunization registries
D. Reportable laboratory results
Reportable laboratory results
An EHR specialist is providing support for computerized provider order entry (CPOE). A provider asks, “Where should I
document my treatment instructions and ordered tests?” Which of the following statements should the EHR specialist make?
A. “This can be documented in the subjective details portion of the SOAP note.”
B. “This can be documented in the objective details portion of the SOAP note.”
C. “This can be documented in the assessment details portion of the SOAP note.”
D. “This can be documented in the plan details portion of the SOAP note.”
“This can be documented in the plan details portion of the SOAP note.”
Which of the following components of a Subjective, Objective, Assessment, Plan (SOAP) note would pull in real-time test results from the EHR?
A. Subjective
B. Objective
C. Assessment
D. Plan
Objective
Which of the following types of clinical data can be ordered during a patient visit in the computerized provider order entry
(CPOE) workflow?
A. Laboratory testing
B. Allergies
C. Vital signs
D. Progress note
Laboratory Testing
Which of the following actions would generate a real-time alert message in the EHR?
A. The provider enters a patient’s vital signs.
B. The provider reviews medication administration.
C. The provider enters a prescription for a duplicate therapy.
D. The provider reviews a Subjective, Objective, Assessment, Plan (SOAP) note.
The provider enters a prescription for a duplicate therapy.
A compliance director asks an EHR specialist to verify that a patient has received information on privacy practices. To which of the following forms should the EHR specialist navigate in the EHR?
A. HIPAA consent form
B. Release of records
C. Advance directives
D. Informed consent
HIPAA consent forms
An EHR specialist in a clinic is assisting a patient with documenting past medical, social, and family history. The patient completing the electronic questionnaire asks, “Where do I include drug use?” The EHR specialist should reply that drug use should be documented in which of the following social history components?
A. Alcohol use
B. Tobacco use
C. Caffeine use
D. Recreational use
Recreational use
An EHR specialist is providing support for a provider who is entering prescriptions into a patient’s chart using a new EHR system. The provider asks the EHR specialist which pharmacy will automatically receive the prescription. Which of the following responses should the EHR specialist make?
A. “The pharmacy closest to the patient’s address.”
B. “The pharmacy closest to our office’s location.”
C. “The patient can walk into any pharmacy to fill the e-prescription.”
D. “The patient’s preferred pharmacy must be entered.”
“The patient’s preferred pharmacy must be entered.”