Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

CEHRS Study Guide > Practice Test > Flashcards

Practice Test Flashcards

1
Q

An EHR specialist is assisting in collecting information for a workflow analysis. Which of the following actions should the EHR specialist take?

A. Use a vendor to conduct the workflow analysis
B. Ask staff members to write detailed descriptions of the responsibilities of their positions
C. Designate one contact person to coordinate the workflow analysis of staff members
D. Create new forms to be included in the workflow analysis

A

Ask staff members to write detailed descriptions of the responsibilities of their positions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A facility staff member asks an EHR specialist what to do if a visitor requests an adult patient’s health information. Under which of the following circumstances would the information be released to a visitor?

A. Information should only be released to a family member.
B. Information should only be released verbally
C. Only de-identified information should be released to the visitor
D. Information should only be released with specific patient authorization

A

Information should only be released with specific patient authorization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

An EHR specialist is organizing an in-service for staff members about securing personal mobile devices for work-related use. Which of the following instructions should the EHR specialist include?

A. Enable file-sharing applications
B. Disable built in encryption systems
C. Enable a firewall
D. Disable remote wiping for devices

A

Enable a firewall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

An EHR specialist is reviewing documentation from the previous day and discovers some of the data is incorrect. The EHR specialist strikes through the incorrect data and includes their initials. Which of the following actions should the EHR specialist take next?

A. Indicate “error” next to the incorrect entry.
B. Delete the original data.
C. Include the time the change was made.
D. Add the date the change was made.

A

Add the date the change was made.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which of the following situations demonstrates appropriate documentation of data entered by the provider during an inpatient facility stay?

A. The provider completes a history and physical (H&P) examination within 24 hr after the admission
B. Operative notes from surgery performed 3 days ago were completed last night.
C. A cardiology consultation report was reviewed and signed by the provider 48 hr later.
D. Notes are sent to a professional coder to determine the proper billing codes before being returned to the provider for completion

A

The provider completes a history and physical (H&P) examination within 24 hr after the admission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

In which of the following locations of the EHR system should an EHR specialist find documentation about a patient whose cultured sputum tested positive for methicillin-resistant Staphylococcus aureus (MRSA)?

A. The respiratory subsection of the review of systems (ROS)
B. The laboratory section
C. The pathology section
D. The respiratory exam subsection of the physical examination

A

The laboratory section

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which of the following features of the clinical decision support system presents a provider with standard plans of therapy for a documented diagnosis or condition?

A. Drug formulary
B. Protocols
C. The task list system
D. Medical references

A

Protocols

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Under the HIPAA Privacy Rule, which of the following individuals can be given directory information about the patient without asking staff for a specific patient’s name?

A. A patient’s relative
B. A clergy person
C. A patient’s friend
D. Law enforcement personnel

A

Law enforcement personnel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

An EHR specialist is scanning a patient’s x-ray results into the EHR. The EHR specialist should recognize that the EHR is fulfilling which of the following core functions laid out by the Institute of Medicine (IM) by supporting this type of information?

A. Health information and data
B. Order management
C. Patient support
D. Administrative processes and reporting

A

Health information and data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A health care organization has added encoding software to its EHR. How does this affect the process for internal audits?

A. Internal audits should be conducted to ensure that all procedures are coded correctly.
B. Coding can be excluded from internal audits after the software is installed.
C. Internal audits can be eliminated by the use of code assist software.
D. Internal audits can be delegated to clinical personnel after code assist software is implemented.

A

Internal audits should be conducted to ensure that all procedures are coded correctly.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which of the following is an EHR documentation tool that a provider can use to add comments for increasing the specificity of a physical examination finding?

A. General consent
B. Lists
C. Action buttons
D. Free-text box

A

Free-text box

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which of the following documents is a patient required to sign for a health care facility to receive payment directly from the patient’s third-party payer?

A. Informed consent form
B. Notice of Privacy Practices (NPP)
C. Assignment of Benefits (AOB)
D. Patient encounter form

A

Assignment of Benefits (AOB)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

An EHR specialist is training staff about ways to increase privacy for patients in the waiting room of a provider’s office. Which of the following methods should the EHR specialist recommend when calling a patient back to a treatment room?

A. Display the patient’s full name on an electronic appointment board.
B. Use the patient’s first and last initials.
C. Have the patient check their name off a list of patients who have appointments that day.
D. Provide each patient with a number at check-in.

A

Provide each patient with a number at check-in.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A physical therapist asks an EHR specialist for assistance with entering a new prescription in the EH. Which of the following statements should the EHR specialist make?

A. “The provider will need to enter the e-prescription.”
B. “The pharmacist will need to enter the e-prescription.”
C. “The registered nurse will need to enter the e-prescription.”
D. “The office manager will need to enter the e-prescription.”

A

“The provider will need to enter the e-prescription.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

An EH specialist is preparing to enter patient data into the EHR. The EHR specialist has confirmed the patient’s first and last name. Which of the following secondary identifiers should the EHR specialist use to verify the patient’s identity?

A. ZIP code
B. Room number
C. Third-party payer
D.Date of birth

A

Date of birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

An EHR specialist is assisting a nurse practitioner in creating a report about patient health outcomes specific to a particular disease. Which of the following tools should the EHR specialist use?
A. Computer-assisted coding (CAC)
B. Provider query
C. Computerized provider order entry (CPOE)
D. Clinical quality measures (CQMs)

A

Clinical Quality Measures (CQMs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Which of the following reporting tools is commonly used in EHRs to aggregate data for monitoring milestones during well child visits?

A. Early screening
B. Quality measures
C. Growth chart
D. Immunization schedule

A

Growth chart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

A billing specialist is preparing to electronically submit charges to a patient’s third-party payer for a completed procedure. Which of the following actions should the billing specialist perform before applying the charges to the patient’s account?

A. Review the charges to verify documentation in the patient’s record.
B. Ensure a paper encounter form was completed to verify the charges.
C. Confirm that the internal coding audit has reviewed the bill for accuracy.
D. Verify the patient’s insurance to ensure billing accuracy.

A

Review the charges to verify documentation in the patient’s record.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

An EHR specialist should recognize that which of the following terms is used to describe any sample of tissue or fluid collected from a patient at the point of care for testing purposes?

A. Venipuncture
B. Biopsy
C. Specimen
D. Cytology

A

Specimen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which of the following methods should an EHR specialist implement to ensure that providers who are logged into the system from their mobile devices are authorized to access protected health information (PHI)?

A. Require all clinicians logging in from mobile devices to encrypt their passwords.
B. Require an end-user who is logging in from a mobile device to have a personal identification number (PIN).
C. Implement audit control to authenticate each user who logs into the EHR from a mobile device.
D. Install a file-sharing application to ensure all connected devices are secure.

A

Require an end-user who is logging in from a mobile device to have a personal identification number (PIN).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Which of the following patient information entered and verified during admission to the facility will likely generate an alert to the provider when using the computerized provider order entry system (CPOE)?

A. Known medication allergies
B. Last surgical procedure
C. Immunization history
D. Family medical history

A

Known medication allergies

22
Q

Which of the following information recorded by a provider during a patient’s visit is required during electronic transmission of an order to an outside laboratory?

A. Assessment
B. Diagnosis code
C. Chief complaint
D. Treatment plan

A

Diagnosis code

23
Q

When assisting a provider in entering real-time clinical data into the health record, an EHR specialist should understand that the patient’s vital signs are documented in which of the following sections of a SOAP note?

A. Objective data
B. Subjective data
C. Plan
D. Assessment

A

Objective data

24
Q

An EHR specialist is reviewing the record of a patient who is 2 days postoperative following a left hip arthroplasty. Which of the following entries documented in the record signals a data discrepancy?

A. Patient’s partner is visiting.
B. Patient requests pain medication.
C. Staples intact to right hip incision.
D. Abduction pillow placed as prescribed.

A

Staples intact to right hip incision.

25
Q

A nurse in an infusion clinic asks the EHR specialist for assistance with discharging a patient who will soon be returning to receive their first infusion of a new medication. Which of the following actions should the EHR specialist take when providing patient education materials?

A. Ask the patient for their telephone number to set up an education appointment.
B. Suggest that the patient go online to read about infusion reactions.
C. Show the patient how to access the information in the patient portal.
D. Tell the patient they will receive the education materials in the mail.

A

Show the patient how to access the information in the patient portal.

26
Q

In which of the following instances can a health care organization release protected health information (PHI) without patient authorization?

A. A fundraising group requests data regarding the number of patients who have a specific type of cancer.
B. A research group requests patient records relating to a specific procedure.
C. The marketing department requests data regarding the number of patients who have heart failure.
D. The CDC requests health records of patients who have a reportable communicable disease.

A

The CDC requests health records of patients who have a reportable communicable disease.

27
Q

Which of the following actions by an EHR specialist exhibits professional standards of care as it pertains to the HIPAA Privacy Rule?

A. Sharing clinical information between coworkers in a public area
B. Accessing an 18-year-old patient’s information for their parent
C. Disclosing a patient’s clinical information following a court order
D. Printing clinical information for the patient’s friend

A

Disclosing a patient’s clinical information following a court order

28
Q

Which of the following is a computer protocol that specifically supports both clinical and administrative health data?

A. Digital Imaging and Communications in Medicine (DICOM)
B. Health Level 7 (HL7)
C. Clinical Data Interchange Standards Consortium (CDISC)
D. National Council for Prescription Drug Program (NCPDP)

A

Health Level 7 (HL7)

29
Q

An EHR specialist is assisting a certified coder with providing an in-service about the purpose of Current Procedural Terminology (CPT) codes for a group of staff members. Which of the following staff member statements indicates an understanding of the teaching?

A. “CPT codes are used to classify services provided to patients.”
B. “CPT codes group patients using demographic information.”
C. “CPT codes are used to classify patient diagnoses.”
D. “CPT codes are different from one facility to the next.”

A

“CPT codes are used to classify services provided to patients.”

30
Q

An EHR specialist is explaining to a new provider the process for entering a new prescription for a patient discharge. In which of the following EHR locations should the EHR specialist direct the provider to enter the information?

A. Progress note
B. Clinical results reporting
C. E-prescribing
D. Medication administration

A

E-prescribing

31
Q

An EHR specialist is reviewing the record of a patient who is in a coma. Which of the following entries documented in the record signals a data discrepancy?

A. “The patient’s head is elevated.”
B. “The patient’s partner is present.”
C. “The patient reports a headache.”
D. “The patient’s heart rate is regular.”

A

The patient reports a headache.

32
Q

Which of the following reports should the EHR specialist create for a practice manager to provide information for assisting in the scheduling of staff?

A. Day sheet report
B. Remittance advice report
C. Billing/payment status report
D. Production by provider report

A

Production by provider report

33
Q

A patient who is being discharged asks an EHR specialist about how they can find out more information about their condition. Which of the following methods should the EHR specialist recommend?

A. Access the patient portal.
B. Search the internet.
C. Contact the Health Information Management department.
D. Ask for information on social media.

A

Access the patient portal.

34
Q

A research firm is requesting information about the number of patients who have had hernia surgeries in the past year for a retrospective study. When creating a report for the firm, which of the following codes should an EHR specialist use?

A. ICD-10-CM code
B. DSM-5 code
C. CPT code
D. CDT code

A

CPT code

35
Q

An EHR specialist is verifying the accuracy of a production by procedure report. The EHR specialist should identify that which of the following is a purpose of this report?

A. To schedule appointments and staff
B. To calculate the amount of revenue generated
C. To determine the reimbursement amounts by third-party payers
D. To sort services by provider

A

To calculate the amount of revenue generated

36
Q

An EHR specialist is importing transcribed encounter notes that the provider dictated the previous day. In which of the following data formats would these notes be saved?

A. Digital images
B. Coded data
C. Fielded data
D. Text files

A

Text files

37
Q

During an orientation, a new coder states, “There is no need for the coder to review both the superbill and the health record documentation.” Which of the following responses should the EHR specialist make?

A. “Ask the provider whether you should use the superbill over the health record.”
B. “Verify the superbill against the health record documentation.”
C. “The provider’s documentation is the only source the coder is required to review.”
D. “The superbill is the only source the coder is required to review.”

A

“Verify the superbill against the health record documentation.”

38
Q

A provider is caring for a patient who has Dengue fever. The provider has not encountered this diagnosis for several years. Which of the following tools will assist the provider in determining the current treatment for this condition?

A. Clinical decision support system
B. International Classification of Diseases (ICD-10-CM)
C. Master patient index
D. Data registry

A

Clinical decision support system

39
Q

An EHR specialist is assisting with training a new provider on adding progress notes. Which of the following statements should the EHR specialist make about cloning progress notes?

A. “Cloning progress notes assists with medical decision making.”
B. “Cloning progress notes can assist with billing and reimbursement.”
C. “Cloning progress notes is the preferred method of the Office of Inspector General.”
D. “Cloning progress notes can save time but can also cause inaccuracies in documentation.”

A

“Cloning progress notes can save time but can also cause inaccuracies in documentation.”

40
Q

When recording data in the patient record, an EHR specialist should enter the patient’s history and physical in which of the following sections of the EHR?

A. Legal data
B. Clinical data
C. Financial data
D. Administrative data

A

Clinical data

41
Q

An EHR specialist is assisting with training about an event of unexpected downtime of the EHR. Which of the following statements from a staff member indicates an understanding about submitting claims during a downtime procedure?

A. “I can wait for the system to recover before submitting a claim.”
B. “I can submit a paper claim during downtime.”
C. “I can access claims via a web-based system during downtime.”
D. “I can access claims from the on-site server during downtime.”

A

“I can submit a paper claim during downtime.”

42
Q

An EH specialist is training a new staff member about release of information (ROI). In which of the following scenarios would an accounting of disclosures log be used?

A. When the patient requests a copy of their medical records
B. When the third-party payer is billed
C. When a workers’ compensation insurer requests records of an injured worker
D. When a patient overhears a private conversation between two providers

A

When a workers’ compensation insurer requests records of an injured worker

43
Q

Before running an electronic report, a staff member seeks clarification from the EHR specialist by asking, “What is the purpose of the patient aging report?” Which of the following statements should the EHR specialist make?

A. “It shows the current age of individual patients in the practice.”
B. “It shows how long patients have owed money to the practice.”
C. “It shows how long patients have been treated by the practice.”
D. “It shows the ages at death of patients who were treated by the practice.”

A

“It shows how long patients have owed money to the practice.”

44
Q

A patient witnesses a provider reviewing records using a laptop computer. The patient expresses concern about the security of this practice. Which of the following responses should a clinic staff member make to reassure the patient regarding the provider’s security practices?
A. “Transmissions to all devices used by our staff take place over a virtual private network.
B. “The practice’s mobile devices can only be used in the office.”
C. “Computer technicians update our EHR software regularly.”
D. “We employ a subcontractor to monitor our systems and notify us immediately if they are compromised.”

A

Transmissions to all devices used by our staff take place over a virtual private network.

45
Q

An EHR specialist is generating a statistical report about measures the facility has taken to improve clinical quality. Which of the following is most likely to affect clinical quality?

A. Financial status of patients
B. Professional appearance of the facility website
C. Communication between providers
D. Location of facility

A

Communication between providers

46
Q

An EHR specialist at a large health care facility is working with a provider who asks why front desk personnel cannot help with workflow by opening and forwarding laboratory results to consulting specialists. Which of the following responses should the EHR specialist make?

A. “The front desk personnel user permissions do not allow forwarding of patient results.”
B. “The front desk personnel training does not include forwarding patient results.”
C. “The EHR software does not include this function.”
D. “The front desk personnel’s professional organization prohibits them from handling patient results.”

A

“The front desk personnel user permissions do not allow forwarding of patient results.”

47
Q

An EHR specialist is assisting a new billing specialist with entering diagnosis codes for reimbursement purposes. While entering the codes, which of the following statements made by the billing specialist should the EHR specialist identify as being correct?

A. “The comorbidity is entered as the primary diagnosis code.”
B. “It is not allowed to use a diagnosis code from a past patient visit.”
C. “The primary diagnosis is the reason the patient came to the hospital.”
D. “A condition existing concurrently with the primary diagnosis should not be billed.”

A

“The primary diagnosis is the reason the patient came to the hospital.”

48
Q

A patient who has Medicare Part B needs dentures that cost $1,500.00. What percentage of the total cost will the patient be responsible for paying?

A. 0%
B. 20%
C. 25%
D. 100%

A

100%

49
Q

A patient arrives at an initial health care visit for an occupational injury covered under workers’ compensation plans. An administrative professional collects proof of identity and demographic information. Which of the following additional documentation should the administrative professional request?

A. A consent to release form
B. A medical service order
C. A Doctor’s First Report of Occupational Injury or Illness
D. A progress report

A

A medical service order

50
Q

Which of the following is an electronic laboratory alert for a provider to have a Medicare patient complete a waiver form when a prescribed laboratory test is not covered by the Centers for Medicare and Medicaid Services (CMS)?

A. Drug Utilization Review (DUR)
B. Formulary alert
C. Advanced Beneficiary Notice (ABN)
D. Allergy alert

A

Advanced Beneficiary Notice (ABN)

CEHRS Study Guide (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions