Review
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| The advantages of the electronic health record include ______,_____, and ______ | Security, multiple users, and decision support
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| The electronic medical record differs from the paper-based record by including what functions? ______ and _____ | alert, reminders
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| Legislation which makes it a criminal offense to accept bribes or payment for services rendered (this includes money, gifts, gratuities or discounts) is called the ______ | Anti-Kickback statute
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| What software applications commonly interface with the electronic health record_______ | transcription
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| Health care organizations, administrators and clinicians want to be assured that the EHR will improve the quality of _____ | care
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| The ____ published two major reports that outlined the functionality of the computerized patient record | Institute of Medicine
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| A drug interaction alert would be a typical function of a ___ decision support system. | Clinical
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| An industry standard that explains what should, shall, and must be included in the electronic health record is called a ______ standard | functional model
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| One of the major challenges in developing a computer-based patient record is _______ | interoperability
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| A disadvantage of the EHRs__________ and ________. | cost, training
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| Federal mandates to protect patient information are incorporated into the ________. | HIPAA
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| The most common type of health information is ________. | clinical data
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| Transaction standards for electronic data interchange in health care have been developed by ________. | HL-7
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| ________ is defined as intentional acts, deception or misrepresentation of billing information to gain insurance benefits | Fraud
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| Under the Security Rule, physician practices that transmit electronic data must provide ______________. | Cyber Space Insurance
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| The security rule only covers _______________ while privacy covers ___________, ___________, and ________. | electronic PHI, oral, written and electronic
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| HIPAA established national standards that address _______, ______, and _________. | privacy, confidentially and security
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| What type of record is considered the bridge to the EHR? This type of record is stored on both paper and electronic media. | hybrid
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| When a medical assistant request the record of a patient for whom he or she did not provide care or treatment, the medical assistant had violated HIPAA's _________ principle. | Need to Know
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| Tracking of an appointment is considered a(n) ________ use of the EHR. | administrative
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| ________ is best demonstrated when data elements and information are collected by one system and shared with another. | Accessing
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| SOAP notes are considered _________ data. | clinical
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| Safety requirements such as fire alarms, extinguishers, smoke detectors and equipment are referred to as _______ safeguards. | Physical
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| Whistle-blower protections are known as _____________. | Qui-Tam Statute
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| __________ is the process of identifying the author? | Authentication
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| The acronym used in the HIPAA Security Rule for protected health information in the electronic format ________. | EPHI
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| _________ is the practice of securing data by changing the original message in the text so it is unreadable - it is used to protect data when transmitting information electronically. | encryption
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| Data elements such as temperature, pulse and respiration would be charted as ________ data. | clinical
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| What tool provided the caregiver with clinical information that can be used for gathering data and information for a variety of computer systems _________ support. | decision
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| Demographic, medical record number, physician name and address are examples of __________ data. | administrative
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| A principle of the HIPAA Privacy Rule that allows access to protected health information based on the user's role or job requirements is called ____________. | Need to Know
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| Authentication controls, encrypting and decrypting data are examples of _________ safeguards. | technical
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| __________ is standard that provides a means to exchange (communicate) patient information. | Messaging
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| What accurately describes a covered entity _______ provider. | healthcare
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| The traditional method is used in the collection and storage of medical information is the ________ format. | paper
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| A health care clearinghouse company performs what type of function? __________ | billing
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| Improper or harmful conduct by a health care business (e.g., insurance, medical office) in its fiscal or ethical practices is called ________. | abuse
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| ___________ provided standards for the electronic protected health information. | Security Rule
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| The electronics health record usually contains a system whereby the physician can order medications. this order can be directly linked to an insurance formulary and the patient's pharmacy. It is called __________________. | computerized physicians order entry
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| The ______ is a system that provided patient data, alerts, reminders, and clinical decision support systems that link to medical knowledge. | EHR
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| The term _______ is used in the electronic health record to provide a warning or a reminder to clinicians. An example of this is when a physician receives an automatic message of an reminder of immunizations for his or her patient. | alert
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| A wireless device that allows the clinician to enter or input data at the point of care such as a pocket-sized computer used for appointments, notes, and other information is commonly referred to as a ________. | PDA
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| The process of charting a patient's information using drop down screens in the electronic health record facilitate fast and easy capturing of ______________ data. | Structurally Uniform
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| An individual's right to control his or her personal health information, with the understandings that the information will not be disseminated without his or her permission is called _______. | Privacy
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| _____________ is defined as the ability of systems to work together through common standards. | Interoperability
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| ____________ is a federal law that prohibits fraudulent claims to the government. | False Claims Act
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| _________ is a standardized form that has a predesigned format and a limited selection of choices. | Template
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| Keeping information private whereby only authorized individuals have access to medical information is called ________. | confidentiality
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