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EHR Final
Electronic Health Records
| Question | Answer |
|---|---|
| Treatment that is provided without admission to a hospital in settings such as physician practices, hospital emergency rooms, and clinics for outpatients is called | ambulatory care |
| The order of the steps involved with health care claim processing is | creating, transmitting, payer payment decisions, and payment posting |
| A compliance plan is a __________for finding, correcting, and preventing illegal medical office practices. | process |
| The process of autoposting is handled by | practice management programs |
| HITECH adds to the number of types of organizations that are considered____________, so that these overall organizations are now subject to HIPAA Privacy and Security rules. | business associates |
| The provision of medical services at a less than acceptable level of professional skill that results in injury or harm to a patient is known as | medical malpractice |
| The __________ is the standard for the identification of providers when filing claims and other transactions. | NPI |
| Under HITECH, vendors hosting or using PHRs must notify ________and the Federal Trade Commission (FTC) of any breach caused by their products and services. | patients |
| Common threats to information security include | malware, natural disasters, and utility failures. |
| Which section of an electronic health record contains the outcome of all diagnostic procedures for a patient? | laboratory tests and results |
| To protect consumers’ health, __________ governments pass laws that affect the medical services offered to patients. | federal and state |
| An annual physical examination is an example of | preventive care |
| __________ acknowledge(s) that an individual has mastered a standard body of knowledge and meets certain competencies. | certification |
| When funds are sent directly to a practice's bank account, the transaction is known as | electronic funds transfer (EFT) |
| Under HIPAA, the standard code set (until Oct. 1, 2013) for diseases is the | ICD-9-CM |
| There are __________ components that must be included in a breach notification. | five |
| The security standards contain requirements for what type of safeguards to prevent security breaches? | technical, administrative, and physical (TAP) |
| Meaningful use is the utilization of certified EHR technology in the health care system to | improve quality, improve efficiency, improve patient safety |
| A data warehouse is a collection of data that includes _______areas of an organization’s operations. | all |
| What type of software program is widely used today to schedule patients’ appointments in the medical office? | practice management program |
| Uses of clinical information, in addition to the primary use, such as for public health and homeland security, are referred to as | secondary uses |
| The HIPAA Electronic Health Care Transactions and Code Sets (TCS) standards apply to | electronic formats, code sets, and identifiers |
| The Institute of Medicine suggested that an EHR should include __________ core functions. three | eight |
| Covering risk analysis results, audit reports, and security incident threat reports, _________ is a primary requirement for demonstrating HIPAA compliance. | documentation |
| Patients own the content of their medical records, but the physicians who created the record _________the physical documents. | own |
| Dr. Goldman kept an electronic file of Jane Hellman’s visits with him for all her encounters to treat her hand fracture; she has been released to physical therapy. Choose the category for this record. | EMR |
| One advantage of PM programs is that | Physicians receive payment in less time because they send electronic claims. |
| What type of information about the business is entered in a PM? | provider data, transaction data, and patient data |
| The federal False Claims Act makes it illegal to submit a _______ claim. | fraudulent |
| A _________ code is used to represent for a patient’s Alzheimer’s disease. | diagnosis code |
| A claim for William J. Lopez has been rejected by a health plan. The health plan states that the procedure code is for a Cesarean delivery. What is the likely problem? | mismatch between a female-only service and the fact that the patient is male |
| Patient medical records are | legal documents |
| The integrated practice management program and electronic health record used in the text/workbook is | Medisoft Clinical |
| The data standard for transmitting HIPAA transactions has been ASC X12 4010. What will the standard be on January 1, 2012? | ASC X12 5010 |
| There is an unwritten law of medical insurance, if a procedure is not ___________, then in the view of the payer, it was not done and should not be billed. | documented |
| Enforcing civil violations of HIPAA privacy and security rules is the job of | OCR |
| Most HIPAA privacy complaints are settled | by voluntary compliance |
| In the health care field, a commitment to ____________ is a key component of success. | lifelong learning |
| Covered entities and their _____________ are responsible for determining whether a breach has occurred to which the notification obligations apply. | business associates |
| The purpose of EHRs is to | replace paper records |
| A medical record may have | the physician's assessment, diagnosis, and treatment plan.the patient’s medical historyand results of laboratory work |
| Examples of HIPAA standard transactions are | electronic claims, health plan payments, and health plan eligibility inquires/responses |
| The diagnosis and procedures in the patient’s medical record should be logically connected, so that the __________ of the charges is clear to the health plan. | medical necessity |
| Under the HITECH Act, HIPAA’s Privacy and Security Rules now extend directly to | BAs |
| Under the HIPAA Electronic Health Care Transactions and Code Sets standards, CEs must use __________ electronic formats for health care transactions and the same code sets for diagnoses, procedures, and supplies. | the same specified |
| Under HIPAA, a __________ is a group of codes used for encoding data elements. | code set |
| For the greatest career opportunities for advancement in health technology, new employees need | computer skill, knowledge of health care reform, and health care skill |
| The HIPAA Privacy Rule provides protection for individually identifiable health information and grants certain rights to ______in regard to their medical records. | individuals |
| What is the meeting of a patient with a physician or other medical professional for the purpose of providing health care? | encounter |
Created by:
CUAHIT
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