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EHR
Electronic Health Records
Question | Answer |
---|---|
The format for the ICD-10-PCS is: | A 7 digit code with a combination of numbers and letters |
What is the proper action to take when a very ill patient enters the office: | Assist the patient to the exam room |
When working under managed care plan, physicians agree to | Accept fees that are predetermined by the plan |
When thinking of an Electronic Health Record, EHR, the word means | A review of employee activity within the EHR system |
An EHR function that allows a doctor or other prescriber to order medication and tests using an automated format is called | Computerized Physician Order Entry (CPOE) |
An active patient is defined as | One who saw the provider within the last 3 years |
Which code indicates the type of visit code | TOV |
The ability of separate EHR systems to share information in in compatible formats is called | Interoperability |
If both parents cover dependents on their plan, the child's primary insurance is usually determined by the birthday rule. What is meant by the birthday rule | The parent whose birthday is earlier in the calendar year is the primary |
A log that contains information about the prescription order and is used to document the administration of the medication to the patient is | Computerized Physician Order Entry (CPOE) |
When you electronically archive patient records, where do they go | To a storage unit |
Why should closed patient records be purged and placed in electronic storage | The Laws of Retention state that it is necessary |
A reference database of medical vocabularies is called | UMLS |
Claire works for a pediatricians of that is considering going to an EHR. Her list of functions of the EHR should include: Health information, data management, results management, order management. Which should not be included on the list | Doctor recommendations |
If a patient has had a malignancy removed and not further treatment is needed it is coded as | Remission |
What is the purpose of a billing audit | To identify poor coding |
Lack of documentation during a patient visit could result in | Decreased reimbursement |
The best definition for a company that processes health information and executes electronic transactions is | Clearinghouse |
Multigravida is a term associated with | pregnancy |
Which of the following terms is unique to ICD -10 -CM and indicates that condition being excluded is not considered part of the condition for the under which it is being listed, but rather another code should also be assigned |