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EHR #1

QuestionAnswer
A review of employee activity within the EHR system Audit
An EHR function that allows a doctor or other prescriber to order medication and test using an automatic format Computerized physician order Entry
The ability of separate EHR system to share information in compatible formats Interoperability
The parent whose birthday is earlier in the calender year is the primary. what is the birthday rule?
One who saw the provider within the last 3 years Active patient
Type of visit code (TOV)
The laws of retention state that it is necessary when you electronically achieve patient records where do they go?
To identify poor coding What is the purpose of a billing audit
Lack of documentation during patient visit Decreased reimbursement
A reference database of medical vocabularies UMLS
History If a patient has had a malignancy removed and no further treatment is needed it is coded as
The best definition for a company that processes health information and executes electronic transaction Clearing house
Is unique to ICD-10-CM and indicates that the condition being excluded is not considered part of the confition Excludes
An electronic deposit is made into an online office account money can then be transferred as needed How is payment received in and electronic office
History,physical examination and evidence of medical decision making Evaluation and management codes (E/M codes) are based on thre e factors
The process of moving a patient from appointment making through checkout Patient flow
care provider According to the flow of info what comes next: appointment scheduling, Front desk/check, nursing clinical support
is easily attend when using an EHR system Interoperability
Data may be structured or unstructured identify and example of unstructured data Dictated Report
Type of software I available to physicians in order to access current information about a disease or condition WebMD
unnecessary for the provider Administrative data is
Created by: Lauren bozeman
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