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EHR week/2
Week/2 EHR assignment questions
| Question | Answer |
|---|---|
| What type of technology translates what a provider is saying and types those words into text? | Voice Recognition |
| The acronym HIE stands for? | Health Information Exchange |
| Which acronym was one of the first terms used in the idea of storing medical information electronically? | EHR |
| The gatekeeper for some types of managed care plans are also referred to as the? | Primary Care Physician |
| The process of entering fees for services on a patient account is referred to as? | hosting payments |
| A patient with Medicare is working at a small business with fewer than 15 employees, and a group plan with this employer. Which insurance would be primary? | Employer Group Plan |
| If a patient is injured in a automobile accident, what type of insurance is applicable? | Liability Insurance |
| What type of insurance covers employees that are injured on the job? | Worker's Compensation |
| Only services deemed medically _______________ can be billed to insurance? | Necessary |
| To help guard against security breaches, emails containing protected health information should be? | Encrypted |
| Currently, participation in the Physician Quality Reporting Initiative is? | Voluntary |
| Procedures and any accompanying template text are automatically added into what area of the SOAP not when saved? | Assessment |
| For a specialist to document in a rapid and efficient way, many EHR companies provide templates with? | Pre-built office visits, physicians order and letter templates for each specialty. |
| A well integrated electronic healthcare system should be able to: transmit, store, receive and _____________ all medical services related to a patient's healthcare. | Protect |
| A generated term used to help the user (specific context) to carry out a particular task is called? | Context Specific |
| Other systems designed to interact with Electronic Health Records, (EHR) and used for patient identification, orders, scheduling and testing/results? | Laboratory, Pharmacy and Radiology Systems |
| A set of common definitions for medical terms that ease communication by decreasing uncertainty? | Clinical vocabularies |
| Clinical vocabulary designed to encompass all terms used in medicine? | SNOMED-CT |
| Terms and codes used for electronic exchange of lab results and clinical observations? | LOINC |
| The method of (adding information) to the Electronic Health Record (EHR) is identified as? | SOAP note charting |
| What type of information is the patient's description of his/her own symptoms, including a chief complaint, or comments during an exam? | SUBJECTIVE information |
| What kind of information would it be where observations are made by a physician or EHR Specialist? | OBJECTIVE information |
| What section of a SOAP would there be a brief summary of the patient's symptoms and may often include a diagnosis as well as a list of other possible diagnoses, usually in order of 'most likely, to least likely?' | ASSESSMENT |
| Notes about a prescription ordered for a patient would appear in the _________ of a SOAP note. | PLAN |
| Four types of information contained in a medical record? | Personal, Financial, Medical and Social information |
| A government program that provides insurance for persons over the age of 65? | Medicare |
| Insurance for low income people? | Medicaid |
| Insurance for (active duty) and (retired) service personnel and their families? | TRICARE |
| Insurance for (Veteran's) with service disabilities? | CHAMPVA |
| When a policyholder contributes to his/her policy by paying a set amount of money on a Fee Schedule, it is called their? | Premium |
| The method of determining insurance payments must be? | UCR-Usual, Customary and Reasonable |
| A set amount patients may be required to pay the provider for health care services before their benefits begin to pay is called a? | Deductible |
| A set percent (%) of charges a patient may be required to pay according to the guidelines set forth by their insurance policy is called what? | Co-insurance |
| What type of statement needs to appear on a (fax cover sheet) when transmitting Personal Health Information? | Confidentiality Statement |
| What is the most common encounter with patients in an ambulatory setting? | Office Visit |
| An ONC meaningful use criteria mandates that a certified EHR program must be able to record the patient's? | Heigh, Weight, blood pressure, BMI |
| PMHX is the abbreviation for? | Patient Past Medical History |
| The format for Level II codes in the HCPCS is a letter followed by how many numbers? | four |
| The ICD-10-CM is comprised of only what? | Diagnoses |
| What allows doctors to document patient encounters in an EHR system on a structured form? | Clinical templates |
| Which of the following is not a safety screening performed by the e-prescribing module within the EHR? | Drug-Tolerance |
| The ICD-10-PCS includes procedure codes for the __________? | Patient |
| Most individuals receiving TANF payments are limited to a __________ year benefit period. | 5 |
| The format for the ICD-10-PCS is? | A 7 digit code with a combination if numbers and letters. |