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EHR week/2

Week/2 EHR assignment questions

QuestionAnswer
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.
Created by: Healthtrade
 

 



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