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CEHRS
medcerts
| Question | Answer |
|---|---|
| Which portion of the EHR would be referenced to correctly determine the diagnosis code for billing?(Insurance and Billing) | History and physical |
| Which of these is a reference database of medical vocabularies?(Software Application & Equipment) | SNOMED-CT |
| A primary care physician is sending necessary patient information electronically via email to another provider who will be performing the patient’s surgery. Which of the following should be employed?Regulatory Compliance | Encryption |
| Which of these is the result of a claim that is submitted electronically with an old insurance policy number?Insurance and Billing | Denial Explanation |
| To which of the following would be assigned CPT code?Insurance and Billing | Tonsillectomy |
| How do clinical templates to record patient encounters improve data entry?Software Application & Equipment | standardizes data and increases efficiency |
| Accounts Receivable Aging Reports are managed by which part of the Practice Management System?Reporting | Claims management |
| The scheduling portion of a Practice Management and EHR system can be used for which of the following?Software Application & Equipment | Identifying a inefficiencies that interferes with workflow |
| Which report would an EHR Specialist run to demonstrate it is HIPAA compliant?Reporting | Audit trail |
| A patient has an HMO insurance, and the PCP provider refers the patient to a specialist. Which of the following must be given to the patient prior to leaving the office?Insurance and Billing | Referral |
| Which of these is used for Telemedicine and eHealth services, documenting physical conditions, and surgical images?Software Application & Equipment | Camera Technology |
| An authorization is required to release PHI with the exception of __________.Regulatory Compliance | Treatment, Payment, & Operations |
| Which of these is the term that describes the process of determining whether a person attempting to access a network, system, or record has been authorized to do so? | Authentication |
| A patient that has not been seen by their primary care physician in more than three years is considered a(n) __________.Insurance and Billing | New patient |
| Encoders and other computer-assisted coding Software should only be updated annually.Software Application & Equipment | False |
| Which of these was established to accelerate the use Health Information Technology (HIT) and the federal goal to have all Americans use electronic health records?Software Application & Equipment | ONCHIT |
| ICD-9 Codes can have __________ to __________ characters?Insurance and Billing | 3, 5 |
| Notes that a provider makes about a patient’s medical condition are called __________.Charting | Progress notes |
| Emergency first-aid and a medical emergency are the same thing.CEHRS Core Knowledge | False |
| When processing a medical records request to an external provider, what is the first step the EHR Specialist will take?Regulatory Compliance | Verify that a HIPAA authorization for release is valid |
| Which of the following eliminates errors from illegible handwriting and provides safety checks in an outpatient setting?Software Application & Equipment | E-Prescribing |
| HIPAA Transaction Standards apply to which of these covered entities?Regulatory Compliance | Healthcare Clearinghouse |
| Which portion of HIPAA protects integrity and confidentiality of patients’ e-PHI?Regulatory Compliance | HIPAA Security rule |
| Accounts receivable is __________. | The amount due to the hospital for goods and services already provided |
| Information regarding the patient’s dosage and frequency of medications is the __________. | Medication List |
| Which of the following is a computerized health care record that incorporates data from multiple providers for a single patient? | EHR |
| Meaningful Use (MU) is utilizing a certified EHR to do all but which of these?Regulatory Compliance | Increase the cost of healthcare due to increased use of records |
| The __________ is responsible for overseeing the development and implementation of policies, education, practices, and procedures for protecting PHI.Regulatory Compliance | Privacy/Security Officer |
| Safeguards that are required of any covered entity or business associate which adopt formal, written processes that detect, prevent, contain, and correct security violations are __________. | Administrative safeguards |
| A father presents his insurance information for his son’s office visit. | The father’s insurance as primary and the mother’s insurance as secondary |
| Which of the following technical safeguards protects PHI each time a user accesses the system? | Password |
| A special programming language used for entering and retrieving data in databases is called what? | SQL |
| Which is an advantage of using an EHR? | Provide quality of care |
| Electronic and information standards are necessary for all but which of these? | Servers |
| The patient has a coinsurance amount of $20, The provider bills $125, and the insurance approves $100.and there is no deductible. How much does the provider write off? | 25 |
| ICD-10-CM codes can have __________ to __________ alphanumeric characters? | 3, 7 |
| An EHR system which is not integrated with the Practice Management System (PMS) is called __________. | Modular |
| Which portion of HIPAA protects integrity and confidentiality of patients’ e-PHI? | PRIVACY safegards |
| Why should an implant registry contain the name of the manufacturer? | In case of recalls or defects |
| Which of the following is used to code in an Ambulatory Surgery Center (ASC)? | ICD-10-CM |
| Which of the following is not a Security safeguard implemented and required by HIPAA and HITECH? | Access Controls |
| The provider bills $120, and the insurance approves $80. The patient has a coinsurance amount of $16. How much does the provider write off? | 40 |
| The Notice of Privacy Practices is a requirement of HIPAA. Which of the following is not a function of the NPP? | Authorizes release of medical information |
| Which of these limits access to patient information is based on the user’s position in an organization? | Role-based access |
| Safeguards that are required of any covered entity or business associate which adopt formal, written processes that detect, prevent, contain, and correct security violations are __________. | Administrative safeguards |
| he mother’s birthday is October 15, 1973 and the father’s birthday is February 4, 1976. To which of the following insurance plans should this office visit be billed? | The father’s insurance as primary and the mother’s insurance as secondary |
| Health records that are accessed and stored in various formats (microfiche, paper, EMR, etc.) are __________. | Hybrid |
| Which of these organizations fights against fraud and abuse for Medicare and Medicaid? | OIG |
| The pre-established percentage of expenses paid by the patient or another insurance after the primary insurance has made payment and the deductible is met is the __________. | Coinsurance |
| Which of these is required when a physician refers to a specialist? | Insurance information |
| Releasing, giving access to, or transferring PHI to an outside person or organization is called __________. | Disclosure |
| When a medical record requires changes because of missed or incorrect information, an addendum must be added. Which of the follow is not stated in the addendum chart notes? | Staff member who made the error |
| Which of these manuals would include inpatient surgical procedures? | ICD-9-CM |
| Which of these is the term that describes the process of determining whether a person attempting to access a network, system, or record has been authorized to do so? | Authentication |
| A medical record system and practice management system that function together and are completely computerized, replacing all paper-based records, is __________. | Fully-integrated |
| Which of the following is used to code in an Ambulatory Surgery Center (ASC)? | ICD-10-CM |
| The document that provides permission to use and disclose individually identifiable health information other than for TPO is called __________. | Authorization |
Created by:
ellegoddess2305