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NHA Module 4

Medical Billing and Coding

QuestionAnswer
An EHR specialist is collaborating with a coder about reports available in the new EHR system. The EHR specialist should instruct the coder that which of the following reports show the income generated by each 3rd party payer? Production by insurance report
An EHR specialist is instructing the parent of a pediatric patient education feature in the patient portal. The parent asks, "How do I send this information to my child's step-parent?" Which of the following actions should the EHR specialist take? Demonstrate how to send information from the patient portal
An EHR specialist is developing templates for a facility's EHR database. In which of the following sections of the EHR should the specialist place the progress notes? Clinical Data
Which of the following describes the process of claim scrubbing? Checking the claims for any errors
An EHR specialist schedules well-child visits in the morning and sick visits in the afternoon to limit contact between patients. Which scheduling method is being used? Cluster Scheduling
An EHR specialist is assisting a nurse with a prescription for morphine sulfate that reads “Increase MS to 2 mg IV Q4H.” How should this be correctly documented in the patient’s record? Morphine sulfate 2 mg IV Q4H
An EHR specialist confirms a patient’s medical record number before entering data. Which additional identifier should be used to verify the patient’s identity? Patient's address
An EHR specialist is assisting with obtaining the history of a patient. The EHR specialist should document which of the following information in the history section of a progress note? Medication list
An EHR specialist is assisting with check-out of a patient. The patient says, "I hope I can remember everything about this new medication." Which of the following responses should the EHR specialist make? "Before you leave, let me show you where to find this medication education on the patient portal."
Which of the following documents is received by the health care organization from the insurance carrier after a claim has been processed? Remittance Advice (RA)
Which of the following methods should an EHR specialist use to make changes or corrections to entries in the EHR? Write an addendum to the existing entry.
Which of the following occurs when a provider enters an imaging order while documenting in an encounter note? The order is automatically documented in the visit
An EHR specialist reads a note: "Diagnosis: Lymphoma. Chemo started June 2020. Reported diarrhea, fatigue. Last cycle Nov 2019; now in remission." Which action should the specialist take regarding the conflicting dates? Query the provider to resolve the discrepancy
An EHR specialist is speaking with clinical staff who are concerned about a limited number of computer workstations, resulting in delays in data entry. Which of the following suggestions should the EHR specialist make? Access the EHR through mobile devices
An EHR specialist is assisting with the training of a newly-hired billing specialist who asks, "What is the purpose of a billing and payment status report?" Which of the following responses should the EHR specialist make? "It lists the standing of each patient's account."
An EHR specialist searching for "ankle injury" finds no results, but "ankle sprain" and "twisted ankle" yield entries. The specialist should recognize these can be reconciled using which type of data? Coded data
An EHR specialist scans an image to a patient's record using a USB-connected office scanner. However, at the scheduled appointment, the provider is unable to locate the image for review. Which of the following is the most likely cause for this issue? The image was incorrectly catalogued
An EHR specialist is preparing to obtain information about patient outcomes by individual provider for quality improvement. Which of the following actions the EHR specialist take to collect the necessary information? Generate electronic clinical reports using patient records from the EHR
A provider orders a laboratory test in the EHR. Which of the following describes the way laboratory specimens are labeled and tracked? Labels are automatically printed at the point of care as part of the automatic requisition process
Which of the following is the coding standard used for mapping laboratory procedures to common terminology in EHR systems? LOINC
An EHR specialist finds discrepancies in a patient’s past medical history within records transmitted from a recent hospital admission. Which of the following actions should the specialist take to address these inconsistencies? Reconcile the patient's hospital record with the office record
An EHR specialist is assisting a medical assistant with entering a patient's ongoing temperature measurements into the EHR. The EHR specialist should understand that the result is documented in which of the following locations? Flow sheet
Which of the following is considered protected health information? The patient's diagnosis
A medical practice uses a different electronic billing system than the one built into the EHR. Which of the following methods should the practice's billing system and the EHR use to exchange information? An interface
A provider at an inpatient facility is reviewing pending tasks and messages through the EHR's messaging feature. Which of the following tasks is most important for the provider to complete? Signing a history and physical for a patient admitted 36 hr ago
An EHR specialist is assisting a nurse practitioner with an electronic order entry for a patient test. Which of the following statements should the EHR specialist make? "The order system matches order test codes with patient insurance coverage rules."
Which of the following information is required from a prescribing provider to complete an electronic laboratory order? Diagnosis Code
An EHR specialist is registering a new patient. Which of the following documents should the EHR specialist ensure is signed by the patient to acknowledge their understanding of why protected health information (PHI) might be released? Notice of Privacy Practices (NPP)
Created by: Tagcal
 

 



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