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MED254 MED OFF PRO 2
MED254 CH 12 ELECTRONIC HEALTH RECORDS
| Question | Answer |
|---|---|
| MED254 CH 12 SB | |
| An EHR software program changed to suit a specific specialty and style of a physician’s office. | Customized |
| Electronic record of health-related information for an individual patient that is created, managed, and gathered in a manner that conforms to nationally recognized interoperability standards. | Electronic Health Record (EHR) |
| Electronic record of health-related information for an individual patient that is created, compiled, and managed by providers and staff members in a single healthcare organization. | Electronic Medical Record (EMR) |
| Electronic version of the complete medical history and record of a patient’s lifelong health that is collected and maintained by the individual patient. | Personal Health Record (PHR) |
| Which of the following are examples of communication problems that may lead to medical errors? A. Electronic prescription orders B. Mishandled patient messages C. Well-documented patient messages D. Mislabeled laboratory orders E. Properly filed paper records | B. Mishandled patient messages D. Mislabeled laboratory orders |
| An EMR is created, compiled, and managed by whom? A. A patient’s health plan B. A single healthcare organization C. Multiple insurance companies D. The patient | B. A single healthcare organization |
| The quality, safety, and efficiency healthcare can be improved by A. Widespread use of PHRs B. Enforcing the HIPAA Privacy Rule C. Meaningful use of EHR technology D. Passage of the Affordable Care Act | C. Meaningful use of EHR technology |
| Which of the following are advantages of electronic health records? A. Reduced concern over privacy and safety B. Efficiency in records transfers C. Increased access to educational materials D. Reduced storage needs E. Decreased cost of office visits | B. Efficiency in records transfers C. Increased access to educational materials D. Reduced storage needs |
| Many of the medical errors that can lead to patient death can be traced to problems with A. billing B. electronics C. medication D. communication | D. communication |
| Which of the following are potential deterrents for implementing electronic health records? A. Increased transcription costs B. Staff training requirements C. Possible damage to the system D. Decreased legibility of charts E. Maintenance costs | B. Staff training requirements C. Possible damage to the system E. Maintenance costs |
| An electronic record of health-related information for an individual patient that is created, compiled, and managed by providers and staff within a single healthcare organization is called a(n) A. PHR B. EMR C. chart D. EHR | B. EMR |
| Which of the following are general guidelines for using EHR programs? A. Ask patients to input their own information for accuracy B. Share password information C. Retrieve patient records carefully D. Be familiar with the software and hardware E. Secure the computer that maintains the EHR F. Keep password information secure | C. Retrieve patient records carefully D. Be familiar with the software and hardware E. Secure the computer that maintains the EHR F. Keep password information secure |
| Which of the following are objectives of Meaningful Use? A. Advanced methods of bill collections B. Reducing time spent with patients during an encounter C. Engage patients and family D. Reduce health disparities E. Improve care coordination F. Increasing revenue G. Better clinical outcomes | C. Engage patients and family D. Reduce health disparities E. Improve care coordination G. Better clinical outcomes |
| A template for a new patient record would most likely include which of the following required fields? A. Insurance information B. Physical exam C. Address D. Name E. Chief complaint | A. Insurance information C. Address D. Name |
| Identify the advantages of electronic health records. A. High maintenance costs B. Increased legibility of charts C. Staff training requirements D. Ease of chart access for multiple users E. Fewer lost records | B. Increased legibility of charts D. Ease of chart access for multiple users E. Fewer lost records |
| When an error or omission is found in an electronic record, you should add a(n) A. deletion B. correction C. addendum D. change | C. addendum |
| What is the primary reason most providers give for not implementing EHRs in their offices? A. Ease of use B. Training requirements C. Technology issues D. Cost | D. Cost |
| In which ways can computerized records also be useful as tickler files? A. They can alert staff to patients who require follow-up care. B. They can alert staff to prescription interactions. C. They can alert staff when a patient is in the waiting room. D. They can alert staff about patients who are due for yearly checkups. | A. They can alert staff to patients who require follow-up care. D. They can alert staff about patients who are due for yearly checkups. |
| Which of the following are strategies for focusing on the patient, not the computer, during a patient encounter? A. Have the patient put information in the computer directly B. Be comfortable with the system being used C. Look at the computer and type while speaking with the patient D. Take notes and enter them in the computer later | B. Be comfortable with the system being used D. Take notes and enter them in the computer later |
| An EHR software program may be modified to suit a specific specialty and style of a physician's office. This process is referred to as A. changing B. altering C. customizing D. refining | C. customizing |
| Information in a new patient template, such as name, address, and insurance information, is entered into A. required fields B. open fields C. variable fields D. optional fields | A. required fields |
| Identify the advantages of electronic schedulers. A. They are designed for single user access. B. They can keep a list of patients who want an earlier appointment. C. They can book appointments when the computer system is down. D. They can easily look up a patient's appointment. E. They allow multiple users at a time. | B. They can keep a list of patients who want an earlier appointment. D. They can easily look up a patient's appointment. E. They allow multiple users at a time. |
| An EHR program can be used to verify a patient's insurance coverage A. over the phone. B. online. C. on paper. D. in person. | B. online. |
| What is the most appropriate action when an error or omission is found in an electronic record? A. The error is deleted from the record and replaced with the correct information B. No change may be made to an electronic record C. A line is drawn through the information D. An addendum is made as soon as possible | D. An addendum is made as soon as possible |
| Electronic claims submission and coding of medical record is done through which component of an EHR? A. Clinical software B. Coding software C. Referral verification D. Scheduling software | B. Coding software |
| Files that need periodic attention are called A. update files B. tickler files C. annual memos D. reminder memos | B. tickler files |
| Which feature of an EHR program is used to produce revenue reports, aging reports, and office accounts receivable? A. Billing and coding software B. Ancillary order integration C. Report generators D. Electronic prescriptions | C. Report generators |
| Which of the following are characteristics of a customized EHR software program? A. Templates allow the physician to add entire phrases with a few clicks of the mouse. B. Terms such as congestive heart failure may be quickly selected in a cardiologist's office. C. In each type of practice, the physician must type all information for each patient. D. Terms such as congestive heart failure must be typed by the cardiologist each time they are entered in a record. | A. Templates allow the physician to add entire phrases with a few clicks of the mouse. B. Terms such as congestive heart failure may be quickly selected in a cardiologist's office. |
| Identify the functions of an electronic prescription writer. A. Maintain a log of medication effectiveness B. Flag an ordered prescription as a potential allergy interaction C. Receive payment from Medicare and Medicaid D. Maintain a list of commonly prescribed medications and dosages E. Transmit prescriptions directly to the pharmacy | B. Flag an ordered prescription as a potential allergy interaction D. Maintain a list of commonly prescribed medications and dosages E. Transmit prescriptions directly to the pharmacy |
| Which of the following is an advantage of an electronic scheduler? A. Only one staff member at a time can view the appointment book. B. A schedule matrix is not necessary. C. It must look at each day's schedule to locate a patient's appointment. D. It allows multiple users at any time. | D. It allows multiple users at any time. |
| Which function of an EHR allows for electronic test ordering and receipt of results? A. Report generators B. Patient access C. Ancillary order integration D. Billing and coding software | C. Ancillary order integration |
| Which of the following are advantages to billing and coding software within EHR programs. A. Alerts can produce flags notifying users of errors. B. The need for code linkage is eliminated. C. Procedure and diagnostic codes can be automatically assigned. D. Automatic coding is always error-free. E. Electronic claims can be submitted directly to insurance carriers. | A. Alerts can produce flags notifying users of errors. C. Procedure and diagnostic codes can be automatically assigned. E. Electronic claims can be submitted directly to insurance carriers. |
| Identify the tasks that a patient can do using a patient portal. A. Scheduling an appointment B. Paying a balance on an account C. Accessing insurance claim information D. Changing the contents of the provider's progress notes E. Accessing a child's immunization record | A. Scheduling an appointment B. Paying a balance on an account E. Accessing a child's immunization record |
| Which of the following types of reports can be produced using the report generator in an EHR program? A. Accounts receivable B. Patient aging reports C. Employee statistics D. Population statistics E. Patient statistics | A. Accounts receivable B. Patient aging reports E. Patient statistics |
| Which of the following allows the entry of prescriptions, which can be transmitted directly to the pharmacy or printed and given to the patient? A. Ancillary order integrations B. Patient access programs C. Report generators D. Prescription writers | D. Prescription writers |
| All users of an EHR program must have individual (More than one answer may be correct) A. passwords. B. access codes. C. computers. D. software. | A. passwords. B. access codes. |
| Identify the advantages of ancillary programs for labs, X-rays, and other diagnostic services. A. Results can be immediately uploaded to the patient's medical record. B. Results are transmitted back as soon as available. C. Providers must manually process the results in the patient's record. D. Orders must be submitted on paper. | A. Results can be immediately uploaded to the patient's medical record. B. Results are transmitted back as soon as available. |
| In which of the following ways can a medical assistant help reassure patients that the office EHR program and the information it contains are confidential and secure? A. Be knowledgeable about the confidentiality and security aspects of the program. B. Show patients their own medical records and how information is entered and maintained. C. Display negativity about the program when things don't go "exactly right" while using it. D. Explain the security systems to patients in technical terms. | A. Be knowledgeable about the confidentiality and security aspects of the program. B. Show patients their own medical records and how information is entered and maintained. |
| A patient can access routine information and perform tasks such as making appointments online using a(n) A. patient portal B. patient e-mail C. provider portal D. practice website | A. patient portal |
| Which feature of an EHR program is used to produce revenue reports, aging reports, and office accounts receivable? A. Billing and coding software B. Report generators C. Electronic prescriptions D. Ancillary order integration | B. Report generators |
| Place the following steps in creating a new patient record with EHR software in order, with the first step on top. A. Carefully inspect all information entered for accuracy. B. Enter the patient's full name. C. Save the new patient information. D. Open the New Patient window of the EHR program. | D. Open the New Patient window of the EHR program. B. Enter the patient's full name. A. Carefully inspect all information entered for accuracy. C. Save the new patient information. |
| Which of the following must be taken into consideration when creating an appointment matrix in an electronic scheduling system? More than one answer may be correct. A. Hours when patients are not seen B. Physician's meeting schedule C. Physician's vacations D. Canceled appointments E. Administrative staff lunch breaks | A. Hours when patients are not seen B. Physician's meeting schedule C. Physician's vacations |
| Which of the following are benefits of having individual access codes and passwords in an EHR program? A. An access code allows patients to access their medical records when needed. B. An access code inserts a date and time stamp in the record to track who has accessed it. C. An access code allows each user to access only designated areas of a record. D. A password can be shared with other providers to allow access to information. | B. An access code inserts a date and time stamp in the record to track who has accessed it. C. An access code allows each user to access only designated areas of a record. |
| Explaining the office access process to patients, showing patients their own medical records, and maintaining a positive attitude about a new EHR program can help reassure patients that their information is A. confidential. B. vulnerable. C. portable. D. secure. | A. confidential. D. secure. |
| Steps for Creating an Appointment Matrix Using an Electronic Scheduling System (place them in order) A. Specify time frames necessary for different types of appointments. B. Open the office appointment scheduler. C. Enter a reason that the time is not available for future reference. D. Block the dates and times when the office or physician will not be available for patient appointments. | B. Open the office appointment scheduler. D. Block the dates and times when the office or physician will not be available for patient appointments. C. Enter a reason that the time is not available for future reference. A. Specify time frames necessary for different types of appointments. |
| Which of the following is not an advantage of EMR? A. 24-hour access B. Decreased transcription cost C. Easier billing processes D. Training E. All of these are correct | D. Training |
| Computer storage of files is a good option when: A. you have an unlimited amount of space. B. you have a small number of files. C. quick access to the files is not a requirement. D. you have a limited amount of space. E. you want to store the files in their original format. | D. you have a limited amount of space. |
| When storing electronic documents on a computer, you should also: A. keep a paper copy of the document. B. send a copy of the documents to the patient. C. store the files in a backup system. D. transfer the files to microfiche. | C. store the files in a backup system. |
| HIPAA requires all patient information on the computer system to be held in strict confidentiality. Which of the following is an appropriate way to keep patient information secure? A. Use some type of software that tracks use by all users. B. All of these are correct. C. Program the computer to log off after a short period of inactivity. D. Use screen savers to prevent patients from seeing more than they should. | B. All of these are correct. |
| Electronic medical records and paper records are considered: A. taxable assets. B. None of these are correct. C. legal documents. D. physical documents. | C. legal documents. |
| Patient records are considered: A. None of these are correct. B. EMR. C. legal documents. D. standard forms. E. EHR. | C. legal documents. |
| In an effort to safeguard patient records, medical office employees should: A. share one username and password. B. be given open access to records. C. only be given access to records they need to perform their duties. D. ask permission before accessing patient records. | C. only be given access to records they need to perform their duties. |
| Which of the following phrases tells you that the record format is an electronic health record instead of an electronic medical record? A. Personal health record B. HIPAA compliant C. Meaningful use D. EHR and EMR mean the same thing E. Meets interoperability standards | E. Meets interoperability standards |
| Which of the following is not one of the expected outcomes of EHR interoperability mandates? A. Better clinical outcomes B. Increased transparency and efficiency C. Increased responsibilities for medical assistants D. Improved population health oncomes E. Empowered individuals | C. Increased responsibilities for medical assistants |
| Information that is mandatory in an EMR or EHR is denoted in the record by A. required fields. B. highlighting. C. Any of these D. bolding. | A. required fields. |
| Which of the following possible features of an EHR/practice management system will likely require customization? A. Billing and coding software B. Electronic scheduler C. Specialty office D. E-prescribing E. Referral management | C. Specialty office |
| Which governmental mandate resulted in EHR and meaningful use? A. Equal Credit Opportunity Act B. False Claims Act C. All of these D. Health Insurance Portability and Accountability Act E. Affordable Care Act | E. Affordable Care Act |
| When should a mistake be corrected? A. Only when the physician tells you to B. None of these are correct C. As soon as the mistake is discovered D. You don't correct mistakes because it can look like you are E. trying to do a cover up | C. As soon as the mistake is discovered |
| In an EHR, the abbreviation “RX” means which of the following? A. Prescription B. Treatment C. All of these D. Therapy E. None of these | C. All of these |
| Which of the following is an advantage of EMR? A. Easier billing processes B. All of these are advantages C. 24-hour access D. Decreased transcription cost | B. All of these are advantages |
| Most medical record errors can be traced to: A. inaccurate or unreadable information in a paper medical record. B. mishandled or “forgotten” patient messages. C. lost or misfiled paper records. D. Any of these E. mislabeled or unreadable laboratory or prescription orders. | D. Any of these |
| Which of the following is not considered a possible function of an EHR or practice management system? A. Automated telephone caller B. Eligibility verification C. Electronic scheduler D. Prescription ordering E. Billing and coding software | A. Automated telephone caller |
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