Electronic Health Record
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| When thinking of an Electronic Health Record, EHR, the word audit means? | show 🗑
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| show | Computerized Physician Order Entry (CPOE)
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| The ability of separate EHR systems to share information in compatible formats is called? | show 🗑
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| show | The parent whose birthday is earlier in the calendar year
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| show | One who saw the provider within the last 3 years
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| Codes that identify common types of patient visits, specify their typical duration and identify special instructions to handling each kind of visit, are called? | show 🗑
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| show | To archive media such as a CD or a hard drive
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| Why should closed patient records be purged and placed in electronic storage? | show 🗑
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| What is the purpose of a billing audit? | show 🗑
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| Lack of documentation during a patient visit could result in? | show 🗑
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| show | UMLS
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| Claire works for a pediatrician's office that is considering the implementation of an EHR. She has been asked to research the different systems available and would like to create a list of functions the EHR should have specific to their practice she needs to get ____________________________? | show 🗑
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| show | History
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| The best definition for a company that processes health information and executes electronic transactions is: | show 🗑
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| What term is unique to ICD-10-CM and indicates that the condition being excluded is not part of the condition for the code listed but rather another code should also be assigned: | show 🗑
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| show | An electronic deposit is made into an online office account where money can then be transferred as needed.
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| show | Evidence of medical decision making
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| The process of moving a patient from appointment making through checkout is called? | show 🗑
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| show | Care Provider
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| show | Interoperability
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| show | Dictated Report
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| show | Decision Support Software
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| Health Level 7 (HL7) standards allow what: | show 🗑
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| Using a __________________ will ensure each member of the staff has defined the data element correctly. | show 🗑
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| This type of technology translates what a provider is saying and types those words into text. | show 🗑
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| The acronym HIE stands for: | show 🗑
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| show | EHR
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| show | The Gatekeeper
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| The process of entering fees for services on a patient account is referred to as? | show 🗑
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| show | Employer Group plan
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| If a patient is injured in an automobile accident, what type of insurance is applicable? | show 🗑
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| show | Worker's compensation
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| Only services deemed medically ________________ can be billed to insurance. | show 🗑
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| show | Encrypted
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| show | Voluntary
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| show | Assessment
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| show | Pre-built office visits, physicians order and letter templates for each specialty.
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| A well integrated electronic healthcare system should be able to: transmit, store, receive and ___________ all medical services related to a patient's healthcare. | show 🗑
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| show | Confidentiality statement
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| show | Office visit
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| An ONC meaningful use criteria mandates that a certified EHR program must be able to record the patient's? | show 🗑
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| show | Patient's Past Medical History
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| The format for Level II codes in the HCPCS is a letter followed by how many numbers? | show 🗑
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| show | Diagnoses
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| show | Clinical templates
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| Which of the following is not a safety screening performed by the e-prescribing module within the EHR? | show 🗑
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| The ICD-10-PCS includes procedure codes for the ___________? | show 🗑
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| Most individuals receiving TANF payments are limited to a ______________ year benefit period. | show 🗑
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| The format for the ICD-10-PCS is? | show 🗑
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| What is the proper action to take when a very ill patient enters the office? | show 🗑
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| show | Accept fees that are predetermined by the plan.
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| A lab report cannot be used for coding purposes because? | show 🗑
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| The HCPCS codes are maintained by? | show 🗑
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| show | When a doctor request the opinion or advice from another doctor.
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| In documenting patient history, the letters PFSH stands for? | show 🗑
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| Who should be billed for the treatment of an emancipated minor? | show 🗑
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| show | Personal Health Record
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| show | Illegible or incorrectly interpreted handwritten orders
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| Often Doctor's do not have the expertise to treat a specific patient's condition. The doctor will send the patient to a board certified doctor for treatment which is called a? | show 🗑
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| Medical Identity theft is a type of fraud where a person's personal identity details are stolen. Examples of these details could include a social security number and a _________________ ? | show 🗑
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| show | Add-on codes
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| show | At each bedtime
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| show | C/O
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| When is the secondary insurance plan billed? | show 🗑
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| The three key factors in selecting an E/M code are? | show 🗑
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| _________________ are used to report encounters for circumstances other than a disease or injury in the ICD-10 CM? | show 🗑
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| show | Adjustment
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| A UB-04 is used to submit? | show 🗑
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| show | Once
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| show | Subscriber
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| A list of all medical procedures and their respective allowed amounts charged by any insurance company is known as? | show 🗑
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| show | Practice management software
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| How many times is a patient entered into the (Patient List) or Master Patient Index? | show 🗑
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| What identifying information that differentiates one patient from another, is collected as part of the administrative information? | show 🗑
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| Physicians establish a list of their usual fees for? | show 🗑
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| show | Not Otherwise Specified or Equals Unspecified
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| show | CXR
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| If a fracture is not documented as closed or open, it is always coded as? | show 🗑
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| What is meant by "code to the highest level of specificity"? | show 🗑
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| show | Combination
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| The biggest advantage of voice recognition software over manual transcription is? | show 🗑
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| show | Order
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| show | Hipaa
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| Notes about prescriptions ordered for a patient would appear in what section of the SOAP note? | show 🗑
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| show | The instructions on taking the medicine.
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| Who manages a personal health record (PHR)? | show 🗑
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| In using an EHR, the word "cloning" refers to? | show 🗑
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| show | HCPCS
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| show | CPT Codes
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| The first three factors a coder must consider when coding are patient status, place and _______________ ? | show 🗑
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| show | general
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| show | Financial penalties
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| show | Medical Necessity
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| show | Blue Triangle
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| show | Pregnancy
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| A log that contains information about a prescription order and is used to document the administration of the medication to the patient is? | show 🗑
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| show | Documentation
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| show | Electronic Medical Records (EMR)
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| Reflects data from (all sources) that have treated an individual? | show 🗑
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| Registration, Admissions, Discharge and Transfer acronym? | show 🗑
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| A unique patient identifier acronym, that links all clinical observations, tests, procedures, complaints, evaluations, and diagnoses to the patient? | show 🗑
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| A dictated report, a written progress note, or voice files are what kind of data? | show 🗑
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| show | Structured data
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| The length of time records are stored by a medical office is called? | show 🗑
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| Indicates a patient's behavior or current status? | show 🗑
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| show | Type of Visit Code
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| Rules that require the usage of password protection on all electronic devices used to access patient information? | show 🗑
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| show | HIPAA National Identifiers
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| A generated term used to help the user (specific context) to carry out a particular task is called? | show 🗑
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| show | Laboratory, Pharmacy and Radiology Systems
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| show | Clinical vocabularies
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| Clinical vocabulary designed to encompass all terms used in medicine? | show 🗑
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| show | LOINC
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| The method of (adding information) to the Electronic Health Record (EHR) is identified as? | show 🗑
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| What type of information is the patient's description of his/her own symptoms, including a chief complaint, or comments during an exam? | show 🗑
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| show | OBJECTIVE information
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| What section of a SOAP note 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? | show 🗑
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| show | PLAN
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| show | Personal, Financial, Medical and Social information.
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| show | Medicare
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| Insurance for low income people? | show 🗑
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| show | TRICARE
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| show | CHAMPVA
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| When a policyholder contributes to his/her policy by paying a set amount of money on a Fee Schedule, is called their? | show 🗑
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| The method of determining insurance payments must be? | show 🗑
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| A set amount patients may be required to pay the provider for health care services before their benefits begin to pay is called a? | show 🗑
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| 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? | show 🗑
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| show | UB-04 form
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| Health Maintenance Organization acronym? | show 🗑
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| show | PPO
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| show | EPO
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| show | POS
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| show | 3-5 characters
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| The ICD-10 have how many characters? | show 🗑
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| show | NEC
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| Most often refers to (care in a hospital) where patients are treated with urgent problems, that cannot be handled otherwise is called? | show 🗑
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| show | Ambulatory Care
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| Where are patients listed and entered only once which allows for documentation of all office visits? | show 🗑
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| What is the method of scheduling a patient for a specific appointment time? | show 🗑
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| What is the method of scheduling patients around the same block of time? | show 🗑
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| What method is scheduling two patients to see the same physician at the same time? | show 🗑
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| What method is it when patients are scheduled for the first half of each hour, and each patient is seen in the order they arrive? | show 🗑
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| show | Assessment
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| show | Sliding Fee Scale
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| Administrative data is unnecessary for? | show 🗑
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| show | Button
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| show | Making corrections in/on the appointment schedule
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| An EHR Specialist will call the insurance company prior to? | show 🗑
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| The EHR specialist must ensure that each part of the___________ is accurate, and up to date. | show 🗑
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| show | Health Insurance Terminology, Self ensured
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| Family members covered by parents insurance plan are called | show 🗑
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| show | Approved/Allowed Amount
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| show | Participating/Preferred Providers
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| A condition named for a person-such as Hodgkin's disease. | show 🗑
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| show | Sequelae
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| show | Providers
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| A beneficiary pays what? | show 🗑
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| show | Covered services 80%
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| show | Submitting insurance claim forms, patient check in and check out, insurance verification, scheduling appointments.
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| show | Correct spelling of patient's full name, address, telephone number, reason for visit, type of insurance,
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Created by:
Healthtrade
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