EHR practice test A
our facility has a patient who is indigent and has stomach problems who can benefit from this medication
which of the following statements by an EHR specialist correctly de-identifies a patient's information when speaking to a pharmaceutical representative about coverage for a new medication for heartburn
Tempest can be customized to work with each other's provider's workflow
which of the following statements by the EHR Support staff about the use of templates for provider documentation is correct
it streamlines the clinical workflow
which of the following statements made by an EHR specialist describes a function of the EHR system
ICD codes
which of the following types of data are considered structural data and the EHR
remittance advice
which of the following documents is received by the healthcare Organization for the insurance carrier after a claim has been processed
Encounter form
which of the following forms is used to capture the diagnosis and charges related to a patient visit prior to submitting them for reimbursement
concurrent codes
which of the following functions of an EHR allows coders to inquire healthcare providers for clarification during a patient's in patients hospitalization
diagnostic codes
which of the following information is required for prescribing provider to complete an electronic lab order
The spouse's name,address, and phone number
which of the following information must be recorded in the Guerra intersection of the registration form if the patient's spouse is a guarantor on the account
password management
which of the following is an administrative Safeguard used to ensure the security of electronic medical records
maintaining servers that are offset in a different region
which of the following is an example of a data backup method that is hip has compliant and allows for the recovery of data following a natural disaster
authentication controls on computer
which of the following is an example of technical safeguard
the patients diagnosis
which of the following is considered protected health information
the data must be anonymous and confidential
which of the following is required when Healthcare facilities provide data and vaccinations to Public Health agencies
LOINC
which of the following is the code in standard used for map in laboratory procedures to Common technology and EHR system
write an addendum to the existing entry
which of the following methods should an EHR specialist used to make changes or corrections to entries in the EHR
the order is automatically documented in the visit
which of the following occurs when a provider enters an imaging order why documenting in an encounter note
a patient's medical record number
which of the following patient identifiers should the HR specialist verify before documentation is entered into the EHR
saliva sample positive for measles
which of the following patient laboratory findings should be automatically forwarded to the state public health agency
send clinical summary
which of the following patient portal features meet the criteria for patient engagement as part of the EHR incentive program
technical safeguards
which of the following sections of the HIPAA security rule governs the encryption and decryptions of data for secure Transmissions
the image was incorrectly catalogued
I need specialist skins and image to a patient's medical record prior to the patient scheduled appointment using the office scanner connected to the desktop computer by USB cable. At the appointment, the provider is unable to find an image for review. Which of the following is likely caused
using a template for your documentation will allow the systems to proceed a report that indicates required fields to complete
An EHR specialist is assisting with training on the use of a Health Systems EHR. A provider ask how to correct deficiencies in their documentation. Which of the following statements should the EHR specialist make
I can schedule my own appointments
An EHR specialist is providing a patient with information about the patient portal. Which of the following statements by the patient indicates an understanding of a patient
reconcile the Patients Hospital records with the office records
Auntie EHR specialist receives records transmitted from the hospital about an established patients recent admission. The HR specialist identifies protective this whatever in the patient's past medical history. Which of the following actions should the HR specialist take
picture achieving into me patience is system (Pacs)
EHR specialist is accessing the results of patients MRI. Which of the following is the radiology department Sofeware used to store diagnostic images
send a provider query
EHR specialist is assisting a clinical coder with code verification and notes that there insufficient information in the patient's record to support diagnosis coding. Which of the following actions should the EHR specialist take to request additional documentation for the healthcare provider
physical examination
EHR specialist is assisting a provider with entering a patient's Admission data and to the health record. In which of the following areas of an EHR should the specialist document the patient's blood pressure
patients address
EHR specialist is preparing to enter information into a patient's record. The EHR specialist has confirm the patient's medical record number. Which of the following patients identifiers should the EHR specialist use as a second identifiers to verify the patient's identity.
query it provided you resolved the descrepancy
I need specialist reads a provider progress note stayed in patient diagnosis l u m p h o n a. Receive 6 rounds of chemo beginning June 2020. Patient reports diarrhea loss of appetite st. Jude with treatment. Last cycle of chemo with administrative November 2019 now in remission which of the following actions should the HR specialist take
The Joint Commission
I need EHR specialist is trying to determine if IU is an acceptable abbreviation to use in medical documentation. Which of the following o organizations provide a resource that the EHR specialist can you use to verify acceptable abbreviation
clinical data
I need HR specialist is developing templates for a faculties EHR database. In which of the following sections of the EHR should the specialist place the progress notes
information system active review
I need a charger specialist is educating a newly-hired staff member at the security management process. Which of the following procedures should the EHR specialist indicate involves regular reviewing records, access reports, and secure incident tracking reports
an automatic alert message
a faculty's EHR software reflects a change in a patient's Baseline platelet count. Which of the following methods of notification does the software use to inform the provider
enter into a Business Association contract with the it contractors
a new medical group is planning to hire a privately owned Information Technology IT company to manage its it operations. Which of the following actions should the medical practice take to ensure the IT company will maintain the security of all data transmissions
Chief complaint
a patient presents to the emergency department and state, I have trouble Tres pains. And EHR specialist should document this information in which section of the EHR.
sign in history and physical for a patient admitted 36 hours ago
a provider at an impatient faculty is reviewing pending tasks and messages through the EHR R messaging feature. Which of the following tasks is most important for the providers to complete
labels are automatically printed at the point of care as part as the automatic process
a provider orders a Laboratory test in the EHR. Which of the following describes the way laboratory specimens are labeled and tracked
recent surgery and reason for the office visit
an EHR specialist Works in a clinical that uses patient entry data collection. Which of the following information should the patient enter into the EHR prior to arriving for a visit with the provider
Health coding professionals navigate code and pathways
an EHR specialist has training clinical coders about how to use a new clinical encoder software program. Which of the following should the HR specialist include as a benefit of the clinical encoder program
Cluster scheduling
an EHR specialist in a pediatricians office is working to create a schedule that limits contact between a sick child and a healthy child by scheduling well children visit in the morning and sick visits in the afternoon. Which of the following methods of scheduling is the EHR specialist using
growth chart
an EHR specialist is assistant a clinical nurse with data entry related to a well-baby checkup. When entering the infant's weight into the record the EHR specialist should understand that the data would result in which of the following types of documentation
what is the time line for these changes
an EHR specialist is assistant a faculty in implementing a recent upgrade to the EHR system. Which of the following would be best question for the EHR specialist to ask in preparation for implementation
CPOE
an EHR specialist is assistant a provider to enter a clinical order to obtain 3 blood draws. Which of the following components of the EHR shitted EHR specialist assisted provider to access
remove protective health information from the device
an EHR specialist is assistant a records Clerk with their handling of removable media device containing protected health information (Phi parentheses. Which of the following actions should the EHR specialist Tech tell the clerk to take to prevent a security risk
before you leave let me show you where to find this medication education on the patient portal
an EHR specialist is assistant with check out of a patient. The patient says, I hope I can remember everything about the new medication. Which of the following response to the EHR specialist make
HCPCS manual
an EHR specialist is assisting a billing specialist with entering codes for durable medical equipment. Which of the following Manuel's should the EHR specialist instruct the patient billing specialist to use
flow sheet
an EHR specialist is assisting a medical assistant with entering a patient's on growing temperature measurements into the HR. The HR specialist should understand that the result is documented in which of the following locations
morphine sulfate 2 MG IV Q4H
an EHR specialist is assisting a nurse who receives a prescription for morphine sent via the EHR specialist. The prescription States, "increase MS to -2 MG IV Q4H" The EHR specialist should reconcile the information to read as which of the following statements in the patient's record.
the patient portal has lots of helpful information. I will show you how to access information about your medication
an EHR specialist is assisting a registry registered nurse with discharging a patient who has difficulty adhering to the medication regimen. Which of the following statements should the EHR specialist make about accessing disease specific education material
a computer, an input device, and an output device
an EHR specialist is assisting the EHR system through a computer workstation. Which of the following are required components of a computer Workstation
Advance beneficiary notice
an EHR specialist is assisting the billing department and researching a claim for a patient who has Medicare and had a procedure that was not covered by the plan. Which of the following should the EHR specialist verify was completed prior 2 billion the
Coded data
an EHR specialist is assisting the provider in searching for data in a patient's record. When searching for ankle injury no entry is identified. In additional searches, entries are located by searching ankle sprain and twisted ankle. The HR System should recognize that the data can be reconciled by using which of the following types of data
medication list
an EHR specialist is assisting with obtaining the history of patients. The EHR specialist should document with which of the following information in the history section of a progress note
legal Data
an EHR specialist is assisting with providing training for a group of it Admission Clerk's about an EHR system. In which of the following data sections of the record should the EHR specialist instruct the group to enter a patient's HIPAA forms
and I automatically confirmation of appointment May be sent in the EHR system
an EHR specialist is assisting with providing users training to staff members regarding an upgrade to the EHR system. Which of the following statements should the EHR specialist make when asked about a way to help minimize the number of patients who miss their schedule appointments
at least the standings of each patient's account
an EHR specialist is assisting with the training of a newly hired billing specialist who asked, what is the purpose of billing and payments status report? Which of the following reports should the HR specialist make
ICD-10-PCS
an EHR specialist is collaborating with a certified coder to create a report needed for evaluation of quantity of care for hip arthroplasty surgery done in the inpatient faculty in the past years. The HR specialist should recognize that which of the following types of codes should be used for this report
validate the procedure code with documentation in the patient's health record
an EHR specialist is collaborating with a clinical coder to train the billing staff of a facility use in a new EHR system that includes computer assistant code in (CAC) software. Which of the following actions should the billers take when creating a claim to ensure that the CAC assigned an accurate procedure code in patients record
product by Insurance report
an EHR specialist is collaborating with a coder about reports available in the new EHR system. The HR specialist should instruct the coder that which of the following reports show the income generated by each third party
name, date of birth, and address
an EHR specialist is creating a template for patients demographic information. Which of the following information should be required in the section of the EHR
date signed
an EHR specialist is developing a template to create authorizations for the health clinic to send and Minney Minney station records for college-bound patients to their representing universities. To remain compliant with private rules, the HR specialist should understand that which of the following items is required to be in the template
Laboratory
an EHR specialist is developing templates for an acute care facility EHR database. The HR specialist has received a request to enter a template for recording patient's hemoglobin levels. Into which of the following section of the nature should the template be entered
Dedicatwd servers for a LAN ensure servers, safe exchange of data between workstations
an EHR specialist is discussing Hardware cost with a department controller. Which of the following statements by the department controller describes the advance of purchasing server hardware for a local area network ( LAN)
problem list
an EHR specialist is documenting clinical data for patient who was recently seen an urgent care facility following a leg injury. In which of the following locations should the EHR specialist document this information
demonstrate how to send the information for the patient portal
an EHR specialist is instructing the patient of a pediatric patient about the patient education feature in the patient's portal. The patient asked how do I send this information to my child step parent? Which of the following actions should the EHR specialist take
office of Inspector General (oig)
an EHR specialist is performing an internal audit of EHR records and discovers improper billing documentation that suggest potential fraud or abuse in accounts of patients who have a private third party payer. Which of the following agencies should handle this type of inquiry.
by diagnosis
an EHR specialist is preparing to create a report that lists patients who have received a positive result on there testicular cancer screening. Which of the following type of procedures report should the EHR specialist create
generate electronic clinical reports using patient records for the EHR
an EHR specialist is preparing to obtain information about patient outcomes by individual providers for quality improvement. Which of the following actions should the EHR specialist take to collect the necessary information
clinical decision support system (cdss)
an EHR specialist is preparing to perform a review of infection rates at the facility for qualifying Improvement purposes. to compare statistical results data with other faculties, the HR specialist should be integrated with which of the following
CPT codes
an EHR specialist is provided a financial report to compare the amount of reimbursement provided by different third-party payer for a special procedure. Which of the following should the EHR specialist use to identify the procedure in question.
notice a private practice (NPP)
an EHR specialist is registering a new patient. Which of the following document specialist ensure his signed by the patient to acknowledge their understanding of what protected health information (Phi) might be released
the patient is receiving renal dialysis for end-stage renal disease
an EHR specialist is reviewing the chart of a patient who is listed as self paid. Which of the following notes in the chart would indicate to the EHR specialist that the client has Medicare coverage
patient aging report
an EHR specialist is reviewing the outstanding patients account balance that were submitted to a collection agency. Which of the following documents is required to verify that the correct accounts were submitted
access to EHR through mobile devices
an EHR specialist is speaking with clinical staff who are occurred about a limit number to Computer workstations, resulting in delays and data entries. Which of the following suggestions should these are specialist make
you have access to review prescriptions and over-the-counter medications you are currently taking
an EHR specialist is teaching a patient about the patient portal. Which of the following statements should the specialist make
you can review them on the prevented care screen
an EHR specialist is training a staff member on preventive care documentation available to patients. The staff member asked, where do I find recommendations for cervical cancer screening intervals? Which of the following statements should the specialist make
pre-certification
an EHR specialist is verifying if a Laboratory test the provider ordered is covered under the patient's insurance contract Which of the following steps is the EHR specialist complete in
specialized template
an EHR specialist is working with an opthamologist . Which of the following types of template should the EHR specialist create for use during detailed examinations
check the patient's medical record for a release of Information Form to determine if the patient is listed
an EHR specialist received a call from the patient of an 18 year old patient asked him why their child was seen at the office last week. Which of the following actions should the EHR specialist
when the patient makes the appointment
an EHR specialist receives a referral for a new patient. When can the EHR specialist administrator staff begin the process of verifying Insurance eligibility for their service and an EHR
provider
an EHR specialist should identify that which of the following members of the healthcare team can be granted remote access to the EHR
the order system matches order test codes with patients insurance coverage rules
an HR specialist is assistant a nurse practitioner with an electronic order entry for patients test. Which of the following statements should the EHR specialist make
CDT codes
an HR specialist is assisting a provider with finding codes for a Dentistry procedure. Which of the following classifications system should the health records specialist use
the ICD - 10 - CM codes need to be as specific as possible
an HR specialist is collaborating with a certified coder in a training session for outpatient billers after getting a new EHR system. which of the following statements about the ICD - 10 - CM codes should the HR specialist make
product by procedure report
an HR specialist is preparing to generate a report for supervisor that indicates the amount of revenues generated by throat cultures. Which of the following reports should need specialist generate
virtual private Network (VPN)
an ehr specialist contacted by an emergency department in another state regarding and established patient who has received treatment. Which of the following networks connection should eh specialist use to transmit information
Encryption
any HR specialist should identify that which of the following is the process for converting text into codes for secure transmission
physical examination
in which of the following section should an EHR specialist live to find patients most recent weight measurement
past medical history
in which of the following section should an e h r specialist locate objective findings for a patient's previous visit
an interface
medical practice uses a different electronic billing system then the one built into the EHR. Which of the following methods should the practice Billing System in the EHR used to exchange information
Demographic information
on EHR specialist is updating patient information in the electronic health records. Which of the following is a example of administrative data that can be found in the EHR
is she unique user identifications for use of computers
which of the following actions should a facility take to ensure security complaints and protect ehrs from an authorized access
provide a signature for assessment of benefits to the healthcare organization
which of the following actions should a patient take to authorize participating in healthcare organizations to receive payment from a third-party payer
advance directives
when generating admission documents for patients, which of the following information should an EHR specialist enter in the legal data section of the EHR
I came because I've been coughing for several days
when obtaining data for a new Clinic patient, an EHR specialist should understand that which of the following statements by the patient indicates a history of present illness
risk analysis
which of the following Security Management processes is performed first by a covered entity to determine the rets to the confidentially (integrating) and ability of protected health information (Phi)
checking the claim for errors
which of the following describes the process of claims scrubbing