Moodle test review

All ordered tests, whether ordered from within the patient's chart or an OV note, do appear in the patient's face sheet under which of the following headings?

Uncharted Tests

Why do HIPAA regulations affect EHRs?

: Because of the portability of the patient's protected health information.

Which of the following describes the area in SpringCharts where referring provider and consultant information is stored?

Address book

The PMS is capable of managing which of the following tasks?

All of the these

Which of the following is a reason to record past and ongoing immunizations in the EHR?

Allows the physician and staff to see a complete immunization history.

Which of the following is an office visit as defined by SpringCharts?

An encounter with a medical provider in which the patient's chief complaints, body systems, vitals, physical exam, diagnoses, and medication are reviewed and documented.

In which of the following areas can users create order forms in the SpringCharts EHR program?

Both in the chart and in an office visit note

With clinical decision support, which of the following are integrated with healthcare knowledge databases enabling the provider to make quality treatment choices for the patient?

Both observations and assessments made by the provider

Which of the following is NOT a way that a co-worker can communicate with the sender of a ToDo task?

By replying to the ToDo/Reminder note

From the Appointment Schedule, which of the following is a method to navigate to future or prior months?

Clicking on left or right arrows on the month title bar

Chart evaluation criteria change from clinic to clinic based on which of the following?

Clinic specialty

Which of the following is NOT automatically added by the EHR system to the new test report?

Clinician's digital signature

Which of the following is an annual amount of money the policyholder pays toward medical expenses before the insurance company pays its share?

Deductible

Which of the following information is made available in the Outside Medications section of the Face Sheet?

Drug database from prescriptions prescribed by other providers

Which window must a user access to modify pop-up text?

Edit Popup Text window

EDI is an acronym for which of the following?

Electronic Data Interchange

This EHR model stores patient data on the health information system at a particular healthcare facility or with a third-party hosting company.

Facility-based model

Which of the following is not a key capability of an EHR as defined by the Institute of Medicine?

Order Entry/Management b. Results Management c. Medical Decision Support d. All of these are key capabilities. Correct Feedback The correct answer is: All of these are key capabilities.

Which of the following areas of the Face Sheet documents a patient's healthcare record request, enabling the staff to track, process, and report that the requests have been fulfilled?

Patient Requests

Which of the following screens will most clinical staff want to set as their main view?

Patient Tracker

Which of the following information is automatically added to imported documents when the File Cabinet Document window is accessed from the patient's chart?

Patient name

Which of the following default information does the program automatically provide when creating a New Letter to Patient?

Patient's name and address. b. A greeting. c. A salutation. d. All of these. Correct Feedback The correct answer is: All of these.

When the user clicks the [Add Pt Ins] button, which of the following information is added to the order form from the patient face sheet?

Patient's primary insurance Correct

Which of the following is the most rapid way of building documentation for an office visit note?

Pop-up text and templates

Which of the following screens should a user access to create a new template?

Practice View screen

Which of the following are numbers or alphanumeric codes that are used to identify specific health interventions taken by healthcare professionals?

Procedures codes

When creating a patient instruction sheet a user must save the document in which format?

RTF

In which field does a user type the subject of a new Letter Template?

Re: field

What are HIPAA's Transaction and Code Sets?

Standards for electronic exchange of information for billing and administration.

Which of the following indicates under the Core Measures of Meaningful Use that the physician knows the most recent diagnoses of the patient?

Up-to-date

Which of the following are recorded using the settings established in the 'measurements' option in the User Preferences window?

Vital signs

Templates can be created in the template manager by selecting which of the following?

[New Template]

Which of the following would be the provider select on the OV screen to lock an office visit note?

[Sign]

Which of the following navigation tabs will allow laboratory tests to be ordered within the patient's OV note?

[Test]

The File Cabinet Document feature allows the user to add documents with which of the following file extensions?

a. .pdf b. .jpg c. .xls d. All of these Correct Feedback The correct answer is: All of these

EHR reporting capabilities enable practitioners and hospitals to track the spread of diseases and outbreaks of illness caused by which of the following?

a. Exposure to hazardous materials b. Contaminated foods c. Both of these Correct d. None of these Feedback The correct answer is: Both of these

Which of the following is created with the New TC Note feature of the EHR?

Anew Telephone Call encounter form.

How often does the AMA update CPT codes?

Annually

When an excuse note is created within the OV screen, which of the following appears by default in the subject line of the New Excuse/Note window?

Patient's name

Which of the following buttons in the Letter to Patient window allows the user to add notes in the body of the letter from other areas of the Patient's Chart?

[Add Chart Notes

Under the Template tab of the Office Visit Report Template Editor, the user can identify up to how many additional elements of the physical exam to include in a customized office visit report?

12

When did HIPAA begin?

1996

What is the estimated percentage of the population that has accessed a Web-based Model of the EHR?

7%

Which of the following indicates the primary difference between EMR and EHR programs?

: EHR presents a full range of higher-end functionalities not available with EMR.

Editing an unlocked office visit note at a future date updates which of the following?

: Last modified date

Which menu in the OV screen provides access to features such as Lab, Diagnosis List, Immunization, Medications List, Procedures List, and Graph Vital Signs?

Actions menu

Which of the following describes the only instance a user will double-click while using SpringCharts?

Activating the SpringCharts icon on the desktop

Which of the following is another name for web-based EHR?

Application Server Provider

Which of the following text colors displays completed referrals?

Blue

In the OV template, how is pop-up text accessed?

By clicking on various navigation tabs

Which of the following organizations operates with the mission to "accelerate the adoption of health information technology by creating an efficient, credible, and sustainable product certification program?

CCHIT

In which field of the Edit Procedure window can the user add verbiage to describe a specific procedure?

Detail

Which of the following options must be selected from the drop-down menu located on the allergies window if a user wishes to view inactive allergies and reasons?

Either All or Inactive

Which levels of security are available in the SpringCharts program?

High and low.

IEEE is an acronym for which of the following?

Institute of Electrical and Electronics Engineers

Which of the following allows changes made in the PMS system to be reflected in the EHR in real time?

Interfacing.

Each time a procedure is documented in an OV note, what happens to the text associated with the procedure?

It becomes a permanent part of the OV note.

What does the Rapid Select function do?

It enables a user to type a letter or series of letters then the program will automatically begin its search after a pause.

If there are no patients in a specific location list area, what happens to that specific location heading?

It is not displayed in the Patient Tracker window.

Which is a part of the federally funded insurance program that covers medical providers' supervision, outpatient hospital care, diagnostic tests, and other ambulatory services?

Medicare Part B

Which of the following websites holds numerous medical treatment plans containing objective, detailed clinical information for physicians, nurses, and other healthcare professionals?

NGC website.

Test reports for patients are created by accessing which of the following options under the New menu of the patient's chart?

New Test Report to Pt

In the Patient Chart how would a user access an Order Template?

New>New Excuse/Note/Order>New Orders

Which of the following are used to rapidly populate the New OV window?

OV Templates

In which of the following locations will orders created become part of the office note and print on the routing slip for billing purposes?

Office Visit Note only

Which of the following allows a patient to make inquiries to their health-care provider?

PHRs

Where would a user save a message regarding a patient?

Patient Chart

Office visit notes contain valuable information that is useful to which of the following parties?

Patient and Physician

Which of the following qualifies for classification by Medicare as an eligible professional (EP)?

Podiatrist

Which error results in decreased reimbursement for providers?

Under-coding

What is one advanced method used to input data into an EHR?

Use a voice recognition system.

Which of the following indicates appointment intervals on the SpringCharts schedule?

a. 5 minutes. b. 10 minutes. Incorrect c. 15 minutes. d. Any of these. Feedback The correct answer is: Any of these.

Which of the following is true regarding the Meaningful Use core measures for Up-to-date Problem Lists?

a. The rule does not specify a standard that a physician must use in order to record a patient's diagnosis. b. A physician is allowed to report that a patient has no current diagnoses. c. The list can include diagnoses from other physicians. d. All of these Correct Feedback The correct answer is: All of these

With the use of EHR, how much can providers save with the elimination of transcription needs?

$300-$1000/month

Computers and practice management systems were used in independent medical offices for insurance claims and financial accounting during which decade?

1990s

With the adoption of an EHR program physicians are able to see how many more patients daily?

4 to 6

What percentage of private practice physicians are in the small- to medium-sized market group?

90%

What must each EHR user be assigned to identify and track the user's activity within the program?

A unique username

A prescription must be printed and manually signed if it is created in SpringCharts by which of the following individuals?

A user not set up as a provider

When an imported document is opened within the patient's chart, which of the following programs opens it?

All documents are opened in the original program.

In the E&M Coder Setup window users may define keywords for which of the following?

All of these

In what ways do EHR provide meaningful improvements with the use of e-prescribing?

All of these

What information is more available to doctors because of the inception of EHRs?

All of these

Which of the following are established and modified in the administration panel of SpringCharts?

All of these

Which of the following is a reason templates are incorporated in EHR programs?

All of these

Which of the following is stored under the Imaging category of the patient's Care Tree?

Assessment or examination notes

The file name of a document stored on the network appears in which color font in the import window?

Blue

If the Order Templates are used in the OV screen which of the following will automatically be added to the order form from the OV note?

Both diagnosis and ordered tests

In which EHR model is selected healthcare data transmitted to a centralized electronic record?

Distribution-based model

Why has Spring Medical Systems Inc. created multiple groups of templates?

For different medical specialties

From which menu can a user access the option to print a patient's history of diagnosis, prescriptions, or procedures?

From the Actions menu in the patient's chart.

In which of the following locations are all new documents created for a patient initiated?

From within the patient's chart

Clinics that have offices in more than one location usually operate from how many databases?

Just one database accessed via the Internet.

What is the cost trend associated with chart pull when hospitals utilize EHR technology?

Less expensive than paper chart pulls

Which of the following describes the manner in which a provider may overrule the E&M Coder recommendation?

Manually selecting the appropriate factor category and making necessary revisions.

How many physicians currently use SpringCharts software?

Over 1,000

Which of the following terms refers to physicians who dispense medications to their patients?

Point-of-care medication dispensing

To what do the 11073 standards refer?

The Medical Device Communication Standards

In which screen can the Patient Instructions be accessed?

The Office Visit screen.

How does SpringCharts alert the physician if there are any abnormalities in the test results?

The results will be highlighted in a color bar.

How many times can a user attempt to login with an incorrect password before the program closes?

The server administrator presets the number of attempts permitted.

The Drug Interactions and Allergy Checking icon is displayed as which button in the prescription text window?

Third

Which of the following buttons is available in the Orders window regardless of whether the form was created in the patient's chart or in the OV note screen?

[Add Pt Ins]

Which of the following would be documented in the Subjective section of the SOAP notes?

pain

What color is the panel in the Routing Slip window where superbill items are displayed?

Gray

Which of the following is a requirement for a healthcare provider to use an ASP?

High-speed internet

Which of the following would NOT be documented under the Plan in a SOAP note?

Pregnancy

What role does the [tab] key play within SpringCharts?

Pressing the [tab] key moves from field to field

Which of the following is not a reason SpringCharts was selected as a training tool?

Price

What steps should a user take to set up the E&M Coder feature in a network environment?

Select E&M Coder from the Administration menu of SpringCharts server.

How does a SpringCharts user access the New Patient window?

Select the New menu option in the main Practice View window.

Which of the following describes what will happen to a ToDo item with a red check?

The next time the user accesses the system, items with the red check will not be included in the list.

Which of the following is a reason why a patient could be seen in an office without an actual office visit note being created?

The patient could be seen by clinician for follow-up to complete a test.

Which of the following is a reason why information contained in the Problem List cannot be created with free text?

The problem list is also transmitted with e-prescriptions and EHR programs pull data from the problem list when creating Surveillance Reports.

Which of the following describes how a user creates information recorded in the Diagnosis history, Prescription History, and Procedure history?

The program automatically records the information once selected in the office visit screen.

What is the function of a time stamp?

To time stamp notes and other documents.

In Microsoft Windows environments, documents created in WordPad are automatically saved in which of the following file formats?

.rtf

Which of the following is not available in a paper chart environment?

: Automated drug interaction review

A user may select a procedure within the OV screen in which of the following ways?

All of these

If the clinic has previously created OV notes in digital format that were used prior to obtain an EHR program, how can the user implement them in the OV template?

Copy/Paste

Which of the following assist physicians with security risk analysis and address security deficiencies?

RECs

How many draw items may be added to each office visit note?

1

Which of the following allows users to attach documents to patient charts?

Import File Cabinet Document

What is the catalyst that created the need of electronic health records (EHRs)?

Improvement of patient medical care.

Which of the following is an example of a clerical tool used to streamline office communication and documentation?

Integrated patient tracking

Which of the following is the name of any blood test compound that is the subject of its own specific chemical analysis?

Lab Analyte

Which of the following advocates for uniform healthcare data sets for underrepresented populations?

NCVHS

In which of the following windows are user-defined, meaning that only the user who makes the modifications can view the changes?

To-Do List and Messages

Which menu in the OV screen provides access to features such as H&P, Calculators, Care Plan, and Patient Instructions?

Tools menu

In what way does the use of EHR affect the practice of transcription?

Transcription needs decrease because data entry at the point of care eliminated dictated records.