EHR Final true/false
The privacy officer is always the office manager of the practice
FALSE
Unethical behaviors are always unlawful
FALSE
A lab result would be an example of IIHI
TRUE
The logical thought process that supports the development of a medical diagnosis through subjective and objective source data collection is called medical decision making
TRUE
The medical assistant is a frequent documenter of the patient record
TRUE
The personal health record may be stored in paper or electronic form
TRUE
The process of gathering data and turning it into information begins when a patient makes an appointment
TRUE
The receptionist usually provides the first impressions of the office
TRUE
Unlawful behavior is always unethical
TRUE
When a note is signed electronically, the provider is representing that everything within the note is correct
TRUE
Workers' compensation programs are not considered to be health plans under HIPAA
TRUE
You need only enter one patient account for access in all three modules, Front Office, Clinical Care, and Billing Modules
TRUE
A discharge summary is found in both the inpatient and outpatient record
FALSE
A medical office may charge for the copying of medical records Because the information belongs to the patient, the copies may not be withheld for any reason.
FALSE
A small office submitting its claims on paper to a clearinghouse that scans the claim into an electronic form is not a covered entity
FALSE
An established patient is one who has been seen by a member of the healthcare team within the last 4 years
FALSE
Because of HIPAA storage rules, EHR cloud space is not an allowable method of storage for inactive records
FALSE
Blue "Add" buttons are used throughout the SimChart for the Medical Office system to make changes to patient accounts
FALSE
Confidential and anonymous have the same meaning
FALSE
Copying the entire chart of a patient for a cardiovascular referral is in compliance with the minimum necessary standard of HIPAA
FALSE
Data is timely when all of the data related to the patient's visit has been recorded
FALSE
Doctors can not charge fees for telephone consults
FALSE
Drugs that are prescribed for use other than those approved by the FDA are illegal
FALSE
Employees are generally assigned the same privileges as the physician
FALSE
HIPAA does not allow email communication between the doctor and patient
FALSE
HIPAA focuses on protecting privacy and security concerns only
FALSE
Information that is documented in the electronic patient chart may be handwritten
FALSE
Introducing the electronic health record into the doctor's office will result in little to no employee resistance
FALSE
Maintaining patient records is optional for healthcare providers
FALSE
Medication reconciliation and medication list are the same
FALSE
One disadvantage of using EHR messages is that the person creating the message is unable to sign it
FALSE
PFSH means "present family status history"
FALSE
Patient Portals are not part of Meaningful Use incentive programs until Stage 3
FALSE
Patients use their Social Security numbers as a secondary identifier under HIPAA
FALSE
Personal Health Records have not increased the level of patient compliance with provider instruction
FALSE
Privacy and security are interchangeable terms
FALSE
Retention of records is maintained at the federal level
FALSE
Standardized data cannot be shared across health care organizations, government agencies, and medical benefits providers
FALSE
The "Other" appointment type is used to schedule holidays within the appointment book
FALSE
The PHR is a covered entity under HIPAA
FALSE
The SimChart for the Medical Office Appointment book may be viewed by day or week only
FALSE
The contents of the patient health record are standardized from office to office
FALSE
The health record is a paper tool for collecting and storing information about the healthcare services provided to a patient in a single healthcare facility
FALSE
The patient is the owner of the health record in its storage media
FALSE
The patient record is not a good source of patient education because the internet holds so much more information to use
FALSE
The patient states the back pain has lasted 2 weeks. This is an element of "timing" to be documented in the chief complaint record.
FALSE
A patient having drug testing performed is given an ID number instead of using his name: This is an example of anonymity
TRUE
Accessing information on the Internet has increased the need for HIPAA implementation
TRUE
CCHIT supports the adoption of electronic health records by physician's offices
TRUE
Data entry into the EHR using voice recognition, electronic sentence building, and structured data entry is electronic transcription
TRUE
Documentation of an active medication list is part of the core objectives under Meaningful Use programs
TRUE
Documenting the patient's check-in time can reveal areas for office improvement
TRUE
Dr Smith's office, a covered entity, transmits electronic claims for reimbursement.
TRUE
Dragon Naturally Speaking is a common speech recognition program used by doctor's offices
TRUE
Generating patient letters from the EHR is a common task of the front office assistant
TRUE
Good communication reduces the likelihood a patient will bring a lawsuit even when a medical error is made
TRUE
In order to submit an assignment for grading, the user must complete the Electronic Health Record case study and take the quiz
TRUE
It is common practice to mail a new patient the Health and History form prior to his/her first visit
TRUE
Medical assistants who are comfortable with technology are in great demand, often commanding higher salaries and landing positions in the most desirable practices
TRUE
Medical records were created for immigrants in Ellis Island to document communicable disease
TRUE
Mobile apps like ZocDoc and HealthTap are popular health applications designed to increase patient engagement in their health
TRUE
Once the user selects the type of correspondence, a patient search is done next to link to a patient record
TRUE
Patient data, such as blood sugar results from glucometers, may be downloaded into a personal health record
TRUE
Patients should be asked about allergy history at each encounter
TRUE
Patients with prior continuous health coverage cannot be denied due to preexisting conditions under HIPAA
TRUE
Personal Health Records can monitor drug interactions and usages
TRUE
Physicians may send lab orders directly to lab centers via the Personal Health Record
TRUE
Power outages, viruses, backup procedures, and computer freezes and crashes pose other safety and security concerns for medical offices using EHRs
TRUE
Progress notes are written by physicians and nurses
TRUE
ROS means "review of symptoms"
TRUE
Satellite technology, such as GPS can increase the interoperability of PHR systems
TRUE
SimChart for the Medical Office allows email exchange between the doctor's office and patient email accounts
TRUE
SimChart for the Medical Office allows the user to view the appointment book by exam room, provider, day, week or month
TRUE
The Blank Letter template in Patient Correspondence will allow the user to generate letters using unstructured data entry
TRUE
The EHR message templates are more efficient than traditional paper-based messages
TRUE
The PHR is owned by the patient
TRUE
The Patient Correspondence link allows the user to generate phone messages for prescription refills
TRUE
The UHDDS is a minimum set of data collected and reported by acute care facilities and includes date of birth and principal diagnosis
TRUE
The Vaccine Authorization is used to document any specific contraindication to having a immunization For example: high fever.
TRUE
The average patient encounter uses about 35 lines of transcription
TRUE
The electronic health record eliminates the need for the medical assistant to pull charts for appointments
TRUE
The implementation of an electronic health record increases patient satisfaction for the medical office
TRUE
The largest amount of time in maintaining the Personal health record is during the initial setup
TRUE
