Final Exam

95. An EHR specialist is reviewing a patient's medical record to find the relationship between the change sin medication dosage and their blood pressure values. Which of the following would be the most effective for the EHR specialist to generate to represent this data? a. Template b. Progress note c. Graph d. Flowchart

Flowchart

31. An EHR specialist should recognize that which of the following is considered an evidence-based source for patient health education materials? a. E-commerce websites b. Social media sites c. Personal blogs d. Government-based health agencies

Government-based health agencies

69. Which of the following actions facilities patient registration workflow in an outpatient setting? a. Asking the patient to make a list of current medications b. Obtaining a copy of the patient's insurance card c. Instructing the patient to provide a detailed history of past hospitalizations d. Entering the diagnosis codes on the claim form

Obtaining a copy of the patient's insurance card

58. Which of the following is a unique number assigned to patients that is generated by the EHR? a. Social security number b. Medicare subscriber number c. Insurance identification number d. medical record number

medical record number

93. A provider entering a medication prescription states to the EHR specialist, "I wish there was a quicker way to electronically enter my patient's mediations. They're the same one over and over!" Which of the following statements should the EHR specialist make? a. It is best to enter the prescription in full each time to avoid any medication errors b. A pharmacist can assist in making the mediation prescribing task more efficient c. It would be easier to copy the mediation prescription from another patient's record d. the EHR can store a list of prescriptions that providers frequently prescribe

the EHR can store a list of prescriptions that providers frequently prescribe

78. A patient who is taking an anti-hypertensive medication was counseled by the provider about managing their blood pressure. After the visit, the patient asks the EHR specialist, "How can I track by blood pressure, so I know it's being managed well?" Which of the following statements should the EHR specialist make? a. "Read the pamphlets you received on your last visit/" b. "We can print a graph to show what your readings are at every visit." c. "Log on to the patient portal to read about the medication" d. "Your medication seems to be effective so far".

"Log on to the patient portal to read about the medication"

77. An EHR specialist is teaching a new billing specialist about the EHR system. The biller asks, "How is a patient's eligibility verified?" Which of the following statements should the EHR specialist make? a. "Ask the patient to call the insurance company to verify eligibility" b. "A patient's insurance eligibility does not need to be verified prior to a patient appointment" c. "The front desk staff verifies eligibility for patients before every appointment d. "Acquire a copy of the patient's medical insurance card

"The front desk staff verifies eligibility for patients before every appointment

76. A nurse is documenting a patient's response to a 4-mg dose of morphine sulfate. Which of the following indicates how this medication and dosage should be documented in the note? a. 4 mg MS b. 4.0 mg MSO4 c. 4.0 mg morphine sulphate d. 4 mg morphine sulphate

4 mg morphine sulphate

33. Which of the following administrative safeguards supports professional standards of care as it pertains to restricting access to patient health records? a. Workforce security b. Workstation security c. Access control d. Audit controls

Access control

56. An EHR specialist is observing a provider completing documentation for a patient in the EHR. Which of the following is an example of unstructured data? a. A selection made from a drop-down menu b. An ICD-10-CM code selected from a list of options c. A free-test description of a patient's condition d. A check box selection from a digital form

A free-test description of a patient's condition

63. Which of the following information is included in an EHR scheduling report? a. A provider's vacation days b. Clinic nurses' personal appointments c. Medical assistants' vacation days d. The facility manager's appointments with a vendor

A provider's vacation days

66. According to the American Hospital Association (AHA) policy, which of the following statements is true regarding the use of abbreviations and acronyms when documenting clinical information? a. Abbreviations can be used when documenting the patient's final diagnosis. b. Avoid using abbreviations in the patient's discharge summary c. Providers can use acronyms for surgical terms when dictating operative notes d. Using acronyms to describe findings in hospital history and physical (H&P) documentation is unacceptable?

Abbreviations can be used when documenting the patient's final diagnosis.

3. An EHR specialist is reviewing documentation for a patient who left an inpatient facility without treatment prior to discharge. Which of the following notations should the EHR specialist expect to find in the patient's record? a. Discharge disposition b. Follow-up consultation c. Against medical advice d. Expired

Against medical advice

89. An EHR specialist is assisting an institution in developing a patient portal site. Which of the following objective should the site meet to comply with the Health Information Technology for Economic and Clinical Health (HITECH) Act? a. Allow patients to make changes to a provider's notes b. Allow patients to access health education material c. Allow patients to communicate with other patients who have the same diagnosis d. Allow patients to access psychotherapy notes

Allow patients to access health education material

43. A provider examines a patient and observes a 3-cm (1.2 -in) lesion on the patient left forearm. In which of the following sections of a SOAP note should the EHR specialist find this documentation? a. Plan b. Assessment c. Objective d. Subjective

Assessment

55. An EHR specialist is reviewing a flow sheet entry for the previous day within a patient's record that reads: blood pressure 97/66 mm Hg, pulse 72/min, respiratory rate 12/min, weight 73.48 kg (162 lb). The EHR specialist should identify that which of the following entries documented in the record for today indicates a potential data discrepancy? a. Pulse 88/min b. Respiratory rate 20/min c. Weight 59.87 kg (132 lb) d. Blood pressure 100/58 mm Hg

Blood pressure 100/58 mm Hg

51. Which of the following codes can be used to report the facility's portion of inpatient surgical procedures and services rendered? a. ICD-10-CM b. CPT c. DSM-5 d. IcD-10-PCS

CPT

83. An EHR specialist is preparing to scan a fax image from a radiology clinic into a patient's record. The EHR specialist notes that the patient's name is spelled differently on the fax than on the record. Which of the following actions should the EHR specialist take? a. Correct the spelling of the patient's name before scanning the document b. Scan the document into the EHR as it is c. Contact the patient to confirm the date of service d. Call the radiology clinic to reconcile records

Call the radiology clinic to reconcile records

87. An EHR specialist is scanning images into the EHR. Each image is assigned keywords and associated with fields. This process is known as which of the following? a. Indexing b. Cataloging c. Utilization d. Coding

Cataloging

46. A 25 year old patient arrives at the emergency department and reports difficulty breathing and chest pain. The patient's vital signs show a temperature of 38.3 C (101 F), heart rate 90/min, labored respirations 30/min, and blood pressure 140/80 mm Hg. The patient states, "This has been going on for the past 3 days." Which of the following patient findings should be documented as subjective? a. BP 140.80 mm HG b. Respirations are labored c. Chest Pain d. 25 years of age

Chest Pain

71. In which of the following EHR areas would an EHR specialist look to find the definitive diagnosis for a patient who is scheduled for a bilateral mastectomy? a. Laboratory results b. Clinical decision support system (CDSS) c. SOAP note d. Medication list

Clinical decision support system (CDSS)

72. A provider is entering data into a patient's EHR. Which of the following EHR functions can assist the provider with determining the patient's diagnosis? a. Clinical decision support system (CDSS) b. Computerized provider order entry system (CPOE) c. Syndromic surveillance d. Patient support

Clinical decision support system (CDSS)

90. Which of the following is a reporting process that includes patient data such as cholesterol levels, smoking habits, and BMI? a. Clinical quality measures (CQM) b. Clinical documentation support system (CDSS) c. Clinical documentation improvement (CDI) d. Computerized provider order entry (CPOE)

Clinical documentation support system (CDSS)

45. Which of the following is a structured progress note providers use to document patient encounters in an EHR system? a. Consent to treatment b. Clinical template c. Advance Beneficiary Notice (ABN) d. Advance directives

Clinical template

62. A compliance team is developing a process for ensuring that daily payments received are accurately reflected in patient accounts. Which of the following is the best method for conducting this review? a. Perform billing audits for each provider b. Compare the day sheet to daily deposit reports c. Review daily charge entries d. Review the explanation of benefits (EOB0 for each paid claim

Compare the day sheet to daily deposit reports

14. A provider wants to order a radiology exam for a patient who has been in a motor-vehicle crash. An EHR specialist should expect the provider to use which of the following features of the EHR? a. HIPAA eligibility transaction system (HETS) b. Clinical decision support system (CDSS) c. Clinical data repository (CDR) d. Computerized provider order entry (CPOE)

Computerized provider order entry (CPOE)

8. Which of the following tools in an EHR allows a provider to quickly document commonly used data during an office visit? a. Clinical decision support system (CDSS) b. A template c. A formulary d. Computerized provider order entry (CPOE)

Computerized provider order entry (CPOE)

70. a gynecologist's office requested approval for a patient to consult a dermatologist 5 days ago. The patient has attempted to schedule the appointment, but the dermatologist has not received approval from the insurance carrier. Which of the following actions should the gynecologist's administrative staff take next? a. Contact the patient's primary care provider b. Request a documentation letter from the gynecologist c. Contact the insurance carrier's medical staff d. Resubmit the authorization request

Contact the patient's primary care provider

86. Which of the following statements by an EHR specialist is accurate regarding the implementation specification of the Business Associate Contracts and Other Arrangements standard? a. Business associates should have backup procedures in place to ensure the security of electronic protected health information b. Covered entities should safeguard electronic protected health information when operating in emergency mode during the power outage. c. Covered entities should have a written agreement with business associates to ensure the security of electronic protected health information d. Business associates should routinely analyze software applications to determine how important each is to securing electronic protected health information

Covered entities should have a written agreement with business associates to ensure the security of electronic protected health information

54. Evaluation and management codes allow providers to bill for outpatient office visits. An EHR specialist should identify that these codes are referenced in which of the following codebooks? a. Healthcare Common Procedure Codes (HCPCS) b. ICD-10-CM c. ICF-10-PCS d. Current Procedural Terminology (CPT)

Current Procedural Terminology (CPT)

7. An EHR specialist is asked to create a report to determine trends of the occurrence of seasonal influenza within a health care organization. This process is known as which of the following? a. Production by provider b. DSM-5 coding c. Clinical results reporting d. Data mining

Data mining

60. An EHR specialist is preparing to enter information into a patient record. The EHR specialist was given the name of the patient. Which of the following additional protected health information should the EHR specialist use to confirm the identity of the patient prior to documenting care? a. The patient's address b. Patient's insurance ID number c. Advance directives d. Date of birth

Date of birth

111. The allowable amount assigned by Medicare for a service was $100. The remittance advise notified the facility that $80 was reimbursed by Medicare. An EHR specialist should know that the remaining $20 will be billed to the patient and is considered which of the following? a. Coinsurance b. Copayment c. Deductible d. Annual Limit

Deductible

39. Which of the following is an accurate statement about payments collected for health care services rendered by a participating provider or facility? a. The allowed amount is collected in part from both the patient and the third-party payer. b. The billed amount must be collected at the time of service from patient. c. The difference between the billed amount and the allowed amount is the patient's responsibility. d. Deductible amounts are deferred if the patient receives care from a participating provider.

Deductible amounts are deferred if the patient receives care from a participating provider.

20. An EHR specialist is entering information into a patient's record. Into which of the following areas should the EHR specialist record the patient's primary language? a. Assignment of benefits b. Progress note c. Legal data d. Demographic

Demographic

5. An EHR specialist is recording data for a patient's visit in the EHR. Which of the following information needs to be entered into the patient's record for an ICD-10-CM code to be assigned? a. Procedures performed b. Diagnosis c. Demographic information d. Guarantor

Diagnosis

61. Which of the following is a classification that categorizes associated conditions together for reimbursement purposes? a. Diagnosis related grouping (DRG) b. Clinical decisions support system (CDSS) c. Transition of care (TOC) d. Clinical quality measures (CQMs)

Diagnosis related grouping (DRG)

37. An EHR specialist is entering data into the EHR. The EHR specialist should identify that which of the following types of information requires interpretation by a health care professional? a. Coded data b. Fielded data c. Digital image d. Text

Digital image

4. A provider is documenting in a patient's medical record when the power goes out. Which of the following elements of a contingency plan gives the provider information about how to continue securely documenting in the record during the outage? a. Data backup plan b. Disaster recovery plan c. Emergency mode operation plan d. Application and data critically analysis

Disaster recovery plan

110. A patient asks an EHR specialist to put protected health information (PHI) on an external storage device to take to another provider. According to the HIPAA Security Rule, which of the following actions should the EHR specialist take? a. Ensure the informant on the external storage device is protected by encrypting the device b. Use the patient's external storage device c. Unencrypt the information on the external storage device before giving it to the patient d. Tell the patient that PHI cannot be stored on external devices

Ensure the informant on the external storage device is protected by encrypting the device

84. Which of the following aspects of EHRs can help to decrease the number of deaths caused by medical errors? a. Ensuring that the records are sent to the correct department b. Ensuring the health care provider always has the correct patient's medical record c. Ensuring that notes created by a provider are legible d. Ensuring that a laboratory specimen is never mislabeled

Ensuring the health care provider always has the correct patient's medical record

113. An EHR specialist is instructing a patient about how to access patient education materials in the EHR. Which of the following statements by the patient indicates an understanding? a. I can access the information from a social media website b. I can find the information in the pamphlets provided in the waiting room c. I can sign in the patient portal online d. I can relocate the information by using an online search engine

I can sign in the patient portal online

119. An EHR specialist is assisting with creating a workflow analysis for the implementation of new EHR updates. Which of the following is a desired outcome of a workflow analysis? a. Identifying insufficiencies b. Assigning a project manager c. Setting goals d. Establishing a steering committee

Identifying insufficiencies

12. An EHR specialist should record that a patient received a measles, and rubella (MMR) vaccine in which of the following sections of the record? a. Immunizations b. Family history c. vital signs d. Social history

Immunizations

11. An EHR specialist is assisting with training an insurance billing specialist on how to navigate the EHR to produce patient statements. Which of the following statements best describes the default behavior of the itemized patient statement in the EHR? a. Includes items scrubbed for claim submission b. Includes how many claims were received c. Includes the batch claim date d. Includes the date the insurance claim was filed

Includes items scrubbed for claim submission

85. A facility's clinical decision support system (CDSS) was recently updated. An EHR specialist should identify that which of the following is an advantage of the CDSS regarding provider workflow? a. Increased cost to maintain the system b. Decreased need for unnecessary diagnostic tests c. Decreased need for entering data d. Increased reliance on computer technology

Increased reliance on computer technology

81. An EHR specialist works in a facility that is participating in a research study using de-identified information about immunizations administered to patients at the facility. When preparing to transmit the information to a partner facility in the study, the EHR specialist should recognize this information is which of the following types of data? a. Internal primary b. Internal Secondary c. External primary d. External secondary

Internal Secondary

79. Which of the following allows for external provider systems to communicate patient demographic and registration information with EHR systems? a. LOINC b. HL7 c. DICOM d. NCPDP

LOINC

47. To which of the following locations in a patient's record should an EHR specialist navigate to retrieve information about the reference range for a CBC test? a. Laboratory order b. Radiology report c. Laboratory results d. Problem list

Laboratory results

101. A clinic's staff wishes to have patients arrive at planned intervals in the first half hour of every hour throughout the day, allowing the provider to see any remaining patients throughout the second half hour. Which of the following scheduling methods should the EHR specialist advise the staff to use? a. Open hours scheduling b. Modified wave scheduling c. Cluster scheduling d. Time-specified scheduling

Modified wave scheduling

59. An EHR specialist notes data discrepancies in patient information received from another health care facility's EHR system. Which of the following actions should the EHR specialist take? a. Delete the entry from the patient's EHR. b. Change the data discrepancies in the EHR c. Move the documentation to a separate, retrievable electronic file d. Request the information technology team delete the data discrepancy

Move the documentation to a separate, retrievable electronic file

35. An EHR specialist is working with staff to develop a template to record provider's examinations, which include assessment of the pupillary reaction and status of the sclera and conjunctiva. The EHR specialist should expect the provider to need which of the following types of templates? a. Audiology b. Dermatology c. Ophthalmology d. Gastroenterology

Ophthalmology

120. An established patient is seen by the provider for shortness of breath. The provider documents that the patient has had previous heart surgery, is a current tobacco user, and records the age of parent's death from cardiac arrest. In which of the following sections of the EHR should the provider document this information? a. Physical examination b. Review of systems c. Past/Family/Social history d. History of present illness

Past/Family/Social history

6. An EHR specialist is generating a report to determine the need for a smoking cessation class. Which of the following clinical data should be used to compile a report about the number of patients who currently use tobacco? a. Assessment b. Past/Family/social history c. Medical decision making d. Physical exam

Past/Family/social history

57. Which of the following data is commonly listed on the admission face sheet? a. Patient demographics b. Authorization for release of information c. SOAP notes d. Laboratory results

Patient demographics

52. An EHR specialist is documenting a patient's information in the demographic section of the patient's record. Which of the following information should the EHR specialist include? a. Patient's blood type b. Patient's vital signs c. Patient's diagnosis code d. Patient's ethnicity

Patient's ethnicity

97. An EHR specialist has just finished training a newly licensed nurse on the EHR system. Which of the following statements by the nurse indicates an understanding about how to help a patient access information about a recently diagnosed condition? a. Patients can find information online. There are many websites that include medical information. b. The patient should call the CDC to get more information about their condition c. Patients can review blogs written by other patients who have the same condition d. Patients can find helpful information about a condition by accessing the patient portal

Patients can find helpful information about a condition by accessing the patient portal

68. An EHR specialist should identify that which of the following phases of surgical documentation includes data about the size of a patient's surgical incision? a. Preoperative b. Intraoperative c. Postoperative d. Anesthesia

Postoperative

118. An EHR specialist should identify that which of the following processes should be completed prior to a surgical procedure to calculate a patient's estimated cost? a. Preregistration b. Preauthorization c. Predetermination d. Assignment of benefits

Predetermination

38. A health care provider plans to order a barium enema every 4 hours for a patient who has Medicare coverage. Which of the following should the EHR specialist use to let the patient know that Medicare may not pay for the procedure and they may be responsible for the charges? a. Prepayment screen b. Remittance advice (RA) c. Advanced beneficiary notice (ABN) d. Summary notice

Prepayment screen

65. A provider asks an EHR specialist to run a report of the number of hysterectomies that were performed last quarter. Which of the following reports should the EHR specialist run? a. Production by procedure report b. Day sheet c. Production by insurance report d. patient ledger

Production by procedure report

36. Which of the following information should an EHR specialist obtain from an established patient who is checking in for an appointment? a. Release of information b. Patient portal access code c. Proof of identity d. The patient's medical history

Proof of identity

75. A group of coders are performing basic coding and suddenly are unable to submit claims electronically for a period of time. How would an EHR specialist assist the staff to perform billing during downtime? a. Provide the staff with paper claim forms b. Tell the staff to wait for the system to recover c. Educated the staff about how downtime can be prevented d. Instruct the staff to find a disk to back up data

Provide the staff with paper claim forms

123. Which of the following staff members in the patient workflow model is responsible for selecting procedure and diagnosis codes on the encounter form? a. Certified EHR specialist b. Providers c. Coding and billing specialist d. Receptionist

Providers

80. An EHR specialist should identify that which of the following billing practices decreases the number of uncollectible accounts? a. Providing the patient with an explanation of benefits (EOB) form at the time of service b. Providing the patient with a financial statement at the time of service c. Providing the patient with an encounter form at the time of service d. Providing the patient with jCMS-1500 form at the time of service

Providing the patient with an encounter form at the time of service

82. An EHR specialist is assisting a patient who has a high incidence of missing scheduled appointments. Which of the following actions should the EHR specialist take? a. Recommend the patient set up reminder preferences in the patient portal b. Provide the patient's guarantor with upcoming appointments dates so they can remind the patient. c. Cancel the patient's upcoming appointments d. Double-book the patient's future appointment times

Recommend the patient set up reminder preferences in the patient portal

32. Which of the following is an example of a performance improvement measure? a. Reduction in the average number of days spent by patients in the critical care unit. b. Reduction in the number of surgical staff c. Number of patients that were admitted to the step-down unit d. Reduction in the number of days it takes to bill a procedure

Reduction in the number of days it takes to bill a procedure

50. An EHR specialist is assisting with assigning privileges for use of the EHR system. Which of the following individuals can be granted access to submit electronic prescriptions? a. Pharmacist b. Registered nurse c. Nurse practitioner d. Pharmacy technician

Registered nurse

53. A compliance team finds that providers in their organization are using a variety of different acronyms and abbreviations in the documentation of similar outpatient visits and procedures. Which of the following methods is best for resolving this problem? a. Allow additional time during chart audits for resolving discrepancies b. Require providers to submit a list outlining their preferred abbreviations c. Create a standardized list of abbreviations for the organization d. Phase out the use of abbreviations in the EHR

Require providers to submit a list outlining their preferred abbreviations

34. A provider documents a patient's diagnosis in the EHR. To which of the following locations in the medical record should an EHR specialist navigate to find this information? a. Superbill b. Review of systems c. Patient demographics d. Third-party payer

Review of systems

91. An EHR specialist should identify that which of the following devices is best to electronically transmit paper records to an EHR? a. Scanner b. Fax machine c. Mobile device d. Camera

Scanner

44. A patient calls to make an appointment for a possible sinus infection. An EHR specialist notes that the patient has not had an appointment at the practice in 4 years. Which of the following actions should the EHR specialist take? a. Refer the patient to a specialist for the sinus infection b. Schedule the patient for an established patient appointment c. Tell the patient to follow up with the emergency department d. Schedule the patient for a new patient appointment

Schedule the patient for an established patient appointment

73. The payer mix at a health care organization is 60% Medicare, 14% Medicaid, and 26% private third-party payers. Which of the following is the most important action the compliance officer should take to prepare the team for a quarterly retrospective chart audit? a. Review the Joint Commission's guidelines for acceptable abbreviations b. Assemble current bulletins from the practice's contracted insurance carriers c. Select at least 50 charts to be audited. d. Compare encounter forms with documentation on specific dates of service

Select at least 50 charts to be audited.

9. An EHR specialist is reviewing a patient's EHR and needs clarification on the patient's diagnosis. Which of the following actions should the EHR specialist take? a. Contact the patient to confirm the diagnosis. b. Submit a provider query c. Perform an internal audit d. Code based on the existing information

Submit a provider query

48. An EHR specialist is working with an outside vender to review patient records for completion. Which of the following is the type of safeguard that ensures the outside vendor will remain compliant with HIPAA security rules? a. Administrative b. Physical c. Technical d. Organizational

Technical

121. Which of the following should the EHR specialist identify as the most effective dun message on a monthly statement? a. Payment due. No future appointments can be scheduled until the payment is made b. Payment needed now. No further credit will be extended c. No payment yet; send your payment by return mail. d. The bill is now 30 days past due. Please remit payment

The bill is now 30 days past due. Please remit payment

13. An encounter form contains several pieces of information regarding a patient's visit to the provider's office, including the patient demographics. What other information is included on an encounter form? a. The patient's past hospitalizations b. The patient's family history c. The patient's allergies d. The current diagnosis

The current diagnosis

67. Which of the following must an EHR specialist include when adding a patient to the facility's patient directory? a. The patient's reason for admission b. The patient's room number c. The patient's date of birth d. The patient's provider

The patient's room number

74. Which of the following information should the EHR specialist enter into the guarantor section of the record of a 10 year old patient who is covered by a private third-party payer? a. The name of the patient who is receiving the health care services b. The beneficiary who is entitled to receive benefits from the plan c. The person responsible for paying charges not covered by the third-party payer d. The name of the policy holder listed on the health insurance card

The person responsible for paying charges not covered by the third-party payer

88. An EHR specialist is advising a provider about entering information about an annotated drawing of a patient's breast mass that will be used to guide ultrasounds scanning of the area. Which of the following information should be included to complete documentation for the drawing in the patient's record? a. The date and time of the patient's scheduled follow-up visit b. A narrative description of the provider's findings on the encounter note c. A list of the patient's current medications d. The referral to the radiologist who will read the ultrasound

The referral to the radiologist who will read the ultrasound

49. An EHR specialist must comply with the requirement of the EHR incentive program. Which of the following parts of a certified EHR system helps to improve patient and family engagement? a. Immunization registries b. Reportable laboratory results c. Syndromic surveillance d. Timely access to the health information

Timely access to the health information

64. An EHR specialist is compiling information about instances of communicable disease in the community. The EHR specialist should recognize that which of the following is the purpose of providing this information for syndromic surveillance? a. To adjust charges of facility services b. To obtain reimbursement from third-party payers c. To compare facility performance against national averages d. To improve awareness of public health trends

To improve awareness of public health trends

42. An EHR specialist is a member of the facility's auding team observing staff activity. Which of the following actions by a staff member should the EHR specialist identify as representing a potential risk to the security of electronic protected health information? a. Logging out when leaving the workstation b. Turning off the screen when leaving the workstation c. Changing the password of the workstation d. Entering user identification when looing on to the workstation

Turning off the screen when leaving the workstation

28. An EHR specialist is reviewing electronic prescriptions that were entered into a patient's record. The EHR specialist should recognize that which of the following abbreviations is included in The Joint Commission's "Do not Use" list? a. U for "unit" (List U for unit, IU, Q.D., Q.O.D, X.o, MS or MSO4, MgSO4 on the Don't use list) b. IM for "intramuscular" c. PO for "by mouth" d. PRN for "as needed"

U for "unit" (List U for unit, IU, Q.D., Q.O.D, X.o, MS or MSO4, MgSO4 on the Don't use list)

40. An EHR specialist is assisting with training staff about an update to the EHR software that will alter the method of managing orders. After the training, which of the following actions should the EHR specialist take to prompt the staff to implement the new change? a. Instruct the staff members to remind each other of the change b. Use the messaging function to remind staff to make the change and request a return message when completed. c. Place reminders of the change on bulletin boards in the staff lounges d. Give the staff an assessment to evaluate their knowledge of the change.

Use the messaging function to remind staff to make the change and request a return message when completed.

92. A provider asks an EHR specialist about the advantages of using cloned progress note sin their documentation. Which of the following statements should the EHR specialist make? a. Using cloned progress notes save times during office visits b. Cloned progress notes can be used as-is and do not require modification c. Auditors prefer EHRs that use cloned progress notes d. Using a cloned progress note allows you to bill for a higher level of office visit

Using cloned progress notes save times during office visits

41. Which of the following scenarios is considered a prospective review? a. A pre-billing review verifying that encounter forms match the patients on the day sheet. b. a review to verify complete documentation of a record before an established patient is referred to a specialist c. A third-party payer investigating suspected fraud or abuse. d. A review to ensure that accurate payment was received for all hip arthroplasties done in the previous calendar year.

a review to verify complete documentation of a record before an established patient is referred to a specialist