CEHRS Final Exam Study Guide

Which of the following processes was done electronically before EHRs existed and has not changed much since EHRs were created?

Scheduling

Which of the following is a patient safety event that the Joint Commission uses to guide changes in policy or procedures? - Therapeutic drug monitoring - Health information exchange - Sentinel event - Global RxPh

Sentinel event

The key to using summary lists for a wide variety of activities such as data analysis, identification of specific patient populations, and quality improvement is the application of:

Standards

The Assessment section of a SOAP note combines information from what two sections?

Subjective and Objective

Ensuring that e-PHI transmitted over a network will not be compromised is an example of what kind of HIPAA safeguard?

Technical safeguard

Information about where the data in the continuity of care record came from, external references, and signatures are included in which section of the CCR?

The CCR footer

An EHR will send an alert to the provider in which of the following situations?

The provider enters a prescription for a drug that is contraindicated because of another drug the patient is taking.

Which of the following is true of a hybrid patient record?

The record has some electronic and some paper components.

If documentation made in a patient's record is later found to be incorrect, what can be done to ensure the record contains no errors?

Correct the information with an addendum and archive the incorrect information

In which section of the patient chart are records of patient phone calls and letters housed?

Correspondence

Standard reference vocabularies can do all of the following EXCEPT:

Describe complex and unusual medical issues.

A pediatrician enters her patient's body temperature, 99.14°F, into a field called "Oral Temperature." What type of data is this?

Discrete data

What is used to ensure clarity and validity when records must be reviewed for continued care or legal purposes.

Documentation standards

Which of the following is part of the de-identification process, and should not be shared about a clinical trial participant?

E-mail address

What is the most efficient and secure method of transmitting a medication order from the provider to the pharmacy?

EDI

Which of the following EHR models is best for a large orthopedic medicine practice?

Either client-server model or SaaS

The process of getting claim information to the insurance company and the remittance advice back to the provider is handled by which of the following?

Electronic data interchange (EDI)

Which of the following is NOT a benefit of a personal health record?

Eliminates need to take vital signs at each appointment

A password on the tablet the physician uses to enter his exam notes is considered a technical safeguard under the HIPAA security rule. T/F?

False

A primary purpose of the medical record is research. T/F?

False

An encoder decreases the amount of time it takes for an insurance company to reimburse a claim. T/F?

False

Because a natural disaster often makes electronic data inaccessible, all medical offices should maintain complete paper records for each active patient. T/F?

False

Clinical and demographic data are the two types of data most often used by the front office

False

If you are using SaaS model EHR software, the patient data you input belongs to your EHR software vendor. T/F?

False

The Affordable Care Act of 2010 set the standard for documentation standards relating to research. T/F?

False

The CEHRS should not attempt to assist a patient with technical issues with a patient portal; the patient should be referred to a technical help desk. T/F?

False

Toolbars, tabs, and drop-down menus like those used on personal computers are generally not features of an EHR system. T/F?

False

When EHR systems were introduced, it was more costly to purchase a fully comprehensive EHR than to integrate a legacy practice management system into a custom EHR. T/F?

False

When it comes to HIPAA privacy requirements, federal law always trumps state law. T/F?

False

Which of the following information is NOT utilized in PQRS reporting to monitor quality of care and improve population health?

Missed appointment information

How does an EHR assist in submission of patient information to registries as required by government agencies?

Most EHR software can automatically abstract relevant information and securely send the reporting electronically to the appropriate government agency.

Which of the following documents is typically printed and handed to each patient, in addition to being available on the provider's website or patient portal?

Notice of Privacy Practices

Which of the following is NOT a patient-focused communication that should be documented in the patient's legal record?

Patient recommendation of a medical television drama

Which of the following is NOT part of the legal electronic health record?

Personal Health Record

Asking providers to use tablets or other mobile devices when they see patients in exam rooms is one way to change workflow to:

Preserve patient contact during the visit

What are health care information exchanges that operate in specific geographic regions?

RHIOs

Which of the following steps happen first?

clearinghouse transmits claims to third-party payers

How can EHR systems help increase patient communication and satisfaction?

patients can access their medical information and get appointment reminders by using the EHR's patient portal

Which of the following is an EHR communication capability that is not yet readily available?

secure text messaging

Which of the following does the Affordable Care Act aim to do?

Lower the uninsured rate by expanding public and private insurance coverage.

What is the name of the federal incentive program that combines the concepts of MU, PQRS, and VBPM?

MIPS

What application allows offices to correctly identify patients and connect different parts of the EHR?

MPI or EMPI

Which of the following is an option when selecting and customizing an EHR?

all of the other answers

What is one way to alleviate concerns about identify theft and privacy issues when introducing an EHR into a medical practice?

Conduct HITECH law training

A provider's office has received appropriate reimbursement from an insurance company as an in-network provider. What is the term for the amount that was received?

Contracted amount

Which of the following training topics is best to customize and convey in one-on-one training, rather than a group setting?

A new method of entering vital signs into the patient chart

The demographic information for each patient is housed in which of these main components of MOSS 3.0?

Administrative

What differentiates an electronic health record (EHR) from an electronic medical record (EMR)?

An EHR can be accessed by individuals across more than one health organization.

What are the four steps to a successful EHR Implementation?

Assess, Plan, Select, Implement

Patient summary lists should be evaluated for possible update:

At every encounter

What benefit does the TeleVox function of a comprehensive EHR provide?

Automated appointment confirmation

Which of the following entities does the HIPAA Privacy Rule NOT strictly apply to?

Automobile insurance

Where can providers send appropriate information for a continuity of care record so that it is compiled and ready to send when needed?

CCR repository

What feature of an EHR system allows physicians to access up-to-date clinical information that can help treat patients?

CDSS

Which EHR feature uses the HL7 interface to allow providers to request laboratory tests and order prescriptions?

CPOE

Typically, a claim is reviewed for accuracy by a separate business before it is submitted to an insurance company for payment. What is this business called?

Claims Clearinghouse

What is one way to ensure that patients are comfortable in a medical office?

Clearly explain office policies, and encourage questions.

Unique details about a patient's health care story are captured best using:

Free-text narrative

Allowing a little more time for appointments and letting patients know that you are transitioning to an EHR are good ways to prepare your patients during which step of the EHR implementation process?

Go-live day

What was one challenge with the Meaningful Use federal incentive program?

Goals that depended on patient interaction were not easily achievable

What is the name of the system that integrates most standard EHR vocabularies?

HL7

What coding system includes about 70,000 codes that specifically identify diagnoses?

ICD-10-CM

Which of the following is a code set used to identify signs, symptoms, and conditions that the patient has been diagnosed with?

ICD-10-CM

What format of electronic health record allows you to see a snapshot of the patient's history all on one screen?

Integrated

Why have medical practices been slow to adopt cloud storage as a way to store large amounts of data?

It presents security concerns

Which of the following is most suitable for the task of writing a lengthy narrative report? - iPhone - PDA - Laptop with keyboard - Touch-screen tablet

Laptop with keyboard

Which of the following is an example of a financial report that can be generated in the EHR?

List of unpaid claims

Which of the following would be included in a treatment plan?

Referral to a specialist

Which of the following is NOT a common cause of medication errors?

Translation from other languages

A secure health information exchange, such as the National Heath Information Network (NHIN), can be searched to find previous healthcare treatment records for a new patient. T/F?

True

A security risk analysis is a HIPAA Security Rule requirement for MIPS. T/F?

True

A state law giving patients greater privacy protection of PHI would be an exception to the general rule of federal preemption for contrary state laws, according to the HIPAA Privacy Rule. T/F?

True

Identifying and documenting common office workflows is the first step in the planning stage when implementing an EHR. T/F?

True

If a patient with private insurance does not fill out an Assignment of Benefits form, the amount that the insurance company reimburses the provider for the service will be sent to the patient. T/F?

True

Which of the following is a way to find participants for a clinical trial?

all of the other answers