EHR Final true/false

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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


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