Integrated Electronic Health Records Chapters 1 & 2

62 test answers

Unlock all answers in this set

Unlock answers 62
question
Selecting software that communicates with other software prevents
answer
duplication of entries and also cuts down on errors, since the data is only entered one time.
question
Of the following, which is not an application of an EHR system? A. capture of past social history B. capture of medication allergies C. capture of insurance policy number D. ability to send a prescription electronically
answer
capture of insurance policy number
question
Dr. Evans' office has computerized the following functions: appointment scheduling, charge capture, collections, and reporting. These are all found in which type of software
answer
practice management
question
Christine Simmons arrived for her appointment with Dr. Shumaker 20 minutes ago. The healthcare professional has just left the room after taking Christine's vital signs and medical history. What will be the next step in Christine's flow through the overall process?
answer
care provider
question
Jesse Lopez is a healthcare professional at Green Springs Internal Medicine. He has just finished submitting claims to Blue Shield for patients seen yesterday. Jesse was performing what type of function?
answer
administrative
Unlock the answer
question
You are a registrar in the admitting office of a hospital; a patient presents to register for an outpatient laboratory test. What will you first access to determine if that patient has ever been seen at that hospital before, or whether you must register him for the first time?
answer
master patient (person) index
Unlock the answer
question
Physicians' practices sometimes use a service to check for errors on claim forms prior to submitting a claim to the insurance company. The service that processes insurance claims is a
answer
clearinghouse
Unlock the answer
question
Roberta is a healthcare professional at Dr. Ingram's office. She has a patient on the phone who wants to make an appointment with Dr. Ingram. What will Roberta take into consideration when looking for an open appointment time?
answer
the reason for the patient's visit
Unlock the answer
question
Pieces of data which identify a patient and include such items as name, address, and date of birth are considered what types of data?
answer
demographic
Unlock the answer
question
\"Which of the following is not a type of medical insurance? A. Medicare B. Tricare C. Self-pay from patient D. Workers' Compensation
answer
Self-pay from patient
Unlock the answer
question
The documentation of a patient's office visit is often referred to as a/an:
answer
Progress note
Unlock the answer
question
Though the costs of implementation will be high, which record-keeping costs will be less as a result of implementing an electronic health record?
answer
cost of folders and clips to file each record
Unlock the answer
question
Of the following, which contributes to the high cost of electronic health records for the software service provider?
answer
research and development costs
Unlock the answer
question
Which of the following statements accurately describes duplicate patient registration entries in an electronic health record system?
answer
duplicate patient registrations can occur if the patient's name was misspelled or the patient was previously registered under a different name
Unlock the answer
question
Which of the following EHR applications may be more beneficial and efficient for the patient?
answer
ePrescribing
Unlock the answer
question
What must a care provider do before he/she will see the benefits of an EHR in relation to time spent documenting each patient's visit?
answer
devote time to learning the new system
Unlock the answer
question
Research has shown what, in relation to the use of an EHR?
answer
there has been decrease in medical errors through use of EHR software
Unlock the answer
question
Which of the following is not clinical information?
answer
age
Unlock the answer
question
A care provider is dictating a progress note into speech recognition while the patient is being seen. This dictation is occurring:
answer
at the point of care
Unlock the answer
question
During the history of present illness, the healthcare professional asks Ron Albertson for his preferred pharmacy. The healthcare professional then enters the information into PrimeSUITE. After the care provider has examined and diagnosed Mr. Albertson, he prescribes Amoxicillin and electronically sends the prescription to Mr. Albertson's chosen pharmacy without having to enter any additional information into the ePrescribe module. This is an example of:
answer
interoperability
Unlock the answer
question
The first step of the information chain in an electronic system is:
answer
Patient makes the appointment
Unlock the answer
question
Posting patient charges occurs during which step(s) of the process in an office setting?
answer
check-out desk
Unlock the answer
question
You are a healthcare professional at Greensburg Medical Center and you have just shown a patient, Mrs. Clark, to the check-out desk, where the billing coordinator had just taken the encounter form (superbill) for the visit. Dr. Daniels came to the window and stated that Mrs. Clark left the exam room before receiving her flu shot. What will occur in this case?
answer
Mrs. Clark will be taken back to the exam room, will be given the shot by the healthcare professional, who will document it in Mrs. Clark's record, and will update the encounter form to reflect the charges for the flu shot, at which point Mrs. Clark will return to the check-out desk
Unlock the answer
question
Of the following, which does not need to be sent to an insurance company on the CMS-1500 claim form?
answer
History of present illness
Unlock the answer
question
The steps listed below are carried out by which staff during an office visit? Patient Arrives for visit > Update Patient Information > Check In and Collect Co-pay > Start Patient Tracking
answer
Registration/Front-desk
Unlock the answer
question
Joyce Burke is a healthcare professional working at Greenway Medical. She is responsible for compiling insurance claims and checking them for completion. Which area of the office does Joyce work in?
answer
Business Office
Unlock the answer
question
Memorial Hospital is in the process of researching a new facility-wide electronic health record system. The ___________________ would be responsible for assessing the budgeting process, funding, and for monitoring the monetary aspects of the project.
answer
chief financial officer
Unlock the answer
question
Roberta has an associate degree and holds RMA certification. She mainly performs administrative duties such as appointment scheduling, registering patients, and maintenance of health records in a large physician's practice. She occasionally performs clinical duties as well, as needed. Roberta is a/an:
answer
medical assistant
Unlock the answer
question
In a hospital setting, the management and much of the staff of the department responsible for entering, maintaining, and retrieving data from health records, are often certified through and members of which professional organization?
answer
American Health Information Management Association (AHIMA)
Unlock the answer
question
Which of the following requires completion of a competency exam, but does not result in certification?
answer
Practice Workflow & Information Management Redesign Specialist
Unlock the answer
question
The health information manager and the ___________________ work closely to ensure a fully operational, secure electronic health record that meets the needs of all users within the facility?
answer
Information Technology Manager/Officer
Unlock the answer
question
Robert Fitzsimmons is an administrator with the local hospital. His responsibilities include the maintenance and security of all of the automated systems that affect individual departments as well as the electronic health record. Mr. Fitzsimmons is a/an:
answer
health systems administrator
Unlock the answer
question
The staff of the ___________________ will need to enter, maintain, and retrieve data from electronic health records within a hospital setting.
answer
health information department
Unlock the answer
question
Until recent years, Registered Health Information Technicians, Registered Health Information Administrators, and Certified Health Data Analysts typically worked in which type of facility?
answer
hospitals
Unlock the answer
question
Which of the following is not a professional organization related to the fields of health information, medical assisting, or allied health?
answer
American Hospital Association
Unlock the answer
question
Philip is a medical assistant who has been working for a medical practice with two physicians and one physician's assistant for three years. He recently applied for a supervisory position within the office, but was overlooked for the position. He is anxious to take his knowledge and experience to the next level, but never took a certifying exam, and to this point has not taken advantage of continuing education opportunities. What is the best strategy for Philip to strengthen his chances of promotion in the future?
answer
begin studying for one of the medical assisting certifying exam and schedule a date to take it
Unlock the answer
question
A ______________________ professional would most likely hold one of the following positions: cancer registrar, privacy officer, software analyst, compliance officer.
answer
Registered Health Information Administrator (RHIA)
Unlock the answer
question
In a physician's practice, ________________ may be the title of the person who is responsible for the overall administrative management of the practice.
answer
Office Administrator
Unlock the answer
question
An x-ray of the ankle was performed on Daniel Way on December 16. Dr. Eberly interpreted the x-ray and dictated his impression, which then became part of the hospital's electronic health record. This impression is ________________________ data.
answer
unstructured
Unlock the answer
question
Dr. Henderson wrote a progress note in the emergency room note of Lisa Ford. This is an example of _________________ data.
answer
unstructured
Unlock the answer
question
The progress note of Amy Shaw states that she is a 51-year-old female who has a history of lower back pain following a fall off a ladder in 2007. She has been taking ibuprofen on a daily basis with no relief. The pain is so bad that on occasion she needs to miss work. Based on her history and the results of the physician's physical exam, his treatment plan is naproxen sodium daily and an order for physical therapy to include TENS treatments with follow-up visit scheduled in four weeks. This is an example of a patient's health _______________________.
answer
information
Unlock the answer
question
The date of birth on a patient's record is ___________________ data.
answer
structured
Unlock the answer
question
A zip code would be an example of _______________ data.
answer
structured
Unlock the answer
question
A record that contains a person's health history, allergies, current complaints, past medical and surgical history, and a listing of current medications, but is not considered a legal health record is a/an:
answer
personal health record
Unlock the answer
question
Typically, paper health records are maintained how?
answer
filed in folders in numeric or alphabetic order
Unlock the answer
question
From which medium is the image above taken?
answer
electronic health record
Unlock the answer
question
Entering data into a computer system is also known as ________________ data.
answer
capturing
Unlock the answer
question
When collecting data on a computer or retrieving data from a computer, the screen becomes the replacement for ______________.
answer
paper
Unlock the answer
question
The capturing of data about a patient begins at what point?
answer
when the patient calls for an appointment or arrives at the hospital for care
Unlock the answer
question
The ____________ allows for the exchange of information among caregivers, insurance companies, employers, and others, when there is a need for information.
answer
Electronic Health Record (EHR)
Unlock the answer
question
Of the following, which is not a core function of the EHR as defined by the Institute of Medicine?
answer
filing of insurance claims
Unlock the answer
question
Information that identifies the patient in any way is known as _________________.
answer
protected health information
Unlock the answer
question
The ________________________ is published by the federal government and includes all actions taken by any government entity on a given date.
answer
Federal Register
Unlock the answer
question
The Health Information Technology for Economic and Clinical Health (HITECH) Act is part of the _______________________.
answer
American Recovery and Reinvestment Act
Unlock the answer
question
\"A set of standards, services, and policies that enable the secure exchange of health information over the Internet\" is known as:
answer
National Health Information Network
Unlock the answer
question
In order to send and accept diagnosis codes using ICD-10-CM, which version of the HIPAA Code Set rule was effective as of January 1, 2012?
answer
version 5010
Unlock the answer
question
This entity was founded in 2004 to certify electronic health records.
answer
Certification Commission for Health Information Technology
Unlock the answer
question
A unique identifier that is required on claim forms and identifies the care provider or group practice submitting the claim is the:
answer
National Provider Identifier number
Unlock the answer
question
In a physician's office, the equivalent of a hospital's master patient index is a/an:
answer
patient list
Unlock the answer
question
In a hospital setting, when the patient presents for care he/she is:
answer
registered
Unlock the answer
question
The hospital equivalent to practice management software used in the physician's practice is known as:
answer
Registration, Admission, Discharge, Transfer System
Unlock the answer
question
John Smith was admitted to Memorial Hospital on June 6 and died while in the hospital, on June 10. The action taken on June 10 was a/an:
answer
discharge
Unlock the answer
Get an explanation on any task
Get unstuck with the help of our AI assistant in seconds
New