Integrated electronic health records – Flashcards
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EHR/EMR software is more comprehensive than practice management software because it: a) includes clinical documentation. b) submits insurance claims. c) is computerized. d) contains more menu options.
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a) includes clinical documentation. EMR software contains a clinical documentation component, while PM software does not.
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PrimeSUITE: a) allows for ePrescribing b) assists in information exchange c) has mobile applications d) all of the above
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d) all of the above PrimeSUITE is compatible with each of the listed functions.
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A patient is entered into the Patient list: a) each time he is seen. b) after a procedure. c) once. d) twice.
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c) once. A patient only needs to be entered into the Patient List one time.
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In the long-term, costs will ____ when transitioning to an electronic health record system. a) increase b) decrease c) stay the same d) disappear
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b) decrease Start-up costs are necessarily high, but the long-term costs of an EHR system are much lower than a paper-based system.
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The process of moving a patient from appointment-making through check-out is called: a) patient flow b) patient records c) patient process d) patient cycle
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a) patient flow Patient flow is the term for moving a patient through the appointment-making and visit cycle.
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Clinical documentation of a patient's visit is known as the: a) point of care b) progress note c) medical claim d) superbill
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b) progress note Clinical documentation appears in the form of a progress note.
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An encounter form is also known as a/an: a) superbill b) claim form c) history d) EHR
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a) superbill "Superbill" is another term for an encounter form.
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The ____ is a form used to bill inpatient claims. a) CMS-1500 b) ICD-9 c) CPT d) UB-04
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d) UB-04 The UB-04 form is used to bill inpatient claims.
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One factor that might contribute to slow acceptance of EHRs is: a) laziness b) fear of change c) security fears d) space concerns
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c) security fears Some medical professionals are worried that an electronic system of record-keeping will not be secure, so they are hesitant to adopt EHR systems.
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PrimeSUITE's User Guide is accessed through the ____ feature. a) Query b) Information c) Help d) Lookup
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c) Help The User Guide is accessed through the Help feature.
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The ____ is an example of clinical information that is collected through an EHR. a) research effects b) regulatory guidelines c) plan of care d) insurance policy
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c) plan of care A patient's plan of care is one piece of clinical information collected through an EMR.
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____ is not easily attained when using a manual record system. a) Interoperability b) Maintenance c) Data capture d) Communication
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a) Interoperability Manual record systems do not readily allow for interoperability.
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Discuss three advantages to electronic health records as discussed in the text.
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Answers may vary, but points such as speed of data transfer, lower long-term costs, eliminating handwriting issues; ability to keep a comprehensive record of patient care and history, and contributions to research and global health care should be listed. There are many advantages to EHRs, such as lower long-term costs, the ability to keep a comprehensive record of patient care, and contributions to research and global health.
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What is practice management software?
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Software specifically designed for use in a medical office; records and saves patient information and flow. Practice management software is specially-designed software for use in a medical office
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What is the first step in the patient flow of information?
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An appointment is made. Scheduling an appointment is the first step in patient flow.
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What is the CMS-1500 form?
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The billing form used for physician's office insurance claims. The CMS-1500 form is used to bill insurance claims for a physician's office.
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The medical office you work in recently transitioned into an electronic office and is implementing practice management software. You are excited about this change and are learning all you can about the new technology. However, some of your coworkers are having trouble grasping the basics, and are now saying they don't want to use the software at all. What steps could you take to assist your struggling coworkers?
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You could offer to help them with issues they are finding with the software; ask your supervisor if it would be alright to do some quick training sessions; discuss all of the ways an electronic office will make your coworkers' lives easier in the long run. Remaining positive and ensuring that your coworkers feel supported are the most important keys to easing their struggles.
