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All of the above Patient chart Patient record Electronic health record EMR

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A physical collection of an individuals healthcare information is termed

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The Civil War

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Early medical documentation of present day posttraumatic stress syndrome was first seen in

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College transcripts

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Which of the following is NOT found in the patient medical record?

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Living Will

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A legal document that may include a "do not resuscitate order" would be called?

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Documenter

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An individual who is responsible for recording data in the patient record is called a

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patient

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Which of the following is NOT a documenter of the patient chart?

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May be documented by the medical assistant into the patient chart

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Patient information

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The reason for the visit

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When accompanying a patient into the exam room, the MA commonly documents

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Both A and B May be included as part of an interoperable EHR Includes administrative functions like appointment books and billing

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Practice management software

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All of the above

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Voice recognition software:

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patient appointment times

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The receptionist would commonly document

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belongs to the one who creates and maintains the record

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Ownership of the physical medical record

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Encounter

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In SimChart for the Medical Office, a patient visit with a provider is called an

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All of the above are core functions Health information management Results management Patient support Reporting and population health

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Which of the following is not a core function of a well-designed EHR?

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patient support

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The doctor asks the medical assistant to print a handout on hypertension for the patient to take home. This is an example of which EHR core function?

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orders management

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The doctor prescribes the patient an antibiotic for a URI. It is sent directly to the patient's pharmacy. This pharmacist notices the patient is allergic to this medication and informs the doctor. This is an example of which core function?

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Electronic communication and connectivity

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Geraldine has been referred to a cardiologist for an MVP. The EHR allows the specialist to gain access to Geraldine's relevant heart history with her permission. This is an example of which core function?

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administrative processes

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The patient statement for outstanding balance is printed from the EHR after the patient visit. This is an example of which core function?

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Reporting and population health

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Incidence of the swine flu can be monitored with the help of which core EHR function?

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CCHIT

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Which of the following sets standards for what each software system should be able to accomplish?

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CDS

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____ allows practitioner to tailor the care of an individual patient by making sure it adheres to published guidelines for the patient's specific diagnoses.

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copayment

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A fixed amount of money a patient is contracted to pay out of pocket at each visit is called?

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documenting patient visits results

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Practice Management software does all of the following except

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Should have his/her insurance card to be copied at each visit

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An established patient

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E-prescribing

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Which of the following would be documented using computerized provider order entry (CPOE)?

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patient information form

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A form used to gather data about the patient, including basic demographic information, payer information, and emergency contact is called

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day sheet

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The ___ is a statement for the daily business transactions. It includes the list of check and balances for the office for a specific date of service.

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EOB

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A standard electronic format that facilitates the claims processing for doctors and suppliers:

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short training period

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Which of the following would most likely affect EHR user satisfaction?

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knowledge of medical terminology

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Skills for using the EHRs include

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