EHR 7-12 Final Review Flash Cards

question

A graph that shows an individual patient’s weight fluctuations over time would be least helpful when performing which of the following tasks?
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Determining if the patient has a genetic predisposition to obesity
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Which of the following statements about the tabs in Patient Management is not correct?
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To sort data within the Vitals tab, click on the Sort button.
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Which of the following is least likely to require or use a longitudinal patient record?
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Acute care hospital
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using Patient Management, how would a clinician indicate that the treatment plan for a specific patient problem was working?
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The clinician would select Well Controlled from the Problem List tab drop-down list to record the status.
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Where does the data that appears in the Med/Surg tab of the Patient Management section come from?
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Past History
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Which of the following statements about the Patient Management section of the Student Edition software is incorrect?
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The Medications tab displays medication information that has been ordered by the patient’s primary care provider and no one else.
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A nurse practitioner sees a patient who is normally seen by a physician within a medical office. The patient says she had a series of tests done earlier in the week, but hasn’t heard anything yet. The nurse practitioner would:
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click on Pending Orders in Patient Management to find out the status of the patient’s tests.
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In what tab does the Patient Management feature automatically open?
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Problems
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What does choosing “resolved” for a particular problem do automatically?
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It moves the problem to the patient’s history.
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Certain wellness conditions may be included as part of the Problem List based on which patient information?
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Gender
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The process of comparing information, such as test results, over a period of time is called:
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trending
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Which of the following problems would be considered “Acute Self-Limiting”?
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Rhinitis
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All of the following are available as options on the Graph menu except:
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Blood pressure
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A lab order is marked “preliminary.” This means that the:
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results show an early indication of the test, but they are not verified.
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Before a provider writes a prescription for a patient, he or she should always check:
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Allergies and medications
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What is a Problem List?
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An up-to-date list of a patient’s diagnoses and conditions
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A patient indicates she is using an herbal supplement to ease her menopausal symptoms. This information would be displayed within which Patient Management section of the Student Edition software?
answer

Medications
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You want to create a flow sheet that is based on a specific problem. To accomplish this task, what do you need to do first?
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Click on the Manage tab
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Jared Peeters has type 2 diabetes, hypertension, and a new diagnosis of macular degeneration. When his provider sees Jared during an encounter, which of the following is the most likely scenario?
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The macular degeneration flow sheet will not have columns for previous encounters.
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On which of the following devices is an anatomical drawing the easiest to utilize and navigate?
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Tablet PC
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An EHR system that allows a clinician to select findings related to a sprained ankle by viewing an anatomic illustration of the foot would be useful because:
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it allows the clinician to zero in on the appropriate findings quickly.
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In which of the following positions should the buttons be in if you wish to view the narrative of an encounter from within a flow sheet?
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Cite Off
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You are viewing a flow sheet for a patient and wish to see details from a previous encounter. You do this by clicking:
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on the date of the previous encounter.
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What happens to a handwritten note that a clinician adds to an annotated anatomical drawing in an EHR?
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The note is not searchable by the EHR.
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What is a flow sheet?
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A feature of the software that presents data from multiple encounters in column format that resembles a spreadsheet.
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Line drawing tool would be most useful to accomplish which of the following when annotating a drawing within the EHR?
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Connect elements on the drawing
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Which of the following is true about a form-based flow sheet?
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It displays all of the findings that match the form.
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What does the Cite feature do?
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It brings forward findings from a previous encounter into the current encounter.
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You have invoked a flow sheet from a form using the Student Edition software. What does this mean?
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The first column of the flow sheet is populated by findings pertinent to the selected form.
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Which of the following statements is correct about flow sheets?
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EHR systems will vary on how they implement flow sheets.
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When you are working with a flow sheet, how do you know that the Cite button is on?
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The mouse pointer will change to a large question mark.
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A patient has had a new cholesterol test result, and you are using the Cite window to record this finding. You should remember that:
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the data you enter will post to the current patient encounter.
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A problem-oriented flow sheet would not include which of the following?
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Findings that are related to other problems the patient has
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A pediatrician’s office would be least likely to use a flow sheet for which of the following?
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Pregnancy
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Jeremy’s pediatrician notes that he is in the 75th percentile for his height. What does this mean?
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Jeremy is shorter than 25 percent of the reference population for boys.
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To make sure preventive care services are delivered appropriately, __________ should be available at the point of care.
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All of the above
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Carly is a 10-month-old patient at your practice. This means that based on the Recommended Immunization Schedules for Persons Aged 0 to 18 Years she is still too young to receive which of the following vaccines?
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MMR
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At which point do both males and females begin using the same BMI chart?
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After age 20
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The CDC provides a weight-for-stature clinical growth chart for people in which of the following age categories?
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Preschoolers, 2 to 5 years
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You need to record the vital signs of your 7-month-old patient during a wellness check. Which of the following is incorrect?
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You will assess your patient’s growth by measuring his height.
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Which of the following is an example of FS Hx and to whom does this relate?
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Tobacco; parents
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In which of the following ways would an EHR form that was created for a well-baby check be different from a form used for an adult patient?
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It is intended for a narrowly defined age group.
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Joyce has been keeping a graph of her blood pressure at home for a few months. This means that Joyce:
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is better able to tell if her current treatment is effective.
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Which of the following statements is not true?
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Babies who are breastfed do not require immunization.
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An EHR can create specific preventive screening or health maintenance guidelines based on all of the following information about a patient except:
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Personal preferences
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Molly is an obese 8-year-old. How might a pediatric growth chart generated by an EHR system be useful in educating Molly’s parents about Molly’s condition?
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The growth chart places Molly’s measurements in context with other 8-year-old girls.
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Which of the following would not be considered an advantage of giving a patient a copy of an exam note at the end of an office visit?
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A patient who has a copy of an exam note will have an easier time filling a prescription than a patient who does not have that information.
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Which of the following vaccines is recommended to be given at birth?
answer

HepB
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Janice made an appointment for her regular mammogram. This is an example of:
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Preventive screening
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All of the following are true about “evidence-based guidelines” except:
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They are mainly useful for dealing with demographic groups in general.
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What does the acronym DTaP stand for?
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Diphtheria, Tetanus, Pertussis
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Which of the following statements about an EDI transaction is not true?
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HIPAA requires the provider to mail a signed copy following the transmission of all data.
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Which of the following is not an example of a Security Awareness and Training standard implementation specification?
answer

Response and Reporting
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Which of the following best describes a security official?
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An employee who has overall responsibility for the HIPAA Security Rule
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Mrs. Smothers, a resident in an assisted living facility, wants to review her medical record. What does this request mean to the facility?
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They may charge the resident for costs associated with supplying the record.
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All of the following were the main objectives of the Health Insurance Portability and Accountability Act except:
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Promoting the widespread adoption of EHR
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Uniform identifiers are a component of which of the following?
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Administrative Simplification Subsection
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Which of the following would most likely be considered a breach of PHI?
answer

A business associate of a health care provider uses PHI to find out the addresses of patients who live in a certain region.
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When does a covered entity need to notify the media about a breach of unsecured PHI?
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If the security breach affects more than 500 residents
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Which of the following is the first step when a health care provider begins implementation of the Administrative Safeguards portion of the Security Rule?
answer

The Security Management Process
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Which of the following statements is true about digital signatures?
answer

Digital signatures require the use of cryptography and PKI.
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Mr. Juarez signed an authorization form giving his cardiologist permission to use his PHI for a research study. What does this mean?
answer

Mr. Juarez understands the reason his cardiologist wishes to use his PHI.
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Which of the following government agencies is charged with enforcing the Privacy Rule?
answer

OCR
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Which of the following statements is true about the HIPAA Security Rule?
answer

It supplements the Privacy Rule in many areas.
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What does the term user authentication mean in relation to criteria for electronic signatures?
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That the person who receives the document can verify that the document was signed by a real person
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Under the revised HIPAA Privacy Rule, a health care entity may disclose a patient’s PHI without the patient’s prior consent or authorization in all of the following situations except:
answer

in situations where the patient’s employer requires the PHI for benefits.
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Which of the following is not a covered entity under the HIPAA Privacy Rule?
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Business associates
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A patient would expect to find all of the following in a medical office’s HIPAA privacy policy except:
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details about the different entities with whom the medical office typically shares PHI, including how to contact them directly.
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Which of the following would be an example of store-and-forward telemedicine?
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Voice mail message to a referring physician
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An E-visit would work best in which of the following situations?
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Treating a patient who has seasonal allergies
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Ideally, a patient’s personal health record (PHR) contains information for the person’s _______.
answer

lifetime
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Which of the following is not true of a PHR?
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It is must be maintained by a patient’s health care provider.
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The Internet can best be described as a(n) _________.
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public network
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Which of the following is not one of the ONC committee’s criteria for defining its meaningful use objectives?
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Patients should be able to correct or edit their electronic health data in real time.
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Which of the following is a survey instrument that is used to measure a patient’s perspectives on health care?
answer

HCAHPS
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Which of the following is an advantage of synchronous telemedicine?
answer

It allows the provider and the patient to meet in real-time.
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Which of the following is not a characteristic of an E-visit?
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It is free.
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Store-and-forward telemedicine would not be suited to which of the following situations?
answer

Performing arthroscopic surgery in real time
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Dana has sent an e-mail to her provider with a question about recent blood work results. According to the HIPAA Security Rule, Dana’s provider must:
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not send any PHI if replying by e-mail.
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Typically, an e-mail communication between a patient and a provider:
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is not reimbursed as an E&M.
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A patient who arrives for an annual physical brings along some information on healthy cholesterol levels he obtained from the Internet. How should the provider handle this situation?
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Discuss the information with the patient to find out if it seems accurate while also suggesting some reliable sources of online information.
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Jorge is a physician at a busy practice within a large suburban area; he is on-call for emergencies one night each week and needs access to the records of all the patients seen by his practice. Which of the following will Jorge need for direct access to his office computer while away from his medical office?
answer

VPN
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Per the HITECH Act incentives for promoting the use of an EHR system, patients must receive electronic access to lab results within _______ hours of the information being available to the provider.
answer

96
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A patient who uses Instant Medical History when visiting her primary care provider:
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has more face-to-face time with her provider during the visit.
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A physician has advised her patient to take ibuprofen to manage pain from a sprained ankle. Into which risk level within the medical decision making (MDM) component of the E&M calculator would this management option fall?
answer

Low
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How many PFSH elements are required for the Level of History to be Problem Focused within the History component of the Evaluation and Management Calculator?
answer

None
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Which of the following E&M code level has the lowest “allowed payment” amount?
answer

Level 1
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Which of the following is considered one of the key components of a patient encounter in determining the level of an E&M service?
answer

Medical decision making
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HCPCS codes are used for all of the following except:
answer

dermatological consults.
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Which of the following is required for all levels of the History component of an E&M code?
answer

CC
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Most health care facilities that use an EHR system that is integrated with billing software:
answer

hold codes as pending until they are reviewed.
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An established patient has a History Level 2 (Expanded Problem Focused), and Exam Level 1 (Problem Focused), and an MDM Level 1 (Low Complexity). What E&M code level will this result in?
answer

Level 1
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On what is reimbursement for most inpatient hospitals based?
answer

DRGs
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Which of the following is not part of face-to-face time?
answer

Calling a patient to remind him of an appointment
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An obstetrician orders a fetal contraction stress test for a patient. This procedure would fall under the ________ level of risk.
answer

Moderate
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A practice that uses a paper-based record system is more likely to ______ than a practice that uses an EHR system.
answer

undercode
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Which of the following is not one of the government’s meaningful use requirements?
answer

A health care facility reports all its prescriptions electronically.
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Which of the following is not considered one of the HPI characteristics within the Evaluation and Management Calculator?
answer

Extended
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The _______ level of the ROS within the Evaluation and Management Calculator requires that the physician has reviewed at least ten organ systems that are directly related to problems.
answer

Complete
question

Which of the following statements about the Physical Examination component level of an E&M service is not true?
answer

A problem-focused examination includes the affected body system and other related symptoms or organ systems.

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