question

What government regulation is intended to promote the use of EHRs in physician's practices and hospitals through the use of financial incentives?

answer

HITECH Act

question

In order to be eligible for financial incentives through the HITECH Act, what are healthcare providers required to do?

answer

Implement the EHR

question

The utilization of certified EHR technology to improve quality, efficiency, and patient safety in the healthcare system is known as what?

answer

Meaningful use

question

A network of doctors and hospitals that shares responsibility for managing the quality and cost of care provided to a group of patients is known as a

answer

Accountable care organization

question

What term refers to the computer hardware, software, and networks that are used to record, store, and manage health information?

answer

health information technology (HIT)

question

which task is not performed by a practice management program?

answer

assigning diagnosis codes

question

What is the PMP used for after a claim file has been transmitted?

answer

to follow up on the status of the claim

question

Why is monitoring claim status necessary?

answer

to ensure prompt payment of claims

question

According to the institute of medicine which of the following core functions should not necessarily be included in an EHR?

answer

procedure coding management

question

A practice management program (PMP) is a software program that is used to

answer

record patients payments and generate receipts process the financial transactions calculate charges for office visits D. All of these are correct

question

According to the institute of medicine which of the following core functions should be included in an EHR

answer

decision support order management population reporting and management D. All of these are correct

question

A major component of EHR order management is

answer

electronic prescribing

question

A communication tool that provides the patient with relevant and actionable information and instructions is the

answer

after-visit summary

question

what information cannot be included when electronic health records are used to advance medical knowledge through research?

answer

patient's identity

question

Every time a patient is treated by a healthcare provider a record is made of the encounter this record ids known as

answer

documentation

question

The ten-step process tht results in timely payment for medical services is known as the

answer

medical documentation and billing cycle

question

You are preregistering a new patient Which of the following pieces of information should you collet?

answer

the patient's name the patient's contact information the patient's reason for the visit D. All of these are correct

question

When are copayments routinely collected?

answer

at check in

question

What is the movement of monies into or out of a business?

answer

cash flow

question

Which of the following are recurring expenses for most medical practices?

answer

salaries utilities insurance D. All of these are correct

question

What does the signature on the patient information form indicate?

answer

the patient authorizes the release of information required to process an insurance claim the patient authorizes the health plan to send payments directly to the provider the patient accepts responsibility for payment of charges not paid by the health plan D. All of these are correct

question

The process of translating a description of a diagnosis or procedure into a standardized code

answer

coding

question

The patient information form contains

answer

personal information employment information insurance data for an insurance claim form D. All of these are correct

question

You are checking in an existing patient who hasn't been to the office for some time which documents should you photocopy and/or scan and add to the patient's chart?

answer

insurance identification card

question

what must be carefully documented for each patient visit for the physician to receive payment?

answer

both diagnoses and procedures

question

which of the following refers to diagnostic codes?

answer

ICD

question

which of the following refers to procedure codes?

answer

CPT

question

A(n)________is a list of procedures and diagnoses for a patient's visit

answer

encounter form

question

The patient's primary complaint (the illness or condition that is the reason for the visit) is assigned a

answer

complaint code

question

Each procedure (service, treatment, or test) the physician performs is assigned a

answer

procedure code

question

A(n)__________is a listing of standard charges for procedures

answer

procedure list

question

What information does a health plan need to pay a claim?

answer

procedures the provider performed while the patient was in the office the date of the office visit the patient's diagnosis D. All of these are correct

question

A company that receives electronic claims and forwards the claim to the payer is known as

answer

a clearinghouse

question

What is a series of steps designed to determine whether a claim should be paid?

answer

adjudication

question

Each remittance advice is compared against the claim to check that

answer

the transactions included on the claim the amount paid explanation of why certain charges weren't paid D All of these are correct

question

Each remittance advice is compared against the claim to check that

answer

the codes on the payment transactions match those on the claim the payment listed for each procedure is as expected any unpaid charges are explained D. All of these are correct

question

When a medical practice receives an overpayment from a health plan it

answer

issues a refund

question

what information is listed on a statement?

answer

the amount paid by the health plan and the remaining balance owed by the patient

question

Revenue cycle management refers to

answer

managing the activities associated with a patient encounter to ensure the provider is paid

question

HIPPA was designed to

answer

ensure the security and privacy of health information

question

what is an electronic format that providers and health plans must use to send and receive healthcare transactions?

answer

EDI

question

Electronic data interchange involves sending information from

answer

computer to computer

question

most physician practices are required to use the HIPAA-standard electronic claim format called

answer

X12-837 Health Care Claim

question

Finalized in 2013, this legislation made significant changes to the privacy security and enforcement provisions of the original HIPAA legislation

answer

HIPAA Omnibus Rule

question

Under the HIPAA administrative simplification legislation each healthcare provider was assigned a unique identification number known as

answer

NPI

question

Information about a patients health or payment for healthcare that can be used to identify

answer

protected health information

question

The HIPAA security standards comprise

answer

physical safeguards administrative safeguards technical safeguards D. All of these are correct

question

The automated processes used to protect data and control access to data are

answer

technical safeguards

question

which term refers to the acquisition access use or disclosure of unsecured PHI in a manner not permitted under the HIPAA privacy rule thus compromising the security or privacy

answer

breach

question

Laura works at a large clinic where her duties mainly consist of scheduling appointments because she does not deal with any financial tasks Laura does not have access to the billing data this is an example of what type of security safeguard?

answer

technical

question

If a breach of unsecured health information affects more than 500 individuals the HIPAA breach notification rule requires covered entities and their business associates to notify

answer

individuals the secretary of health and human services the media D. All of these are correct

question

This legislation is part of the American Recovery and Reinvestment Act of 2009 that provides financial incentives to physicians and hospitals to adopt EHRs and strengthens HIPAA privacy and security regulations

answer

HITECH

question

The HIPAA security rule and the HIPAA privacy rule are enforced by the

answer

Office of Civil rights (OCR)

question

An individual or entity that creates receives maintains or transmits PHI on behalf of a covered entity and may also include subcontractors of an entity is known as a

answer

business associate

question

A report that traces who has accessed electronic information when information was accessed and whether any information was changed is a(n)

answer

audit trail

question

Laura a new medical office receptionist accidentally sent the patient's PHI to the wrong provider under HIPAA privacy rule this is known as a(n)

answer

incident

question

An automated process used to protect data and control access to data is known as a(n)

answer

technical safeguard

question

Mechanisms that are required to protect electronic systems equipment and data from threats environmental hazards and unauthorized intrusion are known as

answer

physical safeguards

question

Administrative policies and procedures designed to protect electronic health information

answer

administrative safeguards

question

A formal examination or review undertaken to determine whether a healthcare organization's staff members comply with regulations is known as a(n)

answer

audit

question

Single payments to multiple providers involved in an episode of care creating a sense of shared accountability among providers are known as

answer

bundled payments

question

___________ is protected health information that is created stored transmitted or received electronically

answer

ePHI

question

An electronic document that lists patient dates of services charges and the amount paid or denied by the insurance carrier is the

answer

ERA

question

A model of physician reimbursement in which payment is provided for specific individual services provided to a patient is known as

answer

fee-for-service

question

Linda a new patient received a printed document that explains the medical offices use and disclosure of PHI what is the name of this document

answer

Notice of privacy practices

question

Dr. Klager encourages his patients to use a secure online website that allows them to communicate with their provider and access their health information at any time this tool is known

answer

a patient portal

EHR Study Guide Chapter 1 – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards