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EHR/EMR software is more comprehensive than Practice Management software because it:

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Includes clinical documentation

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PrimeSUITE:

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Allows for ePrescribing, has mobile applications, assists in information exchanges

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A patient is entered into the patient list

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Once

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In the long term, costs will _________ when transitioning to an electronic health record system.

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Decrease

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The process of moving a patient from appointment making through check-out is called:

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Patient flow

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Clinical documentation of a patient's visit is known as the

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Progress note

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An encounter for is also known as a/an

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Superbill

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The______ is a form used to Bill patient claims in physician offices.

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CMS-1500

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One factor that might contribute to slow acceptance of EHRs is

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Security fears

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PrimeSUITE'S user guide is accessed through the_____ feature.

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Help

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Which of the following illustrates clinical information collected through an EHR?

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Plan of care

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_____ is not easily attained when using a manual record system.

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Interoperability

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Appliction

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Software with a unique purpose, such as word processing, or used for a specific industry

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Interoperability

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A single database to sync multiple unrelated functions or systems

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Care provider

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Person usually a physician, who performs healthcare services requiring specialized

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Clearinghouse

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Service that assists in claims processing by standardizing billing and performing error checks

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Electronic claim submission

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Filing of a healthcare claim using by computer rather than paper

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Encounter form

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A form generated at the completion of an office visit, a portion of which details the patients diagnosis, procedures and services, performed and charge for each procedure/service

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Point of care

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Procedures that take place at the time of care, rather than at a remote location or at a point in time after care is complete.

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Practice management software

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Specialized computer software that performs administrative and billing procedures in medical offices.

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Speech recognition

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Technology that digitally transcribes spoken words

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Demographics

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Documented patient information such as age, sex, and race

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Clinical documentation

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Stores/tracks the progress notes of patient visits

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EPrescribing

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Allows the electronic transmission of prescription information to pharmacies

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PrimeEXCHANGE

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Enables healthcare professionals to share relevant clinical information

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PrimeRESEARCH

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Enables access to clinical trial information and financial benchmarking services

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PrimeMOBILE

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Allows instant access to EHR information even without a computer

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PrimeSPEECH

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Documents verbal dictation on the computer screen

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Data

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A single fact often used interchangeably with information

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Health information exchange

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The sharing of health information among various entities, using standardized and secure processes

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Unstructured data

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Details that cannot be tracked , such as emails and voice recognition technology audio files

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Meaningful use

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Use of health information in an effective and efficient manner to improve patient care

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Clinical decision support

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Method of accessing current treatment options for a disease, through electronic or remote methods

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Master patient index

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Record of the names of all patients seen in a hospital setting

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Protected health information

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Any piece of identifying or clinical information about a patient

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CCHIT

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An independent organization that is responsible for certifying electronic health records for viability

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Institute of medicine(IOM)

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An independent organization that works to provide advice and guidance to the public and healthcare decision makers

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The acronym HIE stands for

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Health information exchange

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An advantage of using screen-based data collection tools is that the layout of the information on the can be:

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Customized

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The ____ defined the eight core functions of an EHR

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Institute of Medicine

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Which of the following is a goal of HIPAA?

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Establish standards for keeping of health information

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In a physician's office, patient data collection begins when:

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The patient calls to make an appointment

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An advantage of EHRs is that patients are now able to ____ about procedures they procedures they are undergoing

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View videos

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Knowing that Jim Smith had a heart attack when he was 53 is an example of :

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Data

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When patients are finished with their encounter at a hospital, they

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Are discharged

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If a hospital uses information gathered through their EHRs to justify the purchase state-of-art equipment to improve patient care, they are:

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Engaging in meaningful use

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______data includes demographic data

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Administrative

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Which of the following is NOT an example of demographic data?

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Primary physician

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Administrative data is used to satisfy_____requirements.

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HIPAA

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Before a patient can be treated at a healthcare setting, she must be

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Registered

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Recording a patient's previous or married name might help with

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Cross-referencing data

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One of the common Help features is

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Frequently Asked Questions

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___is part of a patient's administrative information found on a registration form

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Occupation

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An insurance claim may be denied if the receptionist fails to:

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Enter all data correctly

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_____is part of the appointment scheduling feature of PrimeSUITE

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Chief complaint

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Accountable care organizations rely on EHR

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Data

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A facility's collection of patient data might be used to satisfy___ requirements.

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Meaningful use

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Editing a patient's mailing address is accomplished by using

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Free-text fields

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Patient check-in is

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Important for efficient patient tracking

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Information such as a policyholder name and insurance plan name appear in the ____ section of a claim form

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Subscriber

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Chief complaint

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Reason for a patient's appointment; may determine the length of an exam visit

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IC-10_CM

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Comprehensive listing of national, alphanumeric diagnosis codes

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CMS-1500

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Form used to submit insurance claims in a healthcare office

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Data dictionary

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List of correct definitions for a facility's unique terms and jargon

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Clinical documentation architecture

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HL7 standard that outlines the format of clinical documentation, such as reports and discharge summaries

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Master patient index

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Permanent router of all patients ever seen in a healthcare setting

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UB-04

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Form used to submit insurance claims in a hospital setting

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Continuity of care documents

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Document exchange standard that guides how patient information is shared among providers and healthcare settings

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Library

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In terms of computer software, a comprehensive listing of related entities to choose from, such as ICD-10 codes

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Administrative data

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Information, such as a patient's gender and date of birth, that is required to be collected under HIPAA

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