NHA CEHRS COMPREHENSIVE SUBJECT
GUIDE 2026 OFFICIAL PROBLEMS AND
ACCURATE RESPONSES VIEW AHEAD
MODULE
⫸ aging report. Ans: report that identifies past due patient or
insurance account balances and is usually run monthly
⫸ assignment of benefits. Ans: a patient authorization to allow
health insurance payment to be made directly to the provider of
services
⫸ authorization. Ans: a document that approves disclosure of
protected health information unrelated to treatment under the HIPAA
privacy rule
⫸ benchmark. Ans: a measure of performance against industry
standards
⫸ business associate. Ans: a third party entity that has contact with
protected health information to provide services unrelated to treating
patients
⫸ business associate agreement. Ans: a legal contract dictating a
business associate to comply with protection of protected health
information under the HIPAA privacy rule
,⫸ Centers for Medicare and Medicaid Services (CMS). Ans: a
federal regulated agency that is part of the Department of Health and
Human Services, administers Medicare, works with the state
governments to administer Medicaid programs, sets standards for
interoperability of EHR, and overseas implementation of federal
legislation
⫸ clinical documentation improvement (CDI). Ans: process for
executing and improving and reviewing clinical documentation to
ensure that it accurately reflects and supports CPT and ICD-10-CM
codes submitted with claims for payment
⫸ compliance program. Ans: internal policies designed to prevent
claim error, fraud, and abuse
⫸ computerized provider order entry (CPOE). Ans: use of computer
system to enter prescriptions and treatment at the point of care
⫸ covered entity. Ans: a medical or health care service,
organization, agency, or individual that has protected health
information
⫸ Current Procedural Terminology (CPT) 4th edition. Ans: a coding
classification system used to report professional services and
procedures provided to a patient at ambulatory care centers, medical
clinics, and other outpatient care facilities
, ⫸ de-identification. Ans: the process of removing personal health
information accessible to providers and other staff members with
login credentials regardless of location
⫸ electronic health record (EHR). Ans: a record of patient health
care information accessible to providers and other staff members with
login credentials regardless of location
⫸ electronic medication administration record (eMAR). Ans: an
electronic record containing a patients medication, administration
times, and who administered it
⫸ encoder. Ans: software used to assign diagnosis and procedural
codes
⫸ encounter form. Ans: and itemized bill for services that contains
diagnosis and procedure codes and is used by administrative staff to
complete claims forms; also known as a superbill, fee slip, or charge
form
⫸ encryption. Ans: converting email or other information into a
code that only intended recipients can read
⫸ explanation of benefits (EOB). Ans: a statement that shows a
patient how services provided were processed by the insurance carrier
GUIDE 2026 OFFICIAL PROBLEMS AND
ACCURATE RESPONSES VIEW AHEAD
MODULE
⫸ aging report. Ans: report that identifies past due patient or
insurance account balances and is usually run monthly
⫸ assignment of benefits. Ans: a patient authorization to allow
health insurance payment to be made directly to the provider of
services
⫸ authorization. Ans: a document that approves disclosure of
protected health information unrelated to treatment under the HIPAA
privacy rule
⫸ benchmark. Ans: a measure of performance against industry
standards
⫸ business associate. Ans: a third party entity that has contact with
protected health information to provide services unrelated to treating
patients
⫸ business associate agreement. Ans: a legal contract dictating a
business associate to comply with protection of protected health
information under the HIPAA privacy rule
,⫸ Centers for Medicare and Medicaid Services (CMS). Ans: a
federal regulated agency that is part of the Department of Health and
Human Services, administers Medicare, works with the state
governments to administer Medicaid programs, sets standards for
interoperability of EHR, and overseas implementation of federal
legislation
⫸ clinical documentation improvement (CDI). Ans: process for
executing and improving and reviewing clinical documentation to
ensure that it accurately reflects and supports CPT and ICD-10-CM
codes submitted with claims for payment
⫸ compliance program. Ans: internal policies designed to prevent
claim error, fraud, and abuse
⫸ computerized provider order entry (CPOE). Ans: use of computer
system to enter prescriptions and treatment at the point of care
⫸ covered entity. Ans: a medical or health care service,
organization, agency, or individual that has protected health
information
⫸ Current Procedural Terminology (CPT) 4th edition. Ans: a coding
classification system used to report professional services and
procedures provided to a patient at ambulatory care centers, medical
clinics, and other outpatient care facilities
, ⫸ de-identification. Ans: the process of removing personal health
information accessible to providers and other staff members with
login credentials regardless of location
⫸ electronic health record (EHR). Ans: a record of patient health
care information accessible to providers and other staff members with
login credentials regardless of location
⫸ electronic medication administration record (eMAR). Ans: an
electronic record containing a patients medication, administration
times, and who administered it
⫸ encoder. Ans: software used to assign diagnosis and procedural
codes
⫸ encounter form. Ans: and itemized bill for services that contains
diagnosis and procedure codes and is used by administrative staff to
complete claims forms; also known as a superbill, fee slip, or charge
form
⫸ encryption. Ans: converting email or other information into a
code that only intended recipients can read
⫸ explanation of benefits (EOB). Ans: a statement that shows a
patient how services provided were processed by the insurance carrier
