FBLA Health Care Administration Exam
Questions With Correct Answers
health record - CORRECT ANSWER✔✔-A health record can be defined
| | | | | | | | | |
as written or graphic information documenting facts and events during
| | | | | | | | | |
the rendering of patient care. Either paper or electronic format.
| | | | | | | | |
American Recovery and Reinvestment Act of 2009 (ARRA) - CORRECT
| | | | | | | | | |
ANSWER✔✔-encourages implementation by offering five annual | | | | | |
financial incentives for qualifying offices that convert to an electronic
| | | | | | | | | |
format beginning in 2011 and ending in 2015 or 2016.
| | | | | | | | |
1. Patient registration (demographic information)
| | | |
| 2. Medication record
| |
| 3. history and physical exam, notes or report
| | | | | | |
| 4. Progress or chart notes
| | | |
| 5. Consultation reports
| |
| 6. imaging and x-ray reports
| | | |
| 7. Laboratory reports
| |
| 8. Immunization record
| |
| 9. Consent and authorization forms
| | | |
,10. Operative report
| |
11. Pathology report.
| |
In hospital setting would also include
| | | | | |
| - attending physician's orders
| | |
| - date of admission
| | |
| - hospital stay dates
| | |
| - discharge date
| |
|- discharge summary - CORRECT ANSWER✔✔-Health record content
| | | | | | | |
(common)
1. problem-oriented record (POR system)
| | | |
2. source-oriented record (SOR system or integrated system) - CORRECT
| | | | | | | | | |
ANSWER✔✔-What types of systems are used in electronic health record | | | | | | | | |
system (EHR)
| |
Problem-Oriented Record System (POR) - CORRECT ANSWER✔✔- | | | | | |
consists of: flow sheets, charts, or graphs, that allow aphysician to
| | | | | | | | | | |
quickly locate information and compare eaulation
| | | | |
Source-Oriented Record system (SOR) - CORRECT ANSWER✔✔- | | | | | |
documents are arranged according to sections (e.g., H&P section,
| | | | | | | | |
progress notes, lab tests, radiology reports, or surgical operations) SOR
| | | | | | | | | |
system filed in reverse chronological order. More difficult to locate data
| | | | | | | | | | |
due to scattering throughout
| | |
,Electronic Health Record System - CORRECT ANSWER✔✔-collection of
| | | | | | | |
medical information about the past, present and future of a patient that
| | | | | | | | | | |
resides in a centralized electronic system.
| | | | | |
: An EMR is individual physician's EMR for the patient, including medical
| | | | | | | | | | | |
history, allergies, and appointment information.
| | | |
An EHR is all patient medical information from many information
| | | | | | | | | |
systems, including all components of the EMR. - CORRECT ANSWER✔✔-
| | | | | | | | |
Difference between an EHR and an EMR | | | | | |
1. no physical space required
| | | |
2. abstracting data is eliminated except when free-form documentation
| | | | | | | | |
such as narrative notes, dictations, and natural language processing is
| | | | | | | | | |
used. |
3. free-text approach, encourages use of abbreviations or fewer spelled
| | | | | | | | | |
out words may result in scant or undecipherable documents.
| | | | | | | |
4. Electronic systems have built in security safeguards to protect against
| | | | | | | | | | |
improper disclosure, unauthorized access, or unintended alteration of
| | | | | | | |
information for both the data and the system. | | | | | | |
5. ARRA requires covered entities to notify individuals if their protected
| | | | | | | | | | |
health information is accessed or disclosed in an unauthorized manner. -
| | | | | | | | | |
CORRECT ANSWER✔✔-Advantages of EHR
| | | |
, SNOMED-CT - CORRECT ANSWER✔✔-Systemized Nomenclature of
| | | | | |
Medicine for Clinical Terminology. Medical terminology cassification
| | | | | | |
system that codes text data in an EHR system will assist in standardizing
| | | | | | | | | | | | |
clinical medical terminology
| |
Medicare Modernization Act - CORRECT ANSWER✔✔-created the
| | | | | | |
Commission on Systemic Interoperability to develop a strategy to make
| | | | | | | | | |
health care information abailable at all times to patients and physicians.
| | | | | | | | | | |
Goal by 2014.
| |
Electronic medical report - CORRECT ANSWER✔✔-part of health record
| | | | | | | | |
that is used to complete the insurance claim form.
| | | | | | | |
permanent legal document that formally states outcomes of the
| | | | | | | | |
patients' examination or treatment in letter or report form.
| | | | | | | |
Insurance claim - CORRECT ANSWER✔✔-- DOS, date of service
| | | | | | | |
- POS, place of service
| | | |
- Dx, diagnosis
| |
- Procedures
|
- codes are used for interpretation by the insurance company when
| | | | | | | | | | |
processing a claim | |
Questions With Correct Answers
health record - CORRECT ANSWER✔✔-A health record can be defined
| | | | | | | | | |
as written or graphic information documenting facts and events during
| | | | | | | | | |
the rendering of patient care. Either paper or electronic format.
| | | | | | | | |
American Recovery and Reinvestment Act of 2009 (ARRA) - CORRECT
| | | | | | | | | |
ANSWER✔✔-encourages implementation by offering five annual | | | | | |
financial incentives for qualifying offices that convert to an electronic
| | | | | | | | | |
format beginning in 2011 and ending in 2015 or 2016.
| | | | | | | | |
1. Patient registration (demographic information)
| | | |
| 2. Medication record
| |
| 3. history and physical exam, notes or report
| | | | | | |
| 4. Progress or chart notes
| | | |
| 5. Consultation reports
| |
| 6. imaging and x-ray reports
| | | |
| 7. Laboratory reports
| |
| 8. Immunization record
| |
| 9. Consent and authorization forms
| | | |
,10. Operative report
| |
11. Pathology report.
| |
In hospital setting would also include
| | | | | |
| - attending physician's orders
| | |
| - date of admission
| | |
| - hospital stay dates
| | |
| - discharge date
| |
|- discharge summary - CORRECT ANSWER✔✔-Health record content
| | | | | | | |
(common)
1. problem-oriented record (POR system)
| | | |
2. source-oriented record (SOR system or integrated system) - CORRECT
| | | | | | | | | |
ANSWER✔✔-What types of systems are used in electronic health record | | | | | | | | |
system (EHR)
| |
Problem-Oriented Record System (POR) - CORRECT ANSWER✔✔- | | | | | |
consists of: flow sheets, charts, or graphs, that allow aphysician to
| | | | | | | | | | |
quickly locate information and compare eaulation
| | | | |
Source-Oriented Record system (SOR) - CORRECT ANSWER✔✔- | | | | | |
documents are arranged according to sections (e.g., H&P section,
| | | | | | | | |
progress notes, lab tests, radiology reports, or surgical operations) SOR
| | | | | | | | | |
system filed in reverse chronological order. More difficult to locate data
| | | | | | | | | | |
due to scattering throughout
| | |
,Electronic Health Record System - CORRECT ANSWER✔✔-collection of
| | | | | | | |
medical information about the past, present and future of a patient that
| | | | | | | | | | |
resides in a centralized electronic system.
| | | | | |
: An EMR is individual physician's EMR for the patient, including medical
| | | | | | | | | | | |
history, allergies, and appointment information.
| | | |
An EHR is all patient medical information from many information
| | | | | | | | | |
systems, including all components of the EMR. - CORRECT ANSWER✔✔-
| | | | | | | | |
Difference between an EHR and an EMR | | | | | |
1. no physical space required
| | | |
2. abstracting data is eliminated except when free-form documentation
| | | | | | | | |
such as narrative notes, dictations, and natural language processing is
| | | | | | | | | |
used. |
3. free-text approach, encourages use of abbreviations or fewer spelled
| | | | | | | | | |
out words may result in scant or undecipherable documents.
| | | | | | | |
4. Electronic systems have built in security safeguards to protect against
| | | | | | | | | | |
improper disclosure, unauthorized access, or unintended alteration of
| | | | | | | |
information for both the data and the system. | | | | | | |
5. ARRA requires covered entities to notify individuals if their protected
| | | | | | | | | | |
health information is accessed or disclosed in an unauthorized manner. -
| | | | | | | | | |
CORRECT ANSWER✔✔-Advantages of EHR
| | | |
, SNOMED-CT - CORRECT ANSWER✔✔-Systemized Nomenclature of
| | | | | |
Medicine for Clinical Terminology. Medical terminology cassification
| | | | | | |
system that codes text data in an EHR system will assist in standardizing
| | | | | | | | | | | | |
clinical medical terminology
| |
Medicare Modernization Act - CORRECT ANSWER✔✔-created the
| | | | | | |
Commission on Systemic Interoperability to develop a strategy to make
| | | | | | | | | |
health care information abailable at all times to patients and physicians.
| | | | | | | | | | |
Goal by 2014.
| |
Electronic medical report - CORRECT ANSWER✔✔-part of health record
| | | | | | | | |
that is used to complete the insurance claim form.
| | | | | | | |
permanent legal document that formally states outcomes of the
| | | | | | | | |
patients' examination or treatment in letter or report form.
| | | | | | | |
Insurance claim - CORRECT ANSWER✔✔-- DOS, date of service
| | | | | | | |
- POS, place of service
| | | |
- Dx, diagnosis
| |
- Procedures
|
- codes are used for interpretation by the insurance company when
| | | | | | | | | | |
processing a claim | |
