EHR 1 EXAM QUESTIONS WELL ANSWERED LATEST UPDATE 2026

EHR 1 EXAM QUESTIONS WELL ANSWERED LATEST UPDATE 2026 Which of the following components of a subjective, objective, assessment, plan (SOAP) note would pull in real time tests results from the EHR? - Answers Objective In which of the following history sections of the REHR would a patient's history of alcohol abuse be documented? - Answers social An EHR specialist is providing support for a provider who is entering prescriptions into a patient's chart using a new EHR system. The provider asks the EHR specialist which pharmacy will automatically receive the prescription. Which of the following responses should the EHR specialist make? - Answers " the patients preferred pharmacy must be entered" An EHR specialist in a clinic is assisting a patient with documenting past medical, social, and family history. The patient completing the electronic questionnaire asks, " Where do I include drug use" The EHR specialist should reply that all drug use should be documented in which of the following social history components? - Answers Recreational use An EHR specialist is providing support for computerized provider order entry (CPOE). A provider asks, "where should I document my treatment instructions and ordered tests?" Which of the following statements should the EHR specialist make? - Answers " this can be documented in the plan details portion of the soap notes" A compliance director asks an EHR specialist to verify that a patient has received information on privacy practices. To which of the following forms should the EHR specialist navigate in the EHR? - Answers HIPAA consent form Which of the following forms of data capture should be identified as demographic information? - Answers marital status When reviewing history and physical templates, review of systems includes which of the following components? - Answers constitutional symptoms Which of the following actions would generate a real time alert message in the EHR? - Answers The provider enters a prescription for a duplicate therapy Which of the following coding techniques allows an EHR specialist to review clinical documentation while the patient is actively receiving treatment? - Answers concurrent coding Which of the following public health objectives involves securely transferring data and information related to cases of measles to public health care agencies (PHAS)? - Answers reportable laboratory results Which of the following types of clinical data can be ordered during a patient visit in a computerized provider order entry (CPOE) workflow? - Answers Laboratory testing A nurse asks an EHR specialist for help to locate the education sheets for smoking cessation in the EHR. Which of the following patient education forms should the EHR specialist suggest? - Answers " centers for disease control and prevention (CDC) COPD are you at risk?" An EHR specialist is training providers on required clinical documentation in a hospital setting. A provider asks, "how can I make sure to include all relevant data elements?" Which of the following statements should the EHR specialist make? - Answers "use a progress note template." An EHR specialist is speaking with a patient who states, " I don't know where to access education materials about my disease." Which of the following responses should the EHR specialist make? - Answers " You can access patient education materials using the patient portal." Which of the following medical record review findings indicates upcoding of clinical documentation in the EHR? - Answers using a CPT code that yields a higher reimbursement than what was documented Which of the following automatically assigns the appropriate diagnosis and procedure codes based on clinical documentation in the EHR? - Answers Computer assisted coding (CAC) Which of the following sections of the EHR should an EHR specialist review to obtain a patient's influenza vaccine status? - Answers immunizations An EHR specialist is preparing to share a secure spreadsheet containing patient heart information from a holter monitoring device with the provider. Which of the following actions should the EHR specialist take to protect the information? - Answers share the spreadsheet password with the provider Which of the following medication types are covered by Medicare part D? - Answers Chemotherapy medications Which of the following codes is found in the ICD-10-CM database? - Answers Acute bronchitis Which of the following forms generated from the EHR would be given to a patient upon leaving a providers office? - Answers charge slip Which of the following types of information is included when entering the current procedural terminology (CPT) from the superbill into the EHR system? - Answers procedure A claim was denied for a recent surgery performed due to the allowance of another procedure that had already been adjudicated. Which of the following actions should an EHR specialist take? - Answers submit a corrected claim with the appropriate modifier. Which of the following is a computerized service that converts data into a standardized, HIPAA-compliant billing format transaction and checks for all diagnoses and procedural description errors in the EHR? - Answers Clearing house An EHR specialist is speaking with a patient who has cancer and has Medicare part B insurance coverage. The patient asks, "after the deductible is met, what will Medicare pay for my chemotherapy?" Which of the following responses should the EHR specialist make? - Answers "Medicare pays about 80 %" Which of the following should be included in a Nonsufficient funds (NSF) lettter? - Answers Check number An EHR specialist is obtaining HIPAA privacy rule authorization forms for an upcoming audit. Which of the following elements should the EHR specialist ensure is documented on the authorization form in the EHR? - Answers expiration date Which of the following is used to document payment or nonpayment by an insurance company? - Answers remittance advice (RA)/ EOB To which of the following forms should an EHR specialist navigate in the EHR system to create a bill for services provided to patients? - Answers Encounter form An EHR specialist has created an account statement that will be mailed to a patient. Which of the following payment options should appear on the statement for fastest payment? - Answers credit card When entering a patient's new insurance information, which of the following must be entered in the EHR to verify eligibility? - Answers policy holder An EHR specialist is submitting information to Medicaid. Medicaid is which of the following types of guarantors? - Answers Third party liability Which of the following detects and eliminates errors in billing codes prior to submission to the third party payer? - Answers claim scrubber A provider entered one diagnosis on a superbill for services that required three diagnoses for a patient who has Medicare. Which of the following actions should an EHR specialist complete next in the EHR system if the claim has already been paid? - Answers Submit a claim adjustment reason code (CARC) An EHR specialist is helping a patient understand their liability. The patient has met their deductible and has a 20 % coinsurance. The total cost of services is 1,000 dollars. Which of the following amounts is the patient responsible for paying? - Answers 200$ Using the CPT codes database, which of the following procedures should an EHR specialist expect to find associated with the diagnosis of asthma during code review? - Answers bronchoscopy Which of the following should a EHR specialist use to reconcile patient accounts in a 24 hour period? - Answers day sheet An EHR specialist is reviewing a patient aging report, the first statement is handed to the patient on the date of service and each following statement is mailed every 30 days. Which of the following time frames should the EHR specialist select for mailing a second itemized patient statement? - Answers 0 to 30 days An EHR specialist is reviewing EHR entries. The EHR specialist should identify that which of the following is included on the Joint Commissions official "do not use" list of abbreviations? - Answers IU Which of the following parts of the EHR indicates if a health record documentation has been modified? - Answers user activity feed In order to obtain a certificate of need for a new cancer center, an EHR specialist is asked to collect data about patients in the region who have a cancer diagnosis. Which of the following actions should the EHR specialist take when preparing this data? - Answers De-identify protected health information(PHI) prior to release An EHR specialist is preparing to enter patient information into the EHR. Which of the following actions should the EHR specialist take to maintain the security of protected health information(PHI)? - Answers log off the EHR system when not in use An EHR specialist is assisting with granting access privileges to authorized personnel. Which of the following staff members should be assigned access in the EHR system to authorize new prescriptions electronically? - Answers Providers When EHR downtime procedures are initiated during a power outage, which of the following should be implemented to restore any lost data? - Answers disaster recovery plan An EHR specialist is educating a newly hired staff member about safeguarding patient information in the EHR, Which of the following statements should the EHR specialist make? - Answers "biometric measurements are acceptable for individual identification for the EHR system access" An EHR specialist receives a request for the release of protected health information (PHI). Which of the following steps must be taken in the release of information (ROI) workflow process before honoring the request? - Answers the request is reviewed to verify the legitimacy for the ROI An EHR specialist is assisting with an internal audit of a patient's EHR. Which of the following statements documented in the EHR indicates the HIPAA privacy rule was upheld regarding protected health information(PHI)? - Answers "patient's request for an accounting of disclosures was granted" "An EHR specialist is assisting with an internal audit of patient EHRs, the EHR specialist should identify that SOF is an abbreviation for which of the following? - Answers signature on file (SOF) Which of the following behaviors should an EHR specialist identify as a threat to data security when transmitting electronic patient health information? - Answers sending an unencrypted email to a pharmacy Which of the following providers is eligible for the Medicare EHR incentive program? - Answers chiropractor Which of the following prescriptions is written correctly according to the Joint Commissions "do not use" list of abbreviations? - Answers Levothyroxine 0.1 mg PO every morning before breakfast The HIPAA privacy rule prohibits health information from being disclosed without a written patient authorization in which of the following instances? - Answers to the partner of the patient Which of the following penalties does Medicare impose when providers have not implemented certified EHR technology? - Answers they can no longer receive the full reimbursement for services For which of the following reasons was the security standards matrix created by the centers for medicare and medicaid services (CMS)? - Answers Ensuring that covered entities assess their compliance with the HIPAA security rule A staff member approaches an EHR specialist and requests to be granted access to their parent's EHR. Which of the following statements should the EHR specialist make? - Answers "entry is restricted to those who need access" An EHR specialist is working in a hospital setting. Which of the following personnel should have access to the financial data section of a patient's EHR in order to fulfill their responsibilities? - Answers billing clerks In order to limit the use of, disclosure of, and request for protected health information (PHI), The HIPAA privacy rule requires covered entities to adhere to which of the following concepts? - Answers minimum necessary Which of the following actions by a staff member should an EHR specialist identify as a threat to the security of protected health information(PHI)? - Answers using a public internet access An EHR specialist is asked to generate a report that lists the financial status of all patient accounts. Which of the following reports should the EHR specialist create? - Answers billing payment status report An EHR specialist is generating a report for the centers of disease control and prevention (CDC) about the number of patients in the practice who have tested positive for measles within the past year. This is an example of which of the following types of data? - Answers notifiable condition An EHR specialist is compiling data about patient immunization records to report to the public health department. Which of the following sources should the EHR specialist use to create the report? - Answers immunization registries