Electronic Health Record Practice Exam
Questions And Answers (Already
Graded A+)
Which of the following is necessary for computer systems to exchange information? -
ANSWER-Interoperability
Where can an EHR specialist find documentation to verify the time of a medication
administration? - ANSWER-MAR
Before a surgical procedure, an EHR specialist should obtain what to ensure payment
of the claim by the third party payer? - ANSWER-Preauthorization
Anyone who thinks a healthcare provider has violated HIPAA privacy regulations can
file a written complaint within 180 days to what organization? - ANSWER-Officer for
Civil Rights (OCR)
What is a threat to the security of information in an EHR system? - ANSWER-
Environmental factors
Who analyzes medical codes for patient encounters and reports any errors? -
ANSWER-claim scrubber
In what area of a patient's EHR will the EHR specialist find the necessary
documentation to substantiate a short-term disability claim for a woman on maternity
leave? - ANSWER-Discharge summary
What is a benefit of documenting a patient encounter at the point of care? - ANSWER-
Improved patient outcomes
What is a feature of a patient portal within an EHR system? - ANSWER-Patients can
input health status updates between appointments
A patient presents to a provider's office with a third degree burn on his hand from
cooking oil. What should an EHR specialist code first? - ANSWER-Classification
For what reasons should an EHR specialist run a statistical report containing
information about patients colonoscopies and fecal occult blood tests? - ANSWER-
Performance-based pay
What refers to a provider's liability for the wrongful acts of his employees? - ANSWER-
Respondeat Superior
, What can be integrated with an EHR system to automatically generate ICD and CPT
information directly from clinical documentation? - ANSWER-computer-assisted coding
What safeguard includes authentication controls for a patient's P H I? - ANSWER-
Technical
From what part of a SOAP note should an EHR specialist abstract a diagnosis? -
ANSWER-Assessment
What computerized documents would an EHR specialist generate to obtain a patient-
specific list of procedures, services, and supplies with associated costs? - ANSWER-
charge description master
Storing backup data or media in an off-site location is an example of what? - ANSWER-
Physical safeguard
Hospital A was recognized for its employee safety record, and hospital B has set a goal
to achieve similar results. This is an example of what? - ANSWER-Benchmarking
Billed procedures and services should be supported by what? - ANSWER-Medical
record
What is a feature of clinical decision support? - ANSWER-Allows patient care to be
tailored to published guidelines
What should an EHR specialist look for as part of a routine chart audit? - ANSWER-
Assignment of Benefits form
What is the first step of the scanning process? - ANSWER-Document preparation
A provider's office is using coding software with the ability to receive updates twice a
year. What code follows this updating schedule? - ANSWER-ICD-9-C M
If a patient has insurance that requires a co-payment what is needed to accurately
collect and post the patient's payment? - ANSWER-Encounter form
What describes the reference used to enter diagnosis codes in a hospital setting? -
ANSWER-ICD-9-C M
An EHR specialist enters a patient's insurance information into the EHR system. How
long does it take for this information to post to the patient's chart? - ANSWER-As soon
as the information is entered
Questions And Answers (Already
Graded A+)
Which of the following is necessary for computer systems to exchange information? -
ANSWER-Interoperability
Where can an EHR specialist find documentation to verify the time of a medication
administration? - ANSWER-MAR
Before a surgical procedure, an EHR specialist should obtain what to ensure payment
of the claim by the third party payer? - ANSWER-Preauthorization
Anyone who thinks a healthcare provider has violated HIPAA privacy regulations can
file a written complaint within 180 days to what organization? - ANSWER-Officer for
Civil Rights (OCR)
What is a threat to the security of information in an EHR system? - ANSWER-
Environmental factors
Who analyzes medical codes for patient encounters and reports any errors? -
ANSWER-claim scrubber
In what area of a patient's EHR will the EHR specialist find the necessary
documentation to substantiate a short-term disability claim for a woman on maternity
leave? - ANSWER-Discharge summary
What is a benefit of documenting a patient encounter at the point of care? - ANSWER-
Improved patient outcomes
What is a feature of a patient portal within an EHR system? - ANSWER-Patients can
input health status updates between appointments
A patient presents to a provider's office with a third degree burn on his hand from
cooking oil. What should an EHR specialist code first? - ANSWER-Classification
For what reasons should an EHR specialist run a statistical report containing
information about patients colonoscopies and fecal occult blood tests? - ANSWER-
Performance-based pay
What refers to a provider's liability for the wrongful acts of his employees? - ANSWER-
Respondeat Superior
, What can be integrated with an EHR system to automatically generate ICD and CPT
information directly from clinical documentation? - ANSWER-computer-assisted coding
What safeguard includes authentication controls for a patient's P H I? - ANSWER-
Technical
From what part of a SOAP note should an EHR specialist abstract a diagnosis? -
ANSWER-Assessment
What computerized documents would an EHR specialist generate to obtain a patient-
specific list of procedures, services, and supplies with associated costs? - ANSWER-
charge description master
Storing backup data or media in an off-site location is an example of what? - ANSWER-
Physical safeguard
Hospital A was recognized for its employee safety record, and hospital B has set a goal
to achieve similar results. This is an example of what? - ANSWER-Benchmarking
Billed procedures and services should be supported by what? - ANSWER-Medical
record
What is a feature of clinical decision support? - ANSWER-Allows patient care to be
tailored to published guidelines
What should an EHR specialist look for as part of a routine chart audit? - ANSWER-
Assignment of Benefits form
What is the first step of the scanning process? - ANSWER-Document preparation
A provider's office is using coding software with the ability to receive updates twice a
year. What code follows this updating schedule? - ANSWER-ICD-9-C M
If a patient has insurance that requires a co-payment what is needed to accurately
collect and post the patient's payment? - ANSWER-Encounter form
What describes the reference used to enter diagnosis codes in a hospital setting? -
ANSWER-ICD-9-C M
An EHR specialist enters a patient's insurance information into the EHR system. How
long does it take for this information to post to the patient's chart? - ANSWER-As soon
as the information is entered
