100 Questions And
Answers 100% Correct
When purging inactive records, which of the following pieces of information must an
EHR specialist retain? - ANSWER-birth date
According to HIPAA's privacy rule, in which of the following situations is a patient
required to sign an authorization to release PHI? - ANSWER-a school requests a
pediatric patient's physical exam results for sports eligibility
According to HIPAA, the use of CPT and ICD-10-CM code sets is required for which of
the following? - ANSWER-Electronic data interchange
Which of the following describes point of care (POC) documentation? - ANSWER-the
provider documents the information during the patient encounter
Which of the following is the best method to ensure restoration of EHR documents -
ANSWER-backup all database information
An EHR specialist want differentiate the health information recorded for patients who
are pregnant. In which of the following ways should the EHR specialist accomplish this
task? - ANSWER-develop clinical templates to capture data specific to the diagnosis
Which of the following is an example of a static report? - ANSWER-Birth register for a
particular day
An EHR specialist is registering a patient. Which of the following should he include in
the patient demographics? - ANSWER-Date of birth
An EHR specialist is coding a claim for a patient who fell off a chair and broke an arm.
Which of the following is necessary to explain the patient's condition in full? - ANSWER-
V-Y codes
Which of the following should an EHR specialist retrieve from a patient's record when a
provider refers the patient to specialist? - ANSWER-Insurance information
Which of the following should an EHR specialist look for as part of a routine chart audit?
- ANSWER-Assignment of benefits form
, Which of the following is necessary for computer to exchange information? - ANSWER-
Interoperability
Which of the following parts of a SOAP note should an EHR specialist abstract a
diagnosis? - ANSWER-Assesment
An EHR specialist is monitoring changes to CPT codes for his facility. These code
changes are manage and updated by which of the following? - ANSWER-American
Medical Association (AMA)
A provider performs a chest x-ray before and after the placement of a chest tube. This
repeat procedure by the same provider should be coded by which of the following? -
ANSWER-Modifier
storing backup data or media in an off-site location is an example of which of the
following? - ANSWER-Physical safeguard
Which of the following eliminates errors that arise from illegible handwriting and
provides safety checks? - ANSWER-e-Prescribing
Which of the following is a feature of clinical decision support? - ANSWER-allows
patient care to be tailored to published guidelines
Health Level Seven (HL7) is used for which of the following reason? - ANSWER-to
exchange information between systems
Which of the following is a benefit of documenting a patient encounter at the point of
care? - ANSWER-Improved patient outcomes
During an office visit a provider examines a 9- month- old patient for a diaper rash.
Which of the following types of codes should the EHR specialist use to classify this type
of visit? - ANSWER-Evaluation and management services codes
A patient smokes 4 packs of cigarettes per day and has chronic obstructive pulmonary
disease (COPD). The patient presents for an office visit for a urinary tract infection.
Which of the following is the primary diagnosis for this visit? - ANSWER-Urinary tract
infection
Which of the following is the most important reason a provider should include
comprehensive documentation in the patient record? - ANSWER-to demonstrate
medical necessity that ensures correct payment to the provider
Which of the following statement should be documented under physical examination? -
ANSWER-negative bowel sounds