Dr. Simmons' office has been notified that they are being audited due
to a complaint that was filed by a Medicare patient regarding their
billing practices. The audit will be conducted by: - ✔ ✔ Office of
Inspector General
The out-of-pocket payment amount that a policyholder must meet
before insurance coverage begins is called the - ✔ ✔ deductible
The process of reviewing claims to determine payment is called - ✔
✔ adjudication
Many offices use an internal, secure environment to communicate
important information to their employees. This is known as a/an? - ✔
✔ Intranet
A hard copy document such as an insurance card may be converted to
digital format for inclusion in a patient's health record. The process of
converting the document from paper format to digital format is known
as _______- - ✔ ✔ scanning
Preformatted documents built into the practice management and
electronic health record software are known as: - ✔ ✔ templates
In the field "Primary Language", English appears in the field. This is
known as a ___________ value. - ✔ ✔ default
Datasets that provide structure and are the building blocks for parts of
the health record are known as ____________ files. - ✔ ✔ master
,Dr. Handley prefers to see the Facesheet of her patients in a particular
order. Dr. Adams prefers to see his in another order. The software used
in their office allows each provider to view screens in a different way.
This is known as: - ✔ ✔ customization
A functionality of an EHR or other software that allows the user to
assign an electronic "to-do" list to themselves or other employees is
known as the: - ✔ ✔ task list
Jeannie Clark has requested to be put on a payment plan for her
outstanding balance. She came to the office today and while registering
her, the healthcare professional saw a dialogue box which alerted her
not to collect a late fee. This reminder is known as a ______________. -
✔ ✔ flag
The quality of a digital image is known as the: - ✔ ✔ resolution
Summit Bay Health Center uses a priority ranking system for its internal
email. The fact that the holiday luncheon will be held on December 6,
2019, would be most appropriately sent as a ________ priority email. -
✔ ✔ low
The patient's bill for an encounter is ready to be sent to the insurer at
what point in the encounter? - ✔ ✔ after the care provider has
documented a diagnosis or diagnoses and all charges have been posted
EHRclinic is what kind of computer software? - ✔ ✔ practice
management and electronic health records
Which does not need to be sent to an insurance company on the CMS-
1500 claim form? - ✔ ✔ history of present illness
, The steps listed below are carried out by which staff during an office
visit? Patient Arrives for visit > Update Patient Information > Check In
and Collect Co-pay > Start Patient Tracking - ✔ ✔ registration/front-
desk staff
Joyce Burke is a healthcare professional working at Greenway Medical.
She is responsible for compiling insurance claims and checking them for
completion. Which area of the office does Joyce work in? - ✔ ✔
business office
Which is an advantage of adopting an electronic health record? - ✔ ✔
the potential for interoperability with other computerized systems
within the practice or hospital
Which of the following functions is carried out during the check-in
steps? - ✔ ✔ healthcare professional updates patient information
Which of the following is not a care provider? - ✔ ✔ medical
assistant
which is not a core function of the EHR as defined by the National
Academies of Sciences, Engineering and Medicine (formerly the
institute of Medicine)? - ✔ ✔ filing of insurance claims
A unique identifier that is required on claim forms and identifies the
care provider or group practice submitting the claim is the - ✔ ✔
National Provider Identifier number
The health information manager and the _________ work closely to
ensure a fully operational, secure electronic health record that meets
the needs of all users within the facility? - ✔ ✔ Information
Technology Manager/Officer