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NHA CEHRS Questions and Answers
advanced directive (living will)
Ans: legal document that contains information about the patients
treatment choices when they are unable to make healthcare decisions
aging report
Ans: report that identifies past due patient or insurance account
balances and is usually run monthly
assignment of benefits
Ans: a patient authorization to allow health insurance payment to be
made directly to the provider of services
authorization
Ans: a document that approves disclosure of protected health
information unrelated to treatment under the HIPAA privacy rule
benchmark
Ans: a measure of performance against industry standards
business associate
Ans: a third party entity that has contact with protected health
information to provide services unrelated to treating patients
business associate agreement
Ans: a legal contract dictating a business associate to comply with
protection of protected health information under the HIPAA privacy rule
Centers for Medicare and Medicaid Services (CMS)
© 2025 All rights reserved
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Ans: a federal regulated agency that is part of the Department of Health
and Human Services, administers Medicare, works with the state
governments to administer Medicaid programs, sets standards for
interoperability of EHR, and overseas implementation of federal
legislation
clinical documentation improvement (CDI)
Ans: process for executing and improving and reviewing clinical
documentation to ensure that it accurately reflects and supports CPT and
ICD-10-CM codes submitted with claims for payment
compliance program
Ans: internal policies designed to prevent claim error, fraud, and abuse
computerized provider order entry (CPOE)
Ans: use of computer system to enter prescriptions and treatment at the
point of care
covered entity
Ans: a medical or health care service, organization, agency, or individual
that has protected health information
Current Procedural Terminology (CPT) 4th edition
Ans: a coding classification system used to report professional services
and procedures provided to a patient at ambulatory care centers,
medical clinics, and other outpatient care facilities
de-identification
Ans: the process of removing personal health information accessible to
providers and other staff members with login credentials regardless of
location
electronic health record (EHR)
Ans: a record of patient health care information accessible to providers
and other staff members with login credentials regardless of location
© 2025 All rights reserved
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electronic medication administration record (eMAR)
Ans: an electronic record containing a patients medication,
administration times, and who administered it
encoder
Ans: software used to assign diagnosis and procedural codes
encounter form
Ans: and itemized bill for services that contains diagnosis and
procedure codes and is used by administrative staff to complete claims
forms; also known as a superbill, fee slip, or charge form
encryption
Ans: converting email or other information into a code that only
intended recipients can read
explanation of benefits (EOB)
Ans: a statement that shows a patient how services provided were
processed by the insurance carrier
Health Information Technology for Economic and Clinical Health
(HITECH) Act
Ans: federal legislation that expands consumer rights and protections
outlined by HIPAA and sets standards for quality and use of EHR
Health Insurance Portability and Accountability Act (HIPAA)
Ans: a federal law that regulates use of patient personal identifiable
information
Healthcare Common Procedure Coding System (HCPCS)
Ans: a coding classification system in which level I (CPT codes) are used
to bill outpatient procedures and physician services, and level II (HCPCS
codes) are used to bill professional services, supplies, and products not
included in CPT codes
© 2025 All rights reserved
NHA CEHRS Questions and Answers
advanced directive (living will)
Ans: legal document that contains information about the patients
treatment choices when they are unable to make healthcare decisions
aging report
Ans: report that identifies past due patient or insurance account
balances and is usually run monthly
assignment of benefits
Ans: a patient authorization to allow health insurance payment to be
made directly to the provider of services
authorization
Ans: a document that approves disclosure of protected health
information unrelated to treatment under the HIPAA privacy rule
benchmark
Ans: a measure of performance against industry standards
business associate
Ans: a third party entity that has contact with protected health
information to provide services unrelated to treating patients
business associate agreement
Ans: a legal contract dictating a business associate to comply with
protection of protected health information under the HIPAA privacy rule
Centers for Medicare and Medicaid Services (CMS)
© 2025 All rights reserved
, 2 | Page
Ans: a federal regulated agency that is part of the Department of Health
and Human Services, administers Medicare, works with the state
governments to administer Medicaid programs, sets standards for
interoperability of EHR, and overseas implementation of federal
legislation
clinical documentation improvement (CDI)
Ans: process for executing and improving and reviewing clinical
documentation to ensure that it accurately reflects and supports CPT and
ICD-10-CM codes submitted with claims for payment
compliance program
Ans: internal policies designed to prevent claim error, fraud, and abuse
computerized provider order entry (CPOE)
Ans: use of computer system to enter prescriptions and treatment at the
point of care
covered entity
Ans: a medical or health care service, organization, agency, or individual
that has protected health information
Current Procedural Terminology (CPT) 4th edition
Ans: a coding classification system used to report professional services
and procedures provided to a patient at ambulatory care centers,
medical clinics, and other outpatient care facilities
de-identification
Ans: the process of removing personal health information accessible to
providers and other staff members with login credentials regardless of
location
electronic health record (EHR)
Ans: a record of patient health care information accessible to providers
and other staff members with login credentials regardless of location
© 2025 All rights reserved
, 3 | Page
electronic medication administration record (eMAR)
Ans: an electronic record containing a patients medication,
administration times, and who administered it
encoder
Ans: software used to assign diagnosis and procedural codes
encounter form
Ans: and itemized bill for services that contains diagnosis and
procedure codes and is used by administrative staff to complete claims
forms; also known as a superbill, fee slip, or charge form
encryption
Ans: converting email or other information into a code that only
intended recipients can read
explanation of benefits (EOB)
Ans: a statement that shows a patient how services provided were
processed by the insurance carrier
Health Information Technology for Economic and Clinical Health
(HITECH) Act
Ans: federal legislation that expands consumer rights and protections
outlined by HIPAA and sets standards for quality and use of EHR
Health Insurance Portability and Accountability Act (HIPAA)
Ans: a federal law that regulates use of patient personal identifiable
information
Healthcare Common Procedure Coding System (HCPCS)
Ans: a coding classification system in which level I (CPT codes) are used
to bill outpatient procedures and physician services, and level II (HCPCS
codes) are used to bill professional services, supplies, and products not
included in CPT codes
© 2025 All rights reserved
