The data the practice collects from patient records for the regional diabetes registry can be
used in a public report only after what? - ANSWER The data is de-identified so no patient
demographic information can be extracted form the report
What type of code specifically captures and bills for the time a provider spends with a pa-
tient? - ANSWER E&M codes: capture the amount and the intensity of time the provider
spends with the patient
When Janet reminded Karen to always log off the computer when she was not using it, she
mentioned user activity reports. As they relate to compliance with HIPAA regulations, these
reports are also called what? - ANSWER Audit trail reports
The facility in this scenario uses a number system for patient check-in. Some practices prefer
this method for what reasons? - ANSWER It protects patients' privacy
After seeing Mrs. Simpson, Dr. Stone refers her to a specialist. What helps make the neces-
sary referral paperwork simple and quick at check-out? - ANSWER Customized templates
An older adult patient seen that day reports his medical history includes "sugar" on both
sides of his family. While Karen knows this refers to diabetes mellitus, she also realizes it is
important for providers to document precisely in the EHR. What helps standardize data ele-
ments and descriptions of medical terms in the EHR? - ANSWER Systematized Nomencla-
ture of Medicine - Clinical Terms (SNOMED-CT)
A transport ambulance service the facility partially owns brought in one of the patients that
day. The coder was unable to assign a CPT code for the service. What actions should the
coder perform to obtain reimbursement? - ANSWER Submit a claim form with a HCPCS
Level II code
1
used in a public report only after what? - ANSWER The data is de-identified so no patient
demographic information can be extracted form the report
What type of code specifically captures and bills for the time a provider spends with a pa-
tient? - ANSWER E&M codes: capture the amount and the intensity of time the provider
spends with the patient
When Janet reminded Karen to always log off the computer when she was not using it, she
mentioned user activity reports. As they relate to compliance with HIPAA regulations, these
reports are also called what? - ANSWER Audit trail reports
The facility in this scenario uses a number system for patient check-in. Some practices prefer
this method for what reasons? - ANSWER It protects patients' privacy
After seeing Mrs. Simpson, Dr. Stone refers her to a specialist. What helps make the neces-
sary referral paperwork simple and quick at check-out? - ANSWER Customized templates
An older adult patient seen that day reports his medical history includes "sugar" on both
sides of his family. While Karen knows this refers to diabetes mellitus, she also realizes it is
important for providers to document precisely in the EHR. What helps standardize data ele-
ments and descriptions of medical terms in the EHR? - ANSWER Systematized Nomencla-
ture of Medicine - Clinical Terms (SNOMED-CT)
A transport ambulance service the facility partially owns brought in one of the patients that
day. The coder was unable to assign a CPT code for the service. What actions should the
coder perform to obtain reimbursement? - ANSWER Submit a claim form with a HCPCS
Level II code
1
