An EHR specialist is assisting with the training of a newlu-hired billing specialist who asks,
"What is the purpose of a billing and payment status report/' Which of the following re-
sponses should the EHR specialist make?
a. "It assists with budgeting and revenue management."
b. "It lists the standing of each patient's account."
c. "It identifies patient information and the amount paid by the third-party payer."
d. "It shows how many patients are treated in a specific period by the provider." - AN-
SWER b. "It lists the standing of each patient's account."
Which of the following is an example of a technical safeguard?
a. Assignments of security responsibilities
b. Off-site computer back-ups
c. Authentication controls on computers
d. Protection against environmental hazards - ANSWER c. Authentication controls on
computers
An EHR specialist is preparing a financial report to compare the amount of reimbursement
provided by different third-party payers for a specific procedure. Which of the following
should the EHR specialist use to identify the procedure in question?
a. CPT codes
b. ICD-10-CM
c. Past/Family/Social history (PFSH)
1
,d.Review of SYstems (ROS) - ANSWER a. CPT codes
An EHR specialist is reviewing the outstanding patient account balances that were submitted
to a collection agency. Which of the following documents is required to verify that the cor-
rect accounts were submitted?
a. Deposit report
b. Payment day sheet
c. Patient Ledger
d. Patient Aging report - ANSWER d. Patient Aging report
An EHR specialist is developing templates for a facility's EHR database. In which of the fol-
lowing sections of the EHR should the specialist place the progress notes?
a. Legal data
b. Clinical data
c. Financial data
d. Administrative data - ANSWER b. Clinical data
An EHR specialist should identify that which of the following members of the health care
team can be granted remote access to EHRs?
a. Provider
b. Phlebotomy technician
c. Medical assistnat
d. EKG technician - ANSWER a. Provider
2
,An EHR specialist is registering a new patient. Which of the collowing documents should the
EHR specialist ensure is signed by the patient to acknowledge their understanding of why
protected health information (PHI) might be released?
a. Advanced Beneficiary Noticce (ABN)
b. Assignemnt of Benefits
c. Notice of Privacy Practices (NPP)
d. General Consent for Treatment - ANSWER c. Notice of Privacy Practices (NPP)
An EHR specialist is collaborating with a coder about reports available in the new EHR sys-
tem. The EHR specialist whould instruct the coder that which of the following reports shows
the income generated by each thrid-party payer?
a. Day sheet report
b. Patient aging report
c. Procedure by insurance report
d. Billing/payment status report - ANSWER c. Procedure by insurance report
Which of the following patient portal features meet the criteria for patient engagement as
part of EHR incentive programs?
a. Request my appointment
b. Review medical history
c. Send clinical summaries
d. Get medical advice - ANSWER c. Send clinical summaries
An EHR specialist is educating a newly hired staff member about the security management
process. Which of the following procedures shoudl the EHR specialist indicate involves regu-
larly reviewing records, access reports, and security incident tracking report?
3
, a. Sanction policy
b. Information system activity review
c. Risk management
d. Risk analysis - ANSWER b. Information system activity review
Which of the following is an administrative safeguard used to ensure the security of elec-
tronic medical records?
a. Data backup and storage
b. Encryption
c. Password managment
d. Automatic logoff - ANSWER c. Password managment
An EHR specialist is performing an internal audit of the EHR records, and discovers improper
billing documentation that suggests potential fraud or abuse in accounts of patients who
have a private third-party payer. Which of the following agences should handle this type of
inquiry?
a. Centers of Medicare and Medicaid (CMS)
b. Office of the National Coordinator for Health Information Technology (ONC)
c. Office of Inspector General (OIG)
d. The Joint Commission (TJC) - ANSWER c. Office of Inspector General (OIG)
An EHR speciailst is collberating with a clincial coder to train the billing staff of a facility using
a new EHR system that includes computer assisted coding (CAC) software. Which of the fol-
lowing actions should the billers take when creating a claim to ensure the CAC assigned an
accurate procedure code in the patient record?
a. Confirm the code with the deparment that performed the procedure
b. Validate the procedure code with documentation in the patient health record
4
"What is the purpose of a billing and payment status report/' Which of the following re-
sponses should the EHR specialist make?
a. "It assists with budgeting and revenue management."
b. "It lists the standing of each patient's account."
c. "It identifies patient information and the amount paid by the third-party payer."
d. "It shows how many patients are treated in a specific period by the provider." - AN-
SWER b. "It lists the standing of each patient's account."
Which of the following is an example of a technical safeguard?
a. Assignments of security responsibilities
b. Off-site computer back-ups
c. Authentication controls on computers
d. Protection against environmental hazards - ANSWER c. Authentication controls on
computers
An EHR specialist is preparing a financial report to compare the amount of reimbursement
provided by different third-party payers for a specific procedure. Which of the following
should the EHR specialist use to identify the procedure in question?
a. CPT codes
b. ICD-10-CM
c. Past/Family/Social history (PFSH)
1
,d.Review of SYstems (ROS) - ANSWER a. CPT codes
An EHR specialist is reviewing the outstanding patient account balances that were submitted
to a collection agency. Which of the following documents is required to verify that the cor-
rect accounts were submitted?
a. Deposit report
b. Payment day sheet
c. Patient Ledger
d. Patient Aging report - ANSWER d. Patient Aging report
An EHR specialist is developing templates for a facility's EHR database. In which of the fol-
lowing sections of the EHR should the specialist place the progress notes?
a. Legal data
b. Clinical data
c. Financial data
d. Administrative data - ANSWER b. Clinical data
An EHR specialist should identify that which of the following members of the health care
team can be granted remote access to EHRs?
a. Provider
b. Phlebotomy technician
c. Medical assistnat
d. EKG technician - ANSWER a. Provider
2
,An EHR specialist is registering a new patient. Which of the collowing documents should the
EHR specialist ensure is signed by the patient to acknowledge their understanding of why
protected health information (PHI) might be released?
a. Advanced Beneficiary Noticce (ABN)
b. Assignemnt of Benefits
c. Notice of Privacy Practices (NPP)
d. General Consent for Treatment - ANSWER c. Notice of Privacy Practices (NPP)
An EHR specialist is collaborating with a coder about reports available in the new EHR sys-
tem. The EHR specialist whould instruct the coder that which of the following reports shows
the income generated by each thrid-party payer?
a. Day sheet report
b. Patient aging report
c. Procedure by insurance report
d. Billing/payment status report - ANSWER c. Procedure by insurance report
Which of the following patient portal features meet the criteria for patient engagement as
part of EHR incentive programs?
a. Request my appointment
b. Review medical history
c. Send clinical summaries
d. Get medical advice - ANSWER c. Send clinical summaries
An EHR specialist is educating a newly hired staff member about the security management
process. Which of the following procedures shoudl the EHR specialist indicate involves regu-
larly reviewing records, access reports, and security incident tracking report?
3
, a. Sanction policy
b. Information system activity review
c. Risk management
d. Risk analysis - ANSWER b. Information system activity review
Which of the following is an administrative safeguard used to ensure the security of elec-
tronic medical records?
a. Data backup and storage
b. Encryption
c. Password managment
d. Automatic logoff - ANSWER c. Password managment
An EHR specialist is performing an internal audit of the EHR records, and discovers improper
billing documentation that suggests potential fraud or abuse in accounts of patients who
have a private third-party payer. Which of the following agences should handle this type of
inquiry?
a. Centers of Medicare and Medicaid (CMS)
b. Office of the National Coordinator for Health Information Technology (ONC)
c. Office of Inspector General (OIG)
d. The Joint Commission (TJC) - ANSWER c. Office of Inspector General (OIG)
An EHR speciailst is collberating with a clincial coder to train the billing staff of a facility using
a new EHR system that includes computer assisted coding (CAC) software. Which of the fol-
lowing actions should the billers take when creating a claim to ensure the CAC assigned an
accurate procedure code in the patient record?
a. Confirm the code with the deparment that performed the procedure
b. Validate the procedure code with documentation in the patient health record
4