Electronic Health Record Practice Exam ACTUAL UPDATED QUESTIONS
AND CORRECT ANSWERS
Which of the following is necessary for computer systems Interoperability
to exchange information?
Where can an EHR specialist find documentation to verify MAR
the time of a medication administration?
Before a surgical procedure, an EHR specialist should Preauthorization
obtain what to ensure payment of the claim by the third
party payer?
Anyone who thinks a healthcare provider has violated Officer for Civil Rights (OCR)
HIPAA privacy regulations can file a written complaint
within 180 days to what organization?
What is a threat to the security of information in an EHR Environmental factors
system?
Who analyzes medical codes for patient encounters and claim scrubber
reports any errors?
In what area of a patient's EHR will the EHR specialist find Discharge summary
the necessary documentation to substantiate a short-
term disability claim for a woman on maternity leave?
What is a benefit of documenting a patient encounter at Improved patient outcomes
the point of care?
What is a feature of a patient portal within an EHR Patients can input health status updates between appointments
system?
A patient presents to a provider's office with a third Classification
degree burn on his hand from cooking oil. What should
an EHR specialist code first?
For what reasons should an EHR specialist run a statistical Performance-based pay
report containing information about patients
colonoscopies and fecal occult blood tests?
What refers to a provider's liability for the wrongful acts Respondeat Superior
of his employees?
, What can be integrated with an EHR system to computer-assisted coding
automatically generate ICD and CPT information directly
from clinical documentation?
What safeguard includes authentication controls for a Technical
patient's P H I?
What is a feature of clinical decision support? Allows patient care to be tailored to published guidelines
What should an EHR specialist look for as part of a Assignment of Benefits form
routine chart audit?
What is the first step of the scanning process? Document preparation
A provider's office is using coding software with the ICD-9-C M
ability to receive updates twice a year. What code follows
this updating schedule?
If a patient has insurance that requires a co-payment what Encounter form
is needed to accurately collect and post the patient's
payment?
What describes the reference used to enter diagnosis ICD-9-C M
codes in a hospital setting?
An EHR specialist enters a patient's insurance information As soon as the information is entered
into the EHR system. How long does it take for this
information to post to the patient's chart?
What is the coding system used to convert written ICD
diagnoses into numeric form?
What is a function of the Drug Utilization Review (DUR) To flag possible medication interactions
feature in an EHR system?
What report indicates the status of a claim since Aging report
submission?
From what part of a SOAP note should an EHR specialist Assessment
abstract a diagnosis?
What computerized documents would an EHR specialist charge description master
generate to obtain a patient-specific list of procedures,
services, and supplies with associated costs?
AND CORRECT ANSWERS
Which of the following is necessary for computer systems Interoperability
to exchange information?
Where can an EHR specialist find documentation to verify MAR
the time of a medication administration?
Before a surgical procedure, an EHR specialist should Preauthorization
obtain what to ensure payment of the claim by the third
party payer?
Anyone who thinks a healthcare provider has violated Officer for Civil Rights (OCR)
HIPAA privacy regulations can file a written complaint
within 180 days to what organization?
What is a threat to the security of information in an EHR Environmental factors
system?
Who analyzes medical codes for patient encounters and claim scrubber
reports any errors?
In what area of a patient's EHR will the EHR specialist find Discharge summary
the necessary documentation to substantiate a short-
term disability claim for a woman on maternity leave?
What is a benefit of documenting a patient encounter at Improved patient outcomes
the point of care?
What is a feature of a patient portal within an EHR Patients can input health status updates between appointments
system?
A patient presents to a provider's office with a third Classification
degree burn on his hand from cooking oil. What should
an EHR specialist code first?
For what reasons should an EHR specialist run a statistical Performance-based pay
report containing information about patients
colonoscopies and fecal occult blood tests?
What refers to a provider's liability for the wrongful acts Respondeat Superior
of his employees?
, What can be integrated with an EHR system to computer-assisted coding
automatically generate ICD and CPT information directly
from clinical documentation?
What safeguard includes authentication controls for a Technical
patient's P H I?
What is a feature of clinical decision support? Allows patient care to be tailored to published guidelines
What should an EHR specialist look for as part of a Assignment of Benefits form
routine chart audit?
What is the first step of the scanning process? Document preparation
A provider's office is using coding software with the ICD-9-C M
ability to receive updates twice a year. What code follows
this updating schedule?
If a patient has insurance that requires a co-payment what Encounter form
is needed to accurately collect and post the patient's
payment?
What describes the reference used to enter diagnosis ICD-9-C M
codes in a hospital setting?
An EHR specialist enters a patient's insurance information As soon as the information is entered
into the EHR system. How long does it take for this
information to post to the patient's chart?
What is the coding system used to convert written ICD
diagnoses into numeric form?
What is a function of the Drug Utilization Review (DUR) To flag possible medication interactions
feature in an EHR system?
What report indicates the status of a claim since Aging report
submission?
From what part of a SOAP note should an EHR specialist Assessment
abstract a diagnosis?
What computerized documents would an EHR specialist charge description master
generate to obtain a patient-specific list of procedures,
services, and supplies with associated costs?