EHR 1,2,&3 EXAM QUESTIONS WITH
CORRECT ANSWERS GRADED A+
FOR 2026 ASSURED EXCEL!!
1. Retention Period - CORRECT ANSWERS-amount of time patient's records, by law, must
be maintained by a medical office. Varies state by state.
2. A physical collection of patient's health care information - CORRECT ANSWERS-is known
as a medical record. EHR, EMR, patient record. It has been used throughout history to
document patient healthcare, signs and symptoms, diseases, and trends of diseases.
3. PTSD - CORRECT ANSWERS-first documented in Civil War era, first was classified as
nervous disease then as "shell shock" and now known as PTSD.
4. Items found in patient medical records: - CORRECT ANSWERS-Contains: Health
information, administrative information, and legal documents.
5. medication list, allergies list, immunization records, laboratory reports, pathology
reports, surgical reports, hospital reports, H&P or history and physical, progress notes,
and radiology reports
6. Legal documents of the record include: - CORRECT ANSWERS-The complete record.
Legal Forms include : Medical Release Forms, informed consent documents, HIPAA
forms, Advanced directives, Living wills, Insurance authorization forms, and healthcare
power of attorney forms, DNR
7. Who documents the reason for the visit? - CORRECT ANSWERS-The medical assistant
documents the reason for the patient's visit - or chief complaint.
, 8. Patient Information Form - CORRECT ANSWERS-P.I.F. - A form used to gather data about
the patient - including basic demographic information, medical insurance data, and
emergency contact. *used for accounting
9. Established patient (EP) - CORRECT ANSWERS-Active Patient, seen by physician or
healthcare provider in the group within last 3 years and Inactive patients who have not
been seen by the physician within the last 3 years. Not included is the closed.
10. Day Sheet - CORRECT ANSWERS-also called day journal; a register for daily business
transactions - such as patient services, payments, and adjustments. all the money
coming in the office, acts as check and balance.
11. *HIPAA 5010 used on EHR - CORRECT ANSWERS-The standard claim format used by a
non-institutional provider or supplier to submit a claim electronically to Medicare and
most other insurance carriers for covered services. ***used to submit medical claims for
reimbursement- used to speed electronical on EHR claims service for physicians ***
12. Skills for using the EHRs include: - CORRECT ANSWERS-Knowledge of medical
terminology, basic typing and computer skills, organization skills, and interpersonal skills
13. Button - CORRECT ANSWERS-An element of the user interface on which the user can
click to execute a command, such as confirm, cancel, or exit.
14. these appear on nearly every module screen. when they appear in full color, they are
active. faded, or gray means inactive.
15. Radio Button - CORRECT ANSWERS-Specialized type of button on a software interface
that toggles on (round button visible) and off (blank circle). Radio buttons tell the user
that only one response is appropriate because two radio buttons cannot be depressed at
the same time.
CORRECT ANSWERS GRADED A+
FOR 2026 ASSURED EXCEL!!
1. Retention Period - CORRECT ANSWERS-amount of time patient's records, by law, must
be maintained by a medical office. Varies state by state.
2. A physical collection of patient's health care information - CORRECT ANSWERS-is known
as a medical record. EHR, EMR, patient record. It has been used throughout history to
document patient healthcare, signs and symptoms, diseases, and trends of diseases.
3. PTSD - CORRECT ANSWERS-first documented in Civil War era, first was classified as
nervous disease then as "shell shock" and now known as PTSD.
4. Items found in patient medical records: - CORRECT ANSWERS-Contains: Health
information, administrative information, and legal documents.
5. medication list, allergies list, immunization records, laboratory reports, pathology
reports, surgical reports, hospital reports, H&P or history and physical, progress notes,
and radiology reports
6. Legal documents of the record include: - CORRECT ANSWERS-The complete record.
Legal Forms include : Medical Release Forms, informed consent documents, HIPAA
forms, Advanced directives, Living wills, Insurance authorization forms, and healthcare
power of attorney forms, DNR
7. Who documents the reason for the visit? - CORRECT ANSWERS-The medical assistant
documents the reason for the patient's visit - or chief complaint.
, 8. Patient Information Form - CORRECT ANSWERS-P.I.F. - A form used to gather data about
the patient - including basic demographic information, medical insurance data, and
emergency contact. *used for accounting
9. Established patient (EP) - CORRECT ANSWERS-Active Patient, seen by physician or
healthcare provider in the group within last 3 years and Inactive patients who have not
been seen by the physician within the last 3 years. Not included is the closed.
10. Day Sheet - CORRECT ANSWERS-also called day journal; a register for daily business
transactions - such as patient services, payments, and adjustments. all the money
coming in the office, acts as check and balance.
11. *HIPAA 5010 used on EHR - CORRECT ANSWERS-The standard claim format used by a
non-institutional provider or supplier to submit a claim electronically to Medicare and
most other insurance carriers for covered services. ***used to submit medical claims for
reimbursement- used to speed electronical on EHR claims service for physicians ***
12. Skills for using the EHRs include: - CORRECT ANSWERS-Knowledge of medical
terminology, basic typing and computer skills, organization skills, and interpersonal skills
13. Button - CORRECT ANSWERS-An element of the user interface on which the user can
click to execute a command, such as confirm, cancel, or exit.
14. these appear on nearly every module screen. when they appear in full color, they are
active. faded, or gray means inactive.
15. Radio Button - CORRECT ANSWERS-Specialized type of button on a software interface
that toggles on (round button visible) and off (blank circle). Radio buttons tell the user
that only one response is appropriate because two radio buttons cannot be depressed at
the same time.
