CERTIFIED EHR STUDY GUIDE QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026
H.I.T. - Answers health information technology
O.N.C.H.I.T. - Answers office of national coordination for health information technology
8 Core functions of EHR - Answers 1) health information and date elements 2) results management 3)
order management 4) decision support 5) electronic communications and connectivity 6) patient
support 7) administrative processes 8) reporting and population management
Medical Record - Answers is used to support treatment decisions, document service provided, and
could also be used in a court of law for evidence purposes.
EMR / Electronic Medical Records - Answers are computerized records of one physician's encounter
with a patient over time. The EMR reflects treatment of a patient by one physician.
EHR / Electronic Health Records - Answers reflects the data from ALL sources that have treated the
individual.
PHR / Personal Health Records - Answers are maintained and owned by the patient. the patient
makes the decision whether to share the contents with their physician.
Acute care - Answers most often refers to hospital care
Ambulatory care - Answers treatment without admission to the hospital
Advantages of Electronic Health Records / EHR - Answers safety, quality of care, efficiency, cost
reduction
The decision to go completely electronic will - Answers have a huge impact on patient efficiency
Total conversion - Answers may be costly but it allows all patient data to be converted at once while
the office can still service patients.
Incremental conversion - Answers is a gradual change to electronic records. the advantages to this
type of change are lower costs and a smoother transition due to less of an impact on the office. the
disadvantages are that paper still needs to be used and not all patient data is available.
Hybrid conversion - Answers us using a combination of paper and electronic forms of data. no matter
what form is chosen, the physician still needs to enter progress notes. most doctors choose the
dictation/transcription process.
Types of clinical standards - Answers clinical vocabularies, snomed-ct, loinc, umls
Clinical vocabularies - Answers set of common definitions for medical terms that ease communication
by decreasing ambiguity.
SNOMED-CT - Answers clinical vocabulary designed to encompass all terms used in medicine
LOINC - Answers terms and codes used for electronic exchange of lab results and clinical observations
UMLS - Answers thesaurus database of medical terms
ICD - Answers International Classification of Disease, is a standard developed by the World Health
Organization.
ICD 9 Diagnosis Usage - Answers inpatient / outpatient, 3-5 alphanumeric 13,000
ICD 9 Procedure Usage - Answers inpatient 3-4 numeric 4,000
CPT - Answers current procedural terminology
CPT - Current Procedural Terminology - Answers is a coding procedural terminology developed and
maintained by the AMA. It is a list of codes for reporting medical services and procedures performed
by health care providers in an outpatient setting.
HCPCS - Answers Healthcare Common Procedure Coding System, codes maintained by the CMS
When answering the phone you should: - Answers answer the telephone promptly and kindly, be
sure to properly speak into the phone, be sure to give the caller your undivided attention, speak
clearly and distinctly, always be courteous, be sure to ask the caller's permission before placing them
on hold, never allow an angry or aggressive called to upset you, remain calm and composed.
Verbal communication - Answers is the use of the language or the actual words spoken
Nonverbal communication - Answers is the use of eye contact, body language, facial expression, or
symbolic expressions to communicate a message.
Respect - Answers is essential in the process of communication with coworkers, patients, and visitors
Patient flow - Answers step 1: appointment scheduling, information collection. step 2: patient check
in payment collection.
step 3: rooming, measurement vital signs, patient examination and documentation.
step 4: patient checkout
step 5: coding and billing, reviewing test results
H.I.T. - Answers health information technology
O.N.C.H.I.T. - Answers office of national coordination for health information technology
8 Core functions of EHR - Answers 1) health information and date elements 2) results management 3)
order management 4) decision support 5) electronic communications and connectivity 6) patient
support 7) administrative processes 8) reporting and population management
Medical Record - Answers is used to support treatment decisions, document service provided, and
could also be used in a court of law for evidence purposes.
EMR / Electronic Medical Records - Answers are computerized records of one physician's encounter
with a patient over time. The EMR reflects treatment of a patient by one physician.
EHR / Electronic Health Records - Answers reflects the data from ALL sources that have treated the
individual.
PHR / Personal Health Records - Answers are maintained and owned by the patient. the patient
makes the decision whether to share the contents with their physician.
Acute care - Answers most often refers to hospital care
Ambulatory care - Answers treatment without admission to the hospital
Advantages of Electronic Health Records / EHR - Answers safety, quality of care, efficiency, cost
reduction
The decision to go completely electronic will - Answers have a huge impact on patient efficiency
Total conversion - Answers may be costly but it allows all patient data to be converted at once while
the office can still service patients.
Incremental conversion - Answers is a gradual change to electronic records. the advantages to this
type of change are lower costs and a smoother transition due to less of an impact on the office. the
disadvantages are that paper still needs to be used and not all patient data is available.
Hybrid conversion - Answers us using a combination of paper and electronic forms of data. no matter
what form is chosen, the physician still needs to enter progress notes. most doctors choose the
dictation/transcription process.
Types of clinical standards - Answers clinical vocabularies, snomed-ct, loinc, umls
Clinical vocabularies - Answers set of common definitions for medical terms that ease communication
by decreasing ambiguity.
SNOMED-CT - Answers clinical vocabulary designed to encompass all terms used in medicine
LOINC - Answers terms and codes used for electronic exchange of lab results and clinical observations
UMLS - Answers thesaurus database of medical terms
ICD - Answers International Classification of Disease, is a standard developed by the World Health
Organization.
ICD 9 Diagnosis Usage - Answers inpatient / outpatient, 3-5 alphanumeric 13,000
ICD 9 Procedure Usage - Answers inpatient 3-4 numeric 4,000
CPT - Answers current procedural terminology
CPT - Current Procedural Terminology - Answers is a coding procedural terminology developed and
maintained by the AMA. It is a list of codes for reporting medical services and procedures performed
by health care providers in an outpatient setting.
HCPCS - Answers Healthcare Common Procedure Coding System, codes maintained by the CMS
When answering the phone you should: - Answers answer the telephone promptly and kindly, be
sure to properly speak into the phone, be sure to give the caller your undivided attention, speak
clearly and distinctly, always be courteous, be sure to ask the caller's permission before placing them
on hold, never allow an angry or aggressive called to upset you, remain calm and composed.
Verbal communication - Answers is the use of the language or the actual words spoken
Nonverbal communication - Answers is the use of eye contact, body language, facial expression, or
symbolic expressions to communicate a message.
Respect - Answers is essential in the process of communication with coworkers, patients, and visitors
Patient flow - Answers step 1: appointment scheduling, information collection. step 2: patient check
in payment collection.
step 3: rooming, measurement vital signs, patient examination and documentation.
step 4: patient checkout
step 5: coding and billing, reviewing test results
