EHR FINAL EXAM HIGH-YIELD CLINICAL
DOCUMENTATION AND HEALTH INFORMATICS
SUMMARY 2026
◉ Of the following, which does not need to be sent to an insurance
company of the CMS-1500 claim form?
Answer: History of present illness
◉ Roberta is a healthcare professional at Dr. Ingram's office. She has
a patient on the phone who wants to make an appointment with Dr.
Ingram. What will Roberta first take into consideration when
looking for an open appointment time?
Answer: The reason for the patient's visit
◉ Which of the following is not a type of medical insurance?
Answer: Self-pay from patient
◉ Dr. Evans' office has computerized the following functions:
appointment scheduling, charge capture, collections, and reporting.
These are all found in which type of software?
Answer: Practice management
,◉ You are a registrar in the admitting office of a hospital; a patient
presents to register for an outpatient laboratory test. What will you
first access to determine if that patient has ever been seen at that
hospital before, or whether you must register him for the first time?
Answer: Master Patient (Person) Index
◉ EHRclinic uses a single _________________ to store administrative and
clinical data on each patient.
Answer: Database
◉ Of the following, which contributes to the high cost of electronic
health records for the software service provider?
Answer: Research and development costs
◉ Which of the following statements is accurately describes
duplicate patient registration and electronic health record system?
Answer: Duplicate patient registrations can occur if the patient's
name was misspelled of the patient was previously registered under
a different name.
◉ Research has shown what in relation to the use of an EHR?
Answer: There has been a decrease in medical errors through the
use of EHR software.
,◉ Which of the following EHR applications may be more beneficial
and efficient for the patient?
Answer: ePrescribing
◉ Though the costs of implementation will be high, which record-
keeping costs will ultimately drop as a result of implementing an
electronic health record?
Answer: Costs of folders and clips to file each record
◉ During the history of present illness, the healthcare professional
asks Ron Albertson for his preferred pharmacy. The healthcare
professional then enters the information into EHRclinic. After the
care provider has examined and diagnosed Mr. Albertson, he
prescribes Amoxicillin and electronically sends the prescription to
Mr. Albertson's chosen pharmacy without having to enter any
additional information into the ePrescribe module. This is an
example of
Answer: Interoperability
◉ Of the following, which is not an application of an EHR system?
Answer: Capture of insurance policy number
◉ In a physician's practice, the documentation of a patient's office
visit is often referred to as a
Answer: Progress note
, ◉ A care provider is dictating a progress note into speech
recognition while the patient is being seen. This dictation is
occurring
Answer: at the point of care
◉ Of the following, which is not clinical information?
Answer: age
◉ You are a healthcare professional at Summit Bay Health Center
and you have just shown a patient, Mrs. Clark, to the check-out desk,
where the billing coordinator had just taken the encounter form
(superbill) for the visit. Dr. Daniels came to the window and stated
that Mrs. Clark left the exam room before receiving her flu shot.
What will occur in this case?
Answer: Mrs. Clark will be taken back to the exam room; she will be
given the injection by the healthcare professional, who will
document it in Mrs. Clark's record and will then update the
encounter form to reflect the charges for the flu shot; at that point,
Mrs. Clark will return to the check-out desk.
◉ Which of the following is not a care provider?
Answer: Medical Assistant
DOCUMENTATION AND HEALTH INFORMATICS
SUMMARY 2026
◉ Of the following, which does not need to be sent to an insurance
company of the CMS-1500 claim form?
Answer: History of present illness
◉ Roberta is a healthcare professional at Dr. Ingram's office. She has
a patient on the phone who wants to make an appointment with Dr.
Ingram. What will Roberta first take into consideration when
looking for an open appointment time?
Answer: The reason for the patient's visit
◉ Which of the following is not a type of medical insurance?
Answer: Self-pay from patient
◉ Dr. Evans' office has computerized the following functions:
appointment scheduling, charge capture, collections, and reporting.
These are all found in which type of software?
Answer: Practice management
,◉ You are a registrar in the admitting office of a hospital; a patient
presents to register for an outpatient laboratory test. What will you
first access to determine if that patient has ever been seen at that
hospital before, or whether you must register him for the first time?
Answer: Master Patient (Person) Index
◉ EHRclinic uses a single _________________ to store administrative and
clinical data on each patient.
Answer: Database
◉ Of the following, which contributes to the high cost of electronic
health records for the software service provider?
Answer: Research and development costs
◉ Which of the following statements is accurately describes
duplicate patient registration and electronic health record system?
Answer: Duplicate patient registrations can occur if the patient's
name was misspelled of the patient was previously registered under
a different name.
◉ Research has shown what in relation to the use of an EHR?
Answer: There has been a decrease in medical errors through the
use of EHR software.
,◉ Which of the following EHR applications may be more beneficial
and efficient for the patient?
Answer: ePrescribing
◉ Though the costs of implementation will be high, which record-
keeping costs will ultimately drop as a result of implementing an
electronic health record?
Answer: Costs of folders and clips to file each record
◉ During the history of present illness, the healthcare professional
asks Ron Albertson for his preferred pharmacy. The healthcare
professional then enters the information into EHRclinic. After the
care provider has examined and diagnosed Mr. Albertson, he
prescribes Amoxicillin and electronically sends the prescription to
Mr. Albertson's chosen pharmacy without having to enter any
additional information into the ePrescribe module. This is an
example of
Answer: Interoperability
◉ Of the following, which is not an application of an EHR system?
Answer: Capture of insurance policy number
◉ In a physician's practice, the documentation of a patient's office
visit is often referred to as a
Answer: Progress note
, ◉ A care provider is dictating a progress note into speech
recognition while the patient is being seen. This dictation is
occurring
Answer: at the point of care
◉ Of the following, which is not clinical information?
Answer: age
◉ You are a healthcare professional at Summit Bay Health Center
and you have just shown a patient, Mrs. Clark, to the check-out desk,
where the billing coordinator had just taken the encounter form
(superbill) for the visit. Dr. Daniels came to the window and stated
that Mrs. Clark left the exam room before receiving her flu shot.
What will occur in this case?
Answer: Mrs. Clark will be taken back to the exam room; she will be
given the injection by the healthcare professional, who will
document it in Mrs. Clark's record and will then update the
encounter form to reflect the charges for the flu shot; at that point,
Mrs. Clark will return to the check-out desk.
◉ Which of the following is not a care provider?
Answer: Medical Assistant
