Exam 2026/2027 WITH
Complete Solutions
Most medical errors occur... - ANSWER-Lost medical records, miscommunicated pt
requests, unreadable information & mislabeled lab specimens
Year HIPAA act started - ANSWER-1996
President who recommended HIT in 2004 - ANSWER-George Bush
the goal for all Americans to be using EHR was to take place in how many years? -
ANSWER-10 years
ONCHIT - ANSWER-Office of National Coordination for Health Information Technology
Why ONCHIT was established - ANSWER-To have all Americans using EHR by 2014
HITSP - ANSWER-identified standards for the electronic exchange of health information
CCHIT - ANSWER-developed certification criteria for EHR software
The institute of medicine suggests 8 core functions: - ANSWER-Health information,
results management, order management, decision support, electronic communications,
patient support, administrative processes & reporting & population management
EMR - ANSWER-Electronic Medical Records
What are Electronic Medical Records? - ANSWER-Computerized records of one
physician's encounter with a patient over time.
EHR - ANSWER-Electronic Health Records
What are Electronic Health Records? - ANSWER-Reflects data from all sources that
have treated the individual.
PHR - ANSWER-Personal Health Records
, Who Personal Health Records belong to? - ANSWER-Maintained and owned by the
patient.
Acute care - ANSWER-hospital
Ambulatory care - ANSWER-without admission to a hospital
Advantages of EHR - ANSWER-safety, quality of care, efficiency & cost reduction
incremental conversion - ANSWER-gradual change to electronic records.
advantage of incremental conversion - ANSWER-lower costs & smoother transition
hybrid conversion - ANSWER-combination of paper & electronic forms of data
clinical vocabularies - ANSWER-set of common definitions for medical terms
SNOMED-CT is for: - ANSWER-clinical vocabulary designed to encompass all terms
used in medicine and lab result contents
total conversion - ANSWER-allows patient data to be converted at once while still
servicing patients
LOINC - ANSWER-terms & codes used for electronic exchange of lab results & clinical
observations
UMLS - ANSWER-thesaurus database of medical terms
ICD-9 diagnosis usage - ANSWER-13,000, 3-5 alphanumeric codes for inpatient &
outpatient care
ICD-9 procedure usage - ANSWER-4,000, 3-4 numeric codes for inpatient care
ICD-10-CM diagnosis usage - ANSWER-120,000, 3-7 alphanumeric codes for inpatient
& outpatient care
ICD-10-PCS procedure usage - ANSWER-200,000, 7 alphanumeric codes for inpatient
care
CPT - ANSWER-Current Procedural Terminology
What is Current Procedural Terminology? - ANSWER-coding procedural terminology
developed and maintained by the AMA
Evaluation & management code range - ANSWER-99201-99499