NCCT ELECTRONIC MEDICAL RECORD (EMR) ELECTRONIC HEALTH RECORD (EHR) Exam Questions and Answers

NCCT ELECTRONIC MEDICAL RECORD (EMR) ELECTRONIC HEALTH RECORD (EHR) Exam Questions and Answers Which of the following is an advantage of using the EHR eligibility tool? A. It auto-populates patient demographics. B. It replaces insurance authorization. C. Office wait times to see the provider are reduced. D. Real time eligibility and benefits are available. - Answer-Real time eligibility and benefits are available. —Rationale EHR eligibility tool is used to verify the benefits and eligibility with up to date accuracy from the insurance companies. It will not replace the necessity to call or fax for the insurance authorization for treatment. When should the insurance and coding specialist update new, revised, and deleted CPT®-4 codes in the practice management software? A. January 1 B. March 1 C. October 1 D. December 31 - Answer-January 1 Rationale CPT® codes are updated annually on January first of each year. This is when the CPT® codes should be updated in the practice manager software ICD-10-CM coding databases should be reviewed and updated by the insurance and coding specialist yearly by A. April. B. October 1. C. January. D. July. - Answer-It can be used to post payments. Rationale A billing data base is used to keep track of patients' billing information and payments. Which of the following is an auditing tool that prompts the insurance and coding specialist with a series of specific questions or choices leading to a final diagnosis? A. encoder B. crosswalk C. grouper D. mapping - Answer-encoder Rationale An encoder is an add on software that helps in the selection of codes by asking a series of questions and can help in the auditing process and list specific code edits, so this is the correct response. A crosswalk is a method used to cross one system over to another (ex: ICD-9-CM to ICD-10-CM). A grouper is a software system that assigns DRGs for discharged patients and changed how hospital reimbursement is calculated. Mapping is the process of matching one set of elements to another. When using an encoder system, the system will A. choose the correct diagnosis codes according to the CPT® codes. B. abstract information from a scanned document. C. show additional levels of ICD-10 specificity. D. confirm that the physician's documentation is correct. - Answer-show additional levels of ICD-10 specificity. Rationale The encoder lists all additional characters for accurate codes. Only the qualified personnel can choose the correct CPT® codes along with abstract information from documents for coding purposes. An encoder cannot read and verify the information for correctness.