EHR/CMOM (Chapter 6/Written UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Give a brief description of Medcin - CORRECT ANSWER - A medical nomenclature and
knowledge base developed by Medicomp Systems, Inc. Recognized as a national standard, it is
incorporated in many commercial EHR systems as well as the U.S. Dept. of Defense CHCS II
system.
Give a brief description of ICD-9-CM - CORRECT ANSWER - An acronym for
International Classification of Diseases, Ninth Revision, Clinical Modifications, a system of
standardized codes to classify mortality and morbidity. ICD-9-CM is currently published in three
volumes. The first two volumes provide a listing and an index of diagnosis codes. The third
volume, however, lists codes for hospitals inpatient procedures.
Explain the difference between an EHR nomenclature and a billing code set. - CORRECT
ANSWER - EHR nomenclatures differ from billing codes because they are designed to
codify the details and nuances of the patient-clinician encounter. Billing codes are designed to
represent the exam, service, or a medical supply.
Which screen do you use to set the reason for the visit? - CORRECT ANSWER - The New
Encounter window.
How do you enter Vital Signs? - CORRECT ANSWER - The textbook teaches students to
enter Vital Signs using the Vital Signs form. They also used a Short Intake Form that included
Vital Signs. Another acceptable answer would be: Vitals Signs are entered (in this text) through a
Form.
How do you load a list? - CORRECT ANSWER - Click on the button on the toolbar
labeled Lists. This invokes the List Manager window. Highlight the desired List and click the
button labeled "Load List." (Another acceptable answer: From the List Manager window.)
ROS - CORRECT ANSWER - Review of System
ACTUAL Exam Questions and CORRECT
Answers
Give a brief description of Medcin - CORRECT ANSWER - A medical nomenclature and
knowledge base developed by Medicomp Systems, Inc. Recognized as a national standard, it is
incorporated in many commercial EHR systems as well as the U.S. Dept. of Defense CHCS II
system.
Give a brief description of ICD-9-CM - CORRECT ANSWER - An acronym for
International Classification of Diseases, Ninth Revision, Clinical Modifications, a system of
standardized codes to classify mortality and morbidity. ICD-9-CM is currently published in three
volumes. The first two volumes provide a listing and an index of diagnosis codes. The third
volume, however, lists codes for hospitals inpatient procedures.
Explain the difference between an EHR nomenclature and a billing code set. - CORRECT
ANSWER - EHR nomenclatures differ from billing codes because they are designed to
codify the details and nuances of the patient-clinician encounter. Billing codes are designed to
represent the exam, service, or a medical supply.
Which screen do you use to set the reason for the visit? - CORRECT ANSWER - The New
Encounter window.
How do you enter Vital Signs? - CORRECT ANSWER - The textbook teaches students to
enter Vital Signs using the Vital Signs form. They also used a Short Intake Form that included
Vital Signs. Another acceptable answer would be: Vitals Signs are entered (in this text) through a
Form.
How do you load a list? - CORRECT ANSWER - Click on the button on the toolbar
labeled Lists. This invokes the List Manager window. Highlight the desired List and click the
button labeled "Load List." (Another acceptable answer: From the List Manager window.)
ROS - CORRECT ANSWER - Review of System
