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1. _______ is used within electronic health Clinical decision support
records to access current information
about a disease or condition.
2. What are some common libraries that built -Alerts
in the practice management software to -Fee schedule
perform functions within various applica- -Reports
tions? -Insurance company
-Code tables
3. Records are filed by _______ in a hospital medical record name
setting.
4. A care provider determines the extent of -The patient's chief complaint
the PE based on which of the following? -The patient's responses to the ROS ques-
tions
5. Which of the following is a data source for EMR
the EHR?
6. Which of the following apply to pa- - Startup costs are relatively inexpensive.
per-based records? - Individual records can easily be lost or
misfiled.
- Archiving costs are high.
7. Which of the following are functions of clin- - Alerts providers to patient diagnoses con-
ical decision support? tained in the EHR
- Offers suggestions for treatment options
- Alerts providers to possible medication
interactions
8. Using practice management (PM) software - Filing of claims
accomplishes which of the following? - electronic payment of claims
, Electronic Medical Records Mid Term
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- Great billing accuracy
- Follow-up of claims
9. A(n) _________ is a unique number assigned Medical record number
to each patient seen by a facility or office.
10. Which of the following are true of electron- - They are comprehensive records for pa-
ic health records? tients
- They are legal records
11. Which of the following apply to electronic - Documentation by care providers tends to
health records? be more detailed.
- Staff and physician training can be time
consuming.
- Misfiling is not an issue if the patient's
name is spelled correctly.
12. Which entity enforces the Privacy Rule? The Office of Civil Rights
13. Archiving costs for electronic health Low
records are considered _____, because it is
storing the data on disk or server space.
14. In order to select, implement, maintain, - those that know the stiff regulations that
and use practice management software or govern health information
EHR, a team of professionals is assembled - those that know how to use the software
to investigate software options. Those on - those that understand the use of the soft-
the team should include: ware
15. Which of the following describe the intent - Protect the use of PHI
of the HIPAA Privacy Rule? - Ensure the privacy of health information
16. - Plan identification
- Address of payer
, Electronic Medical Records Mid Term
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Which of the following are part of payer
information on a CMS-1500 or UB-04 claim
form?
17. Which of the following are typical elements - Location of the condition
of an HPI? - Duration of the condition
- Severity of symptoms
18. Which of the following apply to the use of - Allows for sharing of documentation with
a single database for PM and EHR? other healthcare providers
- Allows provider to concentrate on patient
care
- Improves the quality of documentation
collected
19. The term __________ is typically used in practice management
physicians' practices to describe the ad-
ministrative functions performed using
computer software.
20. Which of the following describe interoper- - Information can be shared within appli-
ability? cations of the same computer's system
- Information can be shared between com-
puter systems
21. According to the January 2019 article by - enhanced safety attitudes
the U.S. Department of Health and Human - decrease in medical errors
Services Patient Safety Network, research - improved guideline adherence
showed what regarding the adoption of
EHR use?
22. Select all that apply. The objective of an - capture accurate information
EMR/EHR is to: - capture usable information