EHR FINAL EXAM STUDY GUIDE
Patient Portal - Answers :Online Applications designed to allow PT's access to and
storage of some of their medical records and allow communication with their healthcare
providers across the Internet.
Encryption - Answers :Transmitted securely, Computer data are changed from their
original form, making the data unintelligible to unauthorized parties, and then decrypted
back into their original form for use by the receiving entity.
Major Influence on EHR Development - Answers :HIPAA and CCHIT
Chart Evaluations - Answers :Handles Disease Management, Lab Tests, Physical
Exams, Routine preventing screening for PT's
Patient Tracker - Answers :To see the current Location on the PT's Chart.
Location where they are waiting room
Status are they doc ready or nurse ready what is going on with them.
Meaningful Use - Answers :Part of ARRA- Set up tracking systems for us.
Helps us for electronic Prescribing, Quality Reports, Electronic exchange of labs results
Catalyst for Creation EHR - Answers :To improve PT care
Org CCHIT - Answers :Certification Commission for Health Information Technology
(CCHIT) Responsible for electronic health records. They set up all the regulations for E-
records to be put into place.
CMS - Answers :Centers for Medicare & Medicaid Services (CMS)-
Give out Bonuses Finiancial Insentives
Password Management - Answers :To protect the E-Records, Create, Change and safe
guard
Benefits of Wireless LAN - Answers :Local Area Network (LAN)
To get access of records anywhere in the facility.
Server - Answers :Main Computer
To provide service to a work station over a local area network
What HIPAA Established - Answers :Health Insurance Portability and Accountability Act
(HIPAA)
Standards for accountability for electronic patient health, admin, and financial data
Key Capabilities of EHR - Answers :Medical Decision Support, Order Entry Mgmt, and
E-Pres
, E & M Coder - Answers :Evaluation & Management (E&M)
Recognizes codes for an Office visits, Review of systems, physical exams, and office
visits
Coding/Billing for services not supported by? - Answers :Documentation
Attending Physician - Answers :Legally and otherwise responsibile for the PT's Health
care
EHR use helps providers by? - Answers :Makes work faster and more efficiency
Back up Storage - Answers :secure Off Site Locations
Structured Data - Answers :Info gets organized, Easy to identify, easy to store, easy to
retrieve, and analyze it
HCPCS - Answers :Healthcare Common Procedure Coding System Codes (HCPCS)
Office Supplies, Durrable Medical Equipment like cans bedridden things.
PMHX - Answers :Past Medical History (PMHX)
CPOE - Answers :Computerized Provider Order Entry (CPOE)
Helps them do ordering, reduces errors, to get rid of duplicates.
E-Chart - Answers :Deposit information of PT's medical through the computer
HIPAA Transaction Code Sets - Answers :Exchanging information for Standards for
Billing, and Admin.
Rapid Documentation & Accurate coding - Answers :Increases Reimburesements,
Reduces Cost
SOAP - Answers :Subjective, Objective, Assessment, and Plan (SOAP)
WHO - Answers :World Health Organization (WHO)
They provide international health care standards
HL7 - Answers :Health Level 7 (HL7)
Communicate or interface with other systems and/or eachother
Social HX - Answers :Living arrangements, personal living, like coffee, how much do
you drink and/or smoke
SNOWMED-CT - Answers :System
Patient Portal - Answers :Online Applications designed to allow PT's access to and
storage of some of their medical records and allow communication with their healthcare
providers across the Internet.
Encryption - Answers :Transmitted securely, Computer data are changed from their
original form, making the data unintelligible to unauthorized parties, and then decrypted
back into their original form for use by the receiving entity.
Major Influence on EHR Development - Answers :HIPAA and CCHIT
Chart Evaluations - Answers :Handles Disease Management, Lab Tests, Physical
Exams, Routine preventing screening for PT's
Patient Tracker - Answers :To see the current Location on the PT's Chart.
Location where they are waiting room
Status are they doc ready or nurse ready what is going on with them.
Meaningful Use - Answers :Part of ARRA- Set up tracking systems for us.
Helps us for electronic Prescribing, Quality Reports, Electronic exchange of labs results
Catalyst for Creation EHR - Answers :To improve PT care
Org CCHIT - Answers :Certification Commission for Health Information Technology
(CCHIT) Responsible for electronic health records. They set up all the regulations for E-
records to be put into place.
CMS - Answers :Centers for Medicare & Medicaid Services (CMS)-
Give out Bonuses Finiancial Insentives
Password Management - Answers :To protect the E-Records, Create, Change and safe
guard
Benefits of Wireless LAN - Answers :Local Area Network (LAN)
To get access of records anywhere in the facility.
Server - Answers :Main Computer
To provide service to a work station over a local area network
What HIPAA Established - Answers :Health Insurance Portability and Accountability Act
(HIPAA)
Standards for accountability for electronic patient health, admin, and financial data
Key Capabilities of EHR - Answers :Medical Decision Support, Order Entry Mgmt, and
E-Pres
, E & M Coder - Answers :Evaluation & Management (E&M)
Recognizes codes for an Office visits, Review of systems, physical exams, and office
visits
Coding/Billing for services not supported by? - Answers :Documentation
Attending Physician - Answers :Legally and otherwise responsibile for the PT's Health
care
EHR use helps providers by? - Answers :Makes work faster and more efficiency
Back up Storage - Answers :secure Off Site Locations
Structured Data - Answers :Info gets organized, Easy to identify, easy to store, easy to
retrieve, and analyze it
HCPCS - Answers :Healthcare Common Procedure Coding System Codes (HCPCS)
Office Supplies, Durrable Medical Equipment like cans bedridden things.
PMHX - Answers :Past Medical History (PMHX)
CPOE - Answers :Computerized Provider Order Entry (CPOE)
Helps them do ordering, reduces errors, to get rid of duplicates.
E-Chart - Answers :Deposit information of PT's medical through the computer
HIPAA Transaction Code Sets - Answers :Exchanging information for Standards for
Billing, and Admin.
Rapid Documentation & Accurate coding - Answers :Increases Reimburesements,
Reduces Cost
SOAP - Answers :Subjective, Objective, Assessment, and Plan (SOAP)
WHO - Answers :World Health Organization (WHO)
They provide international health care standards
HL7 - Answers :Health Level 7 (HL7)
Communicate or interface with other systems and/or eachother
Social HX - Answers :Living arrangements, personal living, like coffee, how much do
you drink and/or smoke
SNOWMED-CT - Answers :System
