NHA CEHRS Practice Questions 2024

Reviewing the outstanding balances that were submitted to collection agency. What document verifies correct accounts submitted? - ANSWERSPatient aging report (Not patient ledger,day sheet, deposit) Preparing to generate a report for a supervisor that indicates amount of revenue from throat cultures. Which report should EHR specialist generate? - ANSWERSProduction by procedure report Collaborating with a coder about reports available in new EHR. Which of the following reports shows the income generated by 3rd-party payers? - ANSWERSProduction by insurance report Training a new billing specialist "What is the purpose of a billing and payments status report?" Response: - ANSWERS"It lists the standing of each patient's account". Which report is the practice manager creating to assist the scheduling of staff? - ANSWERSProduction by provider report Which provides a snapshot of how much money is due to facility from 3rd-party payers and patients in computer management system? - ANSWERSAging A/R report New coder states ''There is no need to review both superbill and the health record documentation" Response: - ANSWERS"Verify superbill against the health record documentation" Performing an internal audit of EHR records and discovers improper billing potential fraud abuse with private 3rd party payers. Which agency to call: - ANSWERSOffice of Inspector General (OIG) Which sections of HIPAA Security Rule governs the encryption and decryption of data for secure transmission? - ANSWERSTechnical safeguards (ex. Authentication controls, access to PHI without treatment purposes-payment-healthcare operations) Which of the following is an administrative safeguard used to ensure security of electronic medical records? - ANSWERSPassword management (ex. training) In event of antivirus update failure. Which mitigates security threats like possible data breach? - ANSWERSPhysical safeguards Preparing a financial report to compare the amount of reimbursement provided by different 3rd-party payers for identifying a procedure? Use: - ANSWERSCPT codes Training new administrative employees in family medicine office. Which reference to use teaching staff the patient registration process collection? - ANSWERSThe Uniform Ambulatory Care Data Set (used for registration in offices/clinics)(Similar answer choice Clinical Decision Support) Which is a computer protocol that specifically supports both clinical and administrative data? - ANSWERSHealth Level 7(HL7) Registering a new patient. Which of the following documents ensure patient's signed acknowledgement understanding of why (PHI) released? - ANSWERSNotice of Privacy Practices (NPP) (Not ABN) Which document is patient required to sign for health organization to receive payment directly from patient's 3rd-party payers? - ANSWERSAssignments of Benefits(AOB) Assisting the billing department and researching a claim for patient who has Medicare and a procedure not covered. Which verification was completed prior to billing the patient? - ANSWERSAdvance Beneficiary notice (Not NPP) Which patient portal features meet criteria for patient engagement as part of EHR incentive program? Which is required to submit public health agencies? - ANSWERSSend clinical summaries (Similar q/a Reportable lab results) Educating new staff member about security management process. Which of the procedures indicates regularly review records, access reports, tracking? - ANSWERSInformation system activity review Which is most important factor in compiling data reports for Medicare Merit-Based Incentive Payment System (MIPS)? - ANSWERSAccuracy of clinical documentation Which security management process is performed first by covered entity to determine threats to confidentiality, integrity, availability of PHI? - ANSWERSRisk analysis (Similar to information activity review question) Clinical coder trained in billing with (CAC). Which action should billers take creating a claim assigned with accurate procedure code? Which action coder takes regarding Medicare diagnosis codes for admitted patient? - ANSWERSValidate the procedure code with documentation in patient health record.(Similar q/a Validate codes were present on admission) Assisting a rn with discharging a patient who has difficulty adhering to medication regimen. Statement on accessing disease education material: - ANSWERS"The patient portal has lots of helpful information. I will show you how to access information about your medication." Receiving a referral for new patient. When can the administrative staff begin the process verifying insurance eligibility for their services in EHR? - ANSWERSWhen the patient makes the appointment (NOT checks in) Preparing to enter information into a patient's record, already confirmed patient's mrn. Which patient identifier is used as a second verification? - ANSWERSPatient's address (Similar question answer: Date of birth) As part of revenue cycle. Which phase does verifying insurance take place? - ANSWERSPreregistration Which is the coding standard used for mapping laboratory procedures to common terminology in EHR systems? - ANSWERSlOINC (Logical Observation Identifiers Names and Codes) Medical practice uses a different electronic billing system than the one built into EHR. Which method should the practice and EHR use to exchange info? - ANSWERSAn interface Working in clinic that uses patient-entered data collection. Which information should the patient enter into EHR prior to arrival for visit with provider? - ANSWERSRecent surgery and reason for this office visit Verifying if a laboratory test the provider ordered is covered under the patient's insurance contract. Which step is EHR specialist completing? - ANSWERSPrecertification (NOT preauthorization) Reviewing the chart of a patient who is listed as self-pay. Which note in the chart indicates to EHR specialist that client has Medicare coverage? - ANSWERSThe patient is receiving renal dialysis for end-stage renal disease. Developing templates for an acute care facility's EHR database. received a request to enter recorded hemoglobin levels. Into which section of template? - ANSWERSLaboratory (NOT diagnostic testing, pathology, demographics) EHR specialist is teaching a patient about patient portal. Which statement should the specialist make? - ANSWERS"You have access to view prescriptions and over-the-counter medications you are currently taking." Assisting a provider to enter a clinical order to obtain three blood draws. Which component of EHR should assist the provider to access? - ANSWERSCPOE (Computerized Provider Order Entry) Assisting with obtaining the history of a patient. Which documented information is in the history section of a progress note? - ANSWERSMedication list (NOT cognitive status, temperature, ,) Developing template to create authorizations for health clinic to send immunization records for college-bound patients. Remain compliant with Privacy Rule, which is to be understood as a required item on template? - ANSWERSDate signed (NOT birth) When obtaining data from new clinic patient. Which statement is to be understood that patient indicates a history of present illness? - ANSWERS"I came because I've been coughing for several days." In which of the following sections should EHR specialist locate objective findings from a patient's previous visit? - ANSWERSPast medical history Which action should a patient take to authorize a participating health organization to receive payment from a 3rd-party payer? - ANSWERSProvide a signature for assignment of benefits to the health care organization. (NOT contact 3rd-party)