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What is a legacy system
What requires an interface to communicate with EHR systems?
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What is Outpatient Code Editor Software
The NCCI recommends using which software for correct coding?
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What is a query
A facility has records on more than 500,000 patients, both past and present, in its EHR patient database. An EHR specialist needs to run a report that returns all of the patients’ one particular provider treated. The EHR specialist should use this to obtain this report.
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What is the HIPAA Security Rule
A provider emails patient information to a surgeon’s office. What specific rule pertains specifically to emailed information?
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What is benchmarking
Comparing quality data from a facility against data provided by external agencies on an internal goal is called?
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What is PHI
Turning in an unidentified USB drive to IT is a good way to protect a patient's
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What is the CPT Manual
Procedures and services provided by providers are included in what manual?
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What is a point of care
What is a form of charting that helps to improve documentation by having the provider document while they are with the patient?
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What is an audit trail
A nurse of the medical surgical unit believes someone used her login and password on a day she was not at work. An EHR specialist should perform what to investigate the issue?
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What are accounts receivables
The amount due to the hospital for goods and services already provided.
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What is an incomplete record
A discharge summary that a provider has not signed for 45 days is an example of what type of record?
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What is a level 2 code
A leg brace given to a patient in an office visit would be billed using what level HCPCS code?
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What is redundancy
Storing data off-site in more than one location is referred to as?
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What is making duplicate servers in providing data redundancy
What is recommended to ensure data recovery after a disaster?
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What is NAMCS
If an EHR specialist works in a provider’s office, he or she may need to provide data in response to what organization?
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What is CPOE
What is an appropriate way for a provider to order physical therapy for a patient in a hospital setting?
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What is a payer portal
Where would an EHR specialist go for insurance verification?
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What is upcoding
A provider’s office that routinely submits reimbursement claims for allergy-related coughing as chronic asthma may be committing what?
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What is an advanced directive form
8. An older adult comes into the hospital as a patient and tells the admitting provider he wants his son to make all of his decisions. What should the provider give the family regarding this request?
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What is the average length of stay
When an EHR specialist reviewed hospital data, she found that when one provider admits patients, the facility’s revenues increased, and when another provider admits patients, revenues declined. After figuring out both providers practice internal medicine and admit the same type of patients, the EHR specialist should look at which data first?
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What is CCHIT
In qualifying for financial incentive programs from the government, who must certify the EHR/EMR systems?
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What is the diagnosis listed first
When abstracting from an outpatient record to assign a ICD-10 code, which of the following should an EHR specialist look for first?
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What are HCPCS
Which code set is a provider required to include when submitting claims to public or private payers for reimbursement?
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What are the minimum necessary standards
9. A 35-year old man has a history of hospital admissions for kidney stones. He is admitted through the emergency department following a motor vehicle crash. Several months later, an attorney’s office calls the HIM department and requests a copy of the patient’s medical record because the patient is pressing charges against the other driver in the crash. The patient has signed a release of information authorization for his treatment relating to the accident. What is important for the EHR specialist to remember when processing this record request?
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What are insurance companies negotiation of discount rates that are generally lower than the actual price set by the provider's office.
A patient is covered by commercial insurance, while her neighbor has no insurance. When the patient’s neighbor went to her provider’s office for a chest cold, she was billed $137.50 for the visit and a strep test. The insured patient wonders why her explanation of benefits only shows a payment of $42 for her office visit, even though they saw the same provider. What explains the cost difference?
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