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100

What is the documentation of a patient's office visit often referred to?

What is the progress note.

100

What has research shown a reduction of with the use of an EHR versus paper charts?

What is a decrease in medical errors

100

What is the first step of the information chain in an EHR?

What is when a patient makes the appointment.

100

Would a patient's age of 30 years old be clinical information?

What is NO

100

What the documentation of a patient's office visit is often referred to?

What is the progress note.

200

What record-keeping costs would over time drop as a result of implementing an EHR?

What are the cost of folders and clips to file each record

200

What kind of software is EHRclinic?

(Double points if you get both components right)

What is practice management and electronic health records (EHR)

200

What type of department would register patients, regardless of the type of patient, emergency department, inpatient, outpatient diagnostics, etc.,  

What is the centralized registration department

200

Would a patients BP be included in the history of present illness?

What is NO

200

What title would be given for someone who manually converts the physician's recorded spoken words into a typed report?

What is a transcriptionist.

300

What is the first thing to do when you answer a call, and the patient wants an appointment?

What is ask the reason for the patient's visit

300

What position would a health information manager who ensures a fully operational, secure electronic health record that meets the needs of all users within the facility hold?

What is the Information Technology Manager/Officer

300

What professional would most likely hold one of the following positions: cancer registrar, privacy officer, software analyst, or compliance officer?

What is the Registered Health Information Administrator (RHIA)

300

What would be the most important thing to use to distinguish the purpose of a forms use is what should it include? 

What is form name

300

What is the name of the box where you have entered data into an online form?

What is the field box

400

How many times will Daniel Allen's name and demographic information be entered in the MPI of SBHC with the following ailments: January 8, 2014, inpatient for appendicitis; April 16, 2016, emergency department for an asthma attack?

What is one

400

What part of the progress note would Dr. asks a series of questions such as "do you have frequent headaches," "do you have frequency of urination," and "do you have difficulty sleeping." documented?

What is the ROS (review of systems)

400

A ROS covers information likely documented in the:

What is the medical history form.

400

Which type of visit would most likely require a complete review of systems?

What is an annual exam

400

Which of the following elements of an HPI are collected at a visit?

What are those that apply to the patient's chief complaint

500

How many surgeries are listed for the patient?

What is 2

500

What identifies the patient in any way?

What is Protected Health Information (PHI)

500

What is the marital status?

What is married

500

Knowingly billing for services that are not medically necessary or that did not happen at all is?

What is fraud

500

What is the amount charged for each service provided?

What is the fee schedule

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