True or False
Abbreviation
EHR Data
Appropriate Documentation
The Job
100
Consent is permission granted by the patient or patient's representation to release information
 What is false? Consent is permission by individual signature.
100
HIPPA stands for...
What is Health Insurance and Accountability Act?
100
Name three data exchange standard references
What is American National Standard Institute (ANSI), American Society For Testing and Material (ASTM), Digital Imaging and Communication in Medicine (DICOM), Health Level 7 (HL7)?
100
Define Documentation
What is the record of clinical observations and care a patient received at a health care facility?
100
EHR Specialist Primary Focus
What is proper identification and documentation of the patient's personal and financial information?
200
Test work from blood work and other laboratory diagnostics transmits automatically to patients record
What is true, laboratory is automatically transmitted to into the patient records so physicians can access data and use the data to make care decisions.
200
Define H and P? When does it need to be reported?
What is History and Physical? CMS requires a current H and P within 24 hours of admission.
200
This is the appropriate way for a provider to order physical therapy services for a patient in a hospital setting.

What is Computerized physician order entry(CPOE)? 

200
Reviewing claims for accuracy and completeness is...
What is auditing?
200
Two Requirements Each Record Should Include

What is Medical History, Registration Information, Physical Examination, Physician Orders, Discharge Summary?

300
You will likely be in the IT department. 
What is true, you will likely be employed in the HIM or IT department depending on your skills and how the hospital is organized for the management of the EHR. 
300
Define PHI
What is Protected Health Information, which means individually health information transmitted by electronic media.
300
Defined as "The language of medicine."
What is medical terminology?
300
Which law states that a physician can't refer patients to a practitioner whom they have a financial relationship with?
What is Stark Law?
300

If a patient voluntarily undergoes treatment consent is... 

What is implied?

400
Assigning a code that will deliberately result in a higher payment is fraud. 
What is false? It is upcoding.
400

Define FDCPA. What does this law prevent?

What is Fair Debt Collection Practice? This law says that debt collectors can't use unfair or abusive practices to collect payment.

400

This technology helps providers document vaccines and immunizations.

What is the Barcode Scanner?
400
Some examples of this are charging excessively for supplies, billing for services that were not medically necessary and misusing code.
What is Abuse, abuse is the practice that is directly or indirectly resulting in unnecessary cost through improper payments.
400

To protect private information within the EHR you  must...

What is turn off your computer?
500
Protected Health Information can be released without authorization.
True, under certain circumstance such as support treatment or legal matters. 
500

Define CCD. What does it represent? 

 What is Continuity if Care Document? The CCD is the standard transmission of health data between providers.

500
This system requires a an interface to communicate with the EHR system. 
What is the legacy system?
500
This program is established to fight fraud.
What is the Office of the Inspector General (OIG)?
500

It is something that should never be done to a patient's documentation

What is never edit or alter patient records?

M
e
n
u