The Patient
The patient visit is documented as
What is the chief complaint c/o
Allows electronic management of the business side of the practice
What is PMS (Practice Management System)
________is needed for a medical professional to access the patient EHR
What is authentication
A ___________ is a binding legal document outlining a person's wishes should the person become incapacitated.
What is - advance directive
50 questions in total
The patient chart belongs to
What is the medical facility/physician
HIPAA
What is Health Insurance Portability Accountability Act
A record that traces a user's activity while in the EHR
What is an Audit trail
Nutritional habits and physical activity are document within the _____________ of a personal health record
What is social history
Must be 65 y/o and above to receive this insurance
What is Medicare
An established/active patient
What is: seen at the practice within the last 3 years
PHI
What is protected health information
A document signed by the patient given consent to access their PHI
What is Authorization
Occurs suddenly and are usually severe but brief
What is Acute condition
Must meet the financial criterion to obtain this insurance
What is State insurance ( Medicaid )
A patient who has not had a patient visit within the past 3 years
What is an inactive patient
A patient registry is also known as
What is a a patient index or master patient index
A system that keeps data secure by converting the information to an unreadable code
What is encryption technology
Reasons why some medical facilities have not implemented the medical electronic record
They don’t keep the user in mind
They don’t design for what’s possible
They make documentation harder to follow
They do a good job at the business of health care, but not for the delivery of health care.”
The person who is legally responsible for the medical charges
What is the Guarantor
The patient's right to have private health data collected that can never be traced or linked to him/her
What is anonymity
__________ of care is concerned with quality of care over time.
What is Continuity of care is concerned with quality of care over time
ICD-10-CM codes are always ________ characters.
What is 3-7 characters
Most used EHR systems
What are
The best teacher in the land
Who is Ms. Roldan
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