This information within a patient's history may be a predictor of the patient's future health.
What is family history
100
All patients that register through the same department regardless of the type of patient is known as this type of registration.
What is centralized registration.
100
This is the reason for a patient's visit.
What is the chief complaint.
100
This is an acronym for the act which increased the privacy and security of electronic health information.
What is HIPAA
100
This type of EHR allows patients to access their own health record via the Internet.
What is a patient portal
200
This is the process of converting a document from paper format to digital format.
What is scanning
200
Billing for unnecessary or non-occurring services constitutes this intentional act.
What is fraud.
200
A care provider is dictating a progress note while the patient is being seen. This term defines the time of occurrence.
What is at the point of care.
200
Information that identifies a patient in any way is known as _____________.
What is protected health information.
200
This is a private, secure, internal environment used to communicate information to the staff of an organization.
What is the Intranet
300
This EHR function allows the user to assign or may automatically assign a "to-do" list for themselves or other staff members.
What is a task list
300
A zip code is an example of what type of data?
What is structured data
300
This software program allows care providers to view higher quality images of x-rays, ultrasounds, and other radiologic images from any location.
What is a Picture Archiving Communication System (PACS)
300
What piece of legislation has required that an electronic health record be in every healthcare facility to avoid monetary fines?
What is the HITECH Act
300
For insurance and quality care purposes, a procedure or service cannot be done without a valid medical reason, otherwise know as ________________.
What is medical necessity.
400
A unique identifier that is required on claim forms and identifies a care provider or group practice is know as ___________.
What is the National Provider Identifier number
400
This EHR feature is used to ensure that data is documented consistently.
What is the data dictionary
400
In a hospital setting, this report, completed by the care provider, details the reason the patient is being admitted and results of a physical exam.
What is a history and physical (H&P).
400
If a patient has asked that certain personnel within a facility not view his record, his electronic health record will be flagged as _____________.
What is restricted access.
400
This concept utilizes technology to, for example, monitor a patient's vital signs or access radiologic images remotely.
What is telemedicine
500
This EHR feature gives healthcare professionals reminders about individual patients that they would not otherwise remember.
What is a flag
500
This type of report allows a staff member to filter the patients at that facility by areas such as diagnosis, age, and zip code without including any identifying information.
What is a custom report
500
This support tool allows providers to access reminders, alerts, and best practices to reinforce diagnoses.
What is clinical decision support
500
This is a formal, written document that describes how a practice or hospital ensures that rules, regulations, and standards are adhered to.
What is a compliance plan.
500
This is a listing of all healthcare professionals (including providers) who have accessed a patient's EHR over a period of time.