EHR Chapter 1 Assessment

Which of the following is not a type of medical insurance?

Multiple Choice

• Workers' Compensation

• TRICARE

• Self-pay from patient

• Medicare

• Self-pay from patient

Roberta is a healthcare professional at Dr. Ingram's office. She has a patient on the phone who wants to make an appointment with Dr. Ingram. What will Roberta first take into consideration when looking for an open appointment time?

Multiple Choice

• the reason for the patient's visit

• the patient's schedule

• the patient's age

• Dr. Ingram's vacation schedule

• the reason for the patient's visit

EHRclinic is what kind of computer software?

Multiple Choice

• registration/admission/discharge/transfer

• practice management

• practice management and electronic health records (EHR)

• electronic health records (EHR)

• practice management and electronic health records (EHR)

Jesse Lopez is a healthcare professional at Summit Bay Health Center. He has just finished submitting claims to Blue Shield for patients seen yesterday. Jesse was performing what type of function?

Multiple Choice

• assessment

• registration

• administrative

• clinical

• administrative

Of the following, which does not need to be sent to an insurance company on the CMS-1500 claim form?

Multiple Choice

• history of present illness

• patient's date of birth

• patient's full name

• patient's address

• history of present illness

Dr. Evans' office has computerized the following functions: appointment scheduling, charge capture, collections, and reporting. These are all found in which type of software?

Multiple Choice

• practice management

• electronic health record

• database management

• compliance reporting

• practice management

You are a registrar in the admitting office of a hospital; a patient presents to register for an outpatient laboratory test. What will you first access to determine if that patient has ever been seen at that hospital before, or whether you must register him for the first time?

Multiple Choice

• Master Patient (Person) Index

• Diagnosis Index

• Master List

• Account Summary

• Master Patient (Person) Index

Though the costs of implementation will be high, which record-keeping costs will ultimately drop as a result of implementing an electronic health record?

Multiple Choice

• cost of folders and clips to file each record

• training costs

• copying costs

• transcription costs

• cost of folders and clips to file each record

What must a care provider do before he/she will see the benefits of an EHR in relation to time spent documenting each patient's visit?

Multiple Choice

• dictate all of his/her notes

• hire a scribe

• devote time to learning the new system

• use a fill-in-the blank form and then transfer the notes into the EHR

• devote time to learning the new system

Of the following, which is an advantage of adopting an electronic health record?

Multiple Choice

• the cost of implementing an electronic system

• the high learning curve

• the requirement of little time or effort by the office staff

• the potential for interoperability with other computerized systems within the practice or hospital

• the potential for interoperability with other computerized systems within the practice or hospital

Research has shown what in relation to the use of an EHR?

Multiple Choice

• There has been a decrease in medical errors through the use of EHR software.

• There has been an increase in staff turnover since EHRs have become more popular.

• Care providers have embraced the use of EHR software willingly.

• Patients whose care provider uses an EHR are less likely to be involved in their own care.

• There has been a decrease in medical errors through the use of EHR software.

During the history of present illness, the healthcare professional asks Ron Albertson for his preferred pharmacy. The healthcare professional then enters the information into EHRclinic. After the care provider has examined and diagnosed Mr. Albertson, he prescribes Amoxicillin and electronically sends the prescription to Mr. Albertson's chosen pharmacy without having to enter any additional information into the ePrescribe module. This is an example of

Multiple Choice

• interfacing.

• profitability.

• seamlessness.

• interoperability.

• interoperability

Which of the following EHR applications may be more beneficial and efficient for the patient?

Multiple Choice

• interoperability capability

• dictating rather than hand writing the record

• report-writing applications

• ePrescribing

• ePrescribing

In the screenshot above, which patient is being seen for a Pap smear?

Multiple Choice

• Jack Giroux

• Sylvia Gonzalez

• Robyn Janssen

• Robin Caruthers

• Sylvia Gonzalez

A care provider is dictating a progress note into speech recognition while the patient is being seen. This dictation is occurring

Multiple Choice

• instantaneously.

• after the physical exam.

• at the point of care.

• retrospectively.

• at the point of care.

Of the following, which is not clinical information?

Multiple Choice

• physical exam

• type of insurance

• medication list

• patient's weight

• type of insurance

In a physician’s practice, the documentation of a patient's office visit is often referred to as a

Multiple Choice

• physical exam.

• discharge summary.

• progress note.

• history of present illness.

• progress note.

Joyce Burke is a healthcare professional working at Summit Bay Health Center. She is responsible for compiling insurance claims and checking them for completion. Which area of the office does Joyce most likely work in?

Multiple Choice

• check-out desk

• front desk

• clinical support

• business office

• business office

The steps listed below are carried out by which staff during an office visit?

Patient arrives for visit → Update patient information → Check in and collect co-pay → Start patient tracking

Multiple Choice

• registration/front-desk staff

• clinical assistant/nurse

• billing staff

• care provider

• registration/front-desk staff

You are a healthcare professional at Summit Bay Health Center and you have just shown a patient, Mrs. Clark, to the check-out desk, where the billing coordinator had just taken the encounter form (superbill) for the visit. Dr. Daniels came to the window and stated that Mrs. Clark left the exam room before receiving her flu shot. What will occur in this case?

Multiple Choice

• Mrs. Clark has already given the encounter form to the billing coordinator, so she will need to make another appointment.

• Mrs. Clark will be taken back to the exam room and will be given the injection by the healthcare professional; she will then be free to leave.

• Mrs. Clark will be taken back to the exam room; she will be given the injection by the healthcare professional, who will document it in Mrs. Clark's record and will then update the encounter form to reflect the charges for the flu shot; at that point, Mrs. Clark will return to the check-out desk.

• Mrs. Clark will be taken back to the exam room and will be given a flu shot; however, she will not be charged since she has actually already checked out.

• Mrs. Clark will be taken back to the exam room; she will be given the injection by the healthcare professional, who will document it in Mrs. Clark's record and will then update the encounter form to reflect the charges for the flu shot; at that point, Mrs. Clark will return to the check-out desk.

Christine Simmons arrived for her appointment with Dr. Shumaker 20 minutes ago. The healthcare professional has just left the room after taking Christine's vital signs, weight, and a brief history of present illness. What will be the next step in Christine's flow through the overall process?

Multiple Choice

• The patient will check in.

• The care provider will see the patient.

• The patient will be taken through the check-out process.

• Clinical support personnel will meet with the patient.

• The care provider will see the patient.

Which of the following is not a care provider?

Multiple Choice

• Certified Nurse Midwife

• Medical Receptionist

• Dentist

• Certified Nurse Practitioner

• Medical Receptionist

The first step of the information chain in an electronic system is

Multiple Choice

• patient makes the appointment.

• patient is checked in.

• insurance verification is performed.

• co-pay is collected.

• patient makes the appointment.

The feature in EHRclinic that guides the user on how specific functions or applications work is known as

Multiple Choice

• Help.

• Prime Assistance.

• Prime Location.

• Prime Guide.

• Help.

Sean Brown is a new care provider and has never before used EHRclinic. He is frustrated, and though you have been trying to help him, he is still having difficulty. What would be sound advice to give to Dr. Brown?

Multiple Choice

• Have him call the EHRclinic 24-hour help line to speak with a technician.

• Direct him to the User's Guide in EHRclinic and show him the index, contents, and search features.

• Make arrangements to meet him at the office on a Saturday to teach him how to use the system.

• Have him ask one of the other care providers in the practice for assistance.

• Direct him to the User's Guide in EHRclinic and show him the index, contents, and search features.