Certified Electronic Health Record Specialist (CEHRS) Practice Test 2.0 A

An EHR specialist is assisting a provider with entering a patient's administration data into the health record. In which of the following areas of the EHR should the specialist document the patient's blood pressure?

Physical examination

Which of the following information should the patient enter into the EHR prior to arrival for the visit with the provider?

Recent surgery and reasons for the office visit.

An EHR specialist is preparing to perform a statistical review of infection rates at a facility for quality improvement purposes. To compare statistical data with other facilities, the EHR system should be integrated with which of the following?

Clinical decision support system (CDSS)

An EHR specialist is performing an internal audit of the EHR records and discovers improper billing documentation that suggests potential fraud or abuse in accounts of patients who have a private third party. Which of the following agencies should handle this type of inquiry?

Office of inspection general (OIG)

An EHR specialist is speaking with clinical staff who are concerned about a limited number of computer work stations, resulting in delays in data entry. Which of the following suggestions should EHR specialist make?

Access the EHR through mobile devices.

An EHR specialist is assisting a medical assistant with entering a patient ongoing temperature measurements into the EHR. The EHR specialist should understand that the results is documented in which of the following locations?

Flow sheet

Which of the following methods should an EHR specialist use to make changes or corrections to entries in the EHR?

Write an addendum to the existing entry

An EHR specialist is collaborating with a certified coder to create a report needed for evaluation of quality of care for arthroplasty surgeries done in the inpatient facility in the past year. The EHR specialist should recognize that which of the following types of code should be used for this report?

ICD-10-PCS

Which of the following security management processes is performed first by a covered entity to determine threats to the confidentiality, integrity, and availability of protected health information (PHI)?

Risk analysis

An EHR specialist received a referral for a new patient. When can the EHR specialist's administrative staff begin the process of verifying insurance edge ability for their services in the EHR?

When the patient makes the appointment

Which of the following statements by EHR support staff about the use of templates for provider documentation is correct?

"Templates can be customized to work with each provider's workflow."

Which of the following patient identifiers to the EHR specialist verify before documentation is entered into an EHR?

Patient's medical record number

An EHR specialist is assisting at a facility in plummeting a recent upgrade to the EHR system. Which of the following would be the best question for the EHR specialist to us in preparation for implementation?

What is the timeline for these changes?"

An EHR specialist in a pediatricians office is working to create a schedule that limits contract between sick children and healthy children by scheduling well child visits in the morning and sick visits in the afternoon. Which of the following message of scheduling is the EHR specialist using?

Cluster scheduling

Which of the following information must be recorded in the guarantor of the registration form if the patient's spouse is the guarantor on the account?

The spouses name, address, and phone number.

A provider orders a laboratory test in the EHR. Which of the following describes the way laboratory specimens are labeled and tracked?

Labels are automatically printed at the point of care as part of the automatic requisition process

An EHR specialist is contracted by an emergency department in another state regarding an established patient who is receiving treatment. Which of the following network connections should the EHR specialist use to transmit information?

Virtual private network (VPN)

Which of the following functions of the EHR allows coders to where we health care providers for clarification during a patient's inpatient hospitalization?

Concurrent coding

An EHR specialist is registering a new patient. Which of the following documents should the EHR specialist ensure is signed by the patient to acknowledge their understanding of why protected health information (PHI) might be released?

Notice of privacy practices (NPP)

Which of the following is in administrative safeguard used to ensure the security of electronic medical record's?

password management

An EHR specialist is developing a template to create authorizations for the health clinic to send immunization records for the college-bound patients to their respective universities. To remain compliant with the Privacy Rule, the EHR specialist should understand that which of the following items is required to be on the template?

Date signed

An EHR specialist is training clinical coders about how to use a new clinical encoder software program. Which of the following should the EHR specialist include as a benefit of the clinical encoder program?

Helps coding professionals navigate coding pathways

An EHR specialist should identify that which of the following is the process for converting text into code for secure transmission?

Encryption

An EHR specialist is assisting the billing department and researching a claim for a patient who has Medicare and had a procedure that was not covered by the plan. Which of the following should the EHR specialist verify was completed prior to billing the patient?

advanced beneficiary notice

An EHR specialist is collaborating with a clinical coder to train the billing staff of a facility using a new EHR system that includes computer-assisted coding (CAC) software. Which of the following actions should the billers take when creating a claim to ensure the CAC assigned an accurate procedure code in the patient record?

Validate the procedure code with documentation in patient health record

An EHR specialist is educating a newly hired staff member about the security management process. Which of the following procedures should the EHR specialist indicate involves regularly reviewing records, Access reports, and security incident tracking reports?

Information system activity review

In which of the following sections should the EHR specialist locate objective findings from a patient's previous visit?

past medical history

Which of the following describes the process of claim scrubbing?

Checking the claims for any errors

An EHR specialist is providing a patient with information about the patient portal. Which of the following statements by the patient indicates an understanding of the patient portal?

"I can schedule my own appointments."

An EHR specialist is assisting with providing use your training to staff members regarding an upgrade to the EHR system. Which of the following statements should the EHR specialist make one asked about a way to help minimize the number of patients who missed their scheduled appointments?

An automated confirmation of appointments may be said in the EHR system.

Facilities EHR software reflects a change in a patient's baseline platelet count. Which of the following message of notification does the software use to inform the provider?

An automatic alert message.

An EHR specialist is assisting with check out of a patient. The patient says, "I hope I can remember everything about this new medication." Which of the following responses to the EHR specialist make?

"Before you leave, let me show you where to find this medication education on the patient portal. "

An EHR specialist should identify that which of the following members of the healthcare team can be granted remote access to the EHRs?

Provider

Which of the following is required when healthcare of facilities provide data on vaccinations to public health agencies?

The data must be anonymous and confidential.

An EHR specialist is documenting clinical data for a patient who was recently seen in an urgent care facility following a leg injury. In which of the following locations of the EHR specialist document this information?

Problem list

When generating admission documentation for a patient, which of the following information should an EHR specialist enter into the legal data section of the EHR?

Advance directives

An EHR specialist is teaching a patient about the patient portal. Which of the following statements to the specialist make?

"you have access to view prescriptions and over-the-counter medication you are currently taking. "

An EHR specialist is assisting with obtaining the history of a patient. The EHR especially shared document which of the following information in the history section of a progress note?

Medication list

An EHR specialist is assisting a registered nurse with discharging a patient who has difficulty adhering to The medication regimen. Which of the following statements should EHR specialist make about accessing disease specific education materials?

The patient portal has lots of helpful information. I will show you how to access information about your medication.

Which of the following patient laboratory findings should be automatically forwarded to the state public health agency?

Saliva sample positive for measles

An EHR a specialist is preparing to enter information into a patient's record. The EHR specialist has confirmed the patient's medical record number. Which of the following patient identifiers should the EHR specialist use as a second identifier to verify the patient's identity?

Patients address

An EHR specialist is updating patient information in the electronica health record (EHR). Which of the following is an example of administrative that or they can be found in the EHR?

Demographic information

which of the following is an example of a data backup method that is HIPAA compliant and allows for the recovery of the other following a natural disaster?

Maintaining servers that are also in a different region

A patient presents to the emergency department and states, "I have terrible chest pain." An EHR specialist to document this information in which section of the EHR?

Chief complaint

An EHR specialist is preparing to obtain information about patient outcomes by individual provider for quality improvement. Which of the following actions should the EHR specialist take to collect the necessary information?

Generate electronic clinical reports using patient reports from the EHR.

Which of the following is considered protected health information?

The patients diagnosis

An EHR specialist received a phone call from an established patient who has multiple chronic conditions. The patient thinks they might have for pneumonia and would like to know if it would affect any of their chronic conditions. In which of the following sections of the patient's record with the chronic conditions be located?

Problem list

Which of the following patient portal features meet the criteria for patient engagement as part of the EHR incentive programs?

Send clinical summaries

An EHR a specialist reads a provider progress note stating. "Patient diagnosis: Lymphoma. Received six rounds of chemotherapy beginning June 2020. Patient reported diarrhea, loss of appetite, and fatigue with treatment. Last cycle of chemo was a cyst administered November. 2019; now in remission." Which of the following actions should the EHR specialist take?

Query the provider to resolve the discrepancy.

An EHR specialist is instructing the parent of the pediatric patient about the patient education feature in the Patient portal. The parent asked, "how do I send this information to my child's step-parent?" Which of the following actions should the EHR specialist take?

Demonstrate how to send information from the patient portal

Which of the following statements made by an EHR specialist describes a function of the EHR system?

"It streamlines the clinician's workflow."

And EHR specialist is assisting a clinic nurse with data entry related to a well-baby check-up. When entering the infant's weight into the record, the EHR specialist should understand that the data would result in which of the following types of documentation?

Growth chart

An The HR specialist is discussing hardware cost for the department controller. Which of the following statements by the department controller describes the advantage of purchasing server hardware for a local area network (LAN)?

Dedicated servers for a LAN and ensure secure, safe exchange of data between workstations.

Which of the following occurs when a provider enters an imaging order while documenting in an encounter note?

The order is automatically documented in the visit.

An EHR specialist is reviewing the chart of a patient who is listed as self-pay. Which of the following notes in the chart would indicate to the EHR specialist that the client has Medicare coverage?

The patient is receiving renal dialysis for end-stage renal disease.

An EHR specialist is assisting with training on the use of the health system EHR. A provider asked how to correct deficiencies in their documentation. Which of the following statements should the EHR specialist make?

Using a template for your documentation will allow the system to produce a report that indicates required fields to complete

An EHR specialist received a call from the parent of an 18-year-old patient asking why they are trialed has been seen at the office last week. Which of the following actions should the EHR specialist take?

Check the patient's medical record for a release of information form to determine if the patient is listed

Which of the following information is required from a prescribing provider to complete an electronic laboratory order?

diagnosis code

An EHR specialist is accessing the EHR system through a computer workstation which of the following are required components of a computer workstation?

A computer, an input device, and an output device.

When obtaining data from a new clinic patient, an EHR specialist should understand that which of the following statements by the patient Indio a history of present illness?

I came because I've have been coughing for several day

An EHR specialist is reviewing the outstanding patient account balance that were submitted to a collection agency. Which of the following documents is required to verify that the correct accounts were submitted?

patient aging report

In which of the following section should an EHR specialist look to find a patient's most recent weight measurement?

physical examination

An EHR a specialist is collaborating with a certified coder in a training session for outpatient billers after getting a new EHR system. Which of the following statements about the ICD-10-CM codes should the EHR specialist make?

"The ICD-10-CM code needs to be as specific as possible."

An EHR specialist is assisting a nurse practitioner with an electronic order entry for a patient test. Which of the following statements should the EHR specialist make?

The order system matches order test codes with patient insurance coverage rules.

An EHR specialist is assisting with the training of the newly-hired billing specialist who asks, "What is the purpose of a billing and payment status report?" Which of the following responses to the EHR specialist make?

"It lists the standing of each patient's account"

Which of the following actions should a facility take to ensure security compliance and protect EHRs from unauthorized access?

Issue unique use your identification for use of computers.

An EHR specialist is preparing to create a report that lists patients who have received a positive result on the test ocular cancer screening. Which of the following type of production report should the EHR specialist create?

By diagnosis

Which of the following documents is received by the healthcare organization from the insurance carrier after a claim has been processed?

Remittance advice (RA)

An EHR specialist is assisting with providing training for a group of administration clerks about an EHR system. In which of the following data stations of the record should the EHR specialist instruct the group of to enter a patient HIPAA forms?

Legal data

Which of the following actions should a patient take to authorize a participating healthcare organization to receive payment from a third-party payer?

Provide a signature for assignment of benefits to the healthcare organization.

A new medical group is planning to hire a privately owned information technology ( IT) company to manage its IT operations. Which of the following actions should the medical practice today to ensure the IT company will maintain the security of all data transmissions?

Enter into a business associates contract with the IT contractors.

An The HR specialist is assisting a billing specialist with entering codes for durable medical equipment. Which of the following manuals should the EHR specialist instruct the patient billing specialist to use?

HCPCS manual

An EHR a specialist scans an image to a patient's medical record prior to the patient schedule appointment using the office scanner connected to the desktop computer by USB cable. At the appointment, the provider is unable to find the image for review. Which of the following is the likely cause?

The image was incorrectly catalogued.

Which of the following is decoding standard use for mapping laboratory procedures to come in terminology in the EHR systems?

LOINC

Which of the following forms is used to capture the diagnosis and charges related to a patient visit prior to submitting them for reimbursement?

Encounter form

An EHR specialist is assisting a nurse who receives a prescription for Murph morphine sulfate sent via the EHR system. The prescription states, "Increase MS to 2 mg IV Q4H." The EHR specialist should reconcile the information to read as which of the following statements in the patient's record?

Morphine sulfate 2 mg IV Q4H

An EHR specialist is assisting a records clerk with the handling of removable media device containing protected health information (PHI). Which of the following actions should the EHR specialist tell the clerk to take to prevent a security risk?

Remove protected health information from the device

A medical office receives an imaging report via fax machine and in a EHR specialist scanned it into the patient's record. This is an example of which of the following message of data collection?

Manual

Which of the following types of data are considered structured data in the EHR?

ICD codes

An EHR specialist is preparing to generate a report for a supervisor that indicates the amount of revenue generated by throat cultures? Which of the following reports should the EHR specialist Generate?

Production by procedure report

An EHR specialist is collaborating with a killer about reports available in the new EHR system. The EHR specialist should instruct the coder that which of the following report shows the income generated by each third-party payer?

Production by insurance report

An EHR specialist is developing templates for a facility's EHR database. In which of the following sections of the EHR should the specialist place the progress notes?

Clinical data

Which of the following sections of the HIPAA security rule governs the encryption and description of that is for secure transmission?

Technical safeguards

A provider at an inpatient facility is reviewing pending tests and messages through the EHR's messaging feature. Which of the following test is most important for the provider to complete?

Signing a history and physical for a patient admitted 36 hr ago

An EHR specialist is assisting a provider with finding codes for a dentistry procedure. Which of the following classification systems should the health record specialist use?

CDT codes

Which of the following is an example of a technical safeguard?

Authentication controls on computers

An EHR specialist is training a staff member on preventive care documentation available to patients. The staff member asks. "Where do I find recommendations for cervical cancer screening intervals?" Which of the following statements should the specialist make?

"You can view them on the preventive care screen."

A medical practice uses a different electronic billing system than the one built into the EHR. Which of the following methods should the practice's billing system and the EHR use to exchange information?

An interface

An EHR specialist is trying to determine if IU is an acceptable abbreviations using medical documentation. Which of the following organizations provides a resource that the EHR specialist can use to verify acceptable abbreviations?

The joint commission

An EHR specialist is assisting a clinical colder with code verification and notes that There is insufficient information in the patient record support diagnosis coding. Which of the following actions should the EHR specialist instruct the coder to take to request additional documentation from the healthcare provider?

Send a provider query.

An EHR specialist is assisting the provider in searching for data in a patient record. When searching for "ankle injury." no entry is identified. In additional searches, entries were located by searching "ankle sprain" and "twisted ankle." The EHR specialist should recognize that the data can be reconciled by using which of the following types of data?

Coded data

An EHR specialist is preparing a financial report to compare the amount of reimbursement provided by different third-party payers for specific procedure. Which of the following should the EHR specialist used to identify the procedure in question?

CPT codes

An EHR specialist is accessing the results of a patient's MRI. Which of the following is the radiology department software used to store diagnostic images?

Picture archiving and communication systems (PACS)

An EHR specialist is assisting a provider to enter a clinical order to obtain three blood draws. Which of the following components of the EHR should the EHR specialist assist the provider to access?

CPOE

An EHR specialist is verifying if a laboratory test the provider ordered is covered under the patient's insurance contract. Which of the following steps is the EHR specialist completing?

Precertification

Which of the following statements by an EHR specialist correctly de-identifies a patient information when speaking to a pharmaceutical representative about coverage for a new medication for heartburn?

Our facility has a patient who is indigent and has stomach problems who could benefit from this medication.

An EHR specialist is working with an ophthalmologist. Which of the following types of templates should the EHR specialist create for use during detailed eye examinations?

Specialized template

An EHR specialist is creating a template for patient demographic information. Which of the following information should be required in this section of the EHR?

Name, date of birth and, address

An EHR specialist receives records transmitted from the hospital about and establish patients recent admission. The EHR specialist identifies potential discrepancies in the patient's past medical history. Which of the following actions should this EHR specialist take?

Reconcile the patients hospital record with the office record

An The HR specialist is developing templates for an acute care facilities EHR database. The EHR specialist has received a request to enter a template for recording patient hemoglobin levels. Into which of the following sections of the EHR should the template be entered?

Laboratory