Certified Electronic Health Records Specialist (CEHRS) Certification Study Guide

These flashcards cover key vocabulary and definitions related to the Certified Electronic Health Records Specialist (CEHRS) certification.

Computerized Provider Order Entry (CPOE)

A system that allows providers to enter and process prescriptions and treatments electronically.

Electronic Health Record (EHR)

Digital version of a patient’s paper chart that contains a patient's medical history and treatment.

Charge Entry Form

A form used in billing to record the financial details of services provided to a patient.

Evaluation and Management (E&M) Codes

Codes used by providers to bill for services based on assessment findings during patient visits.

Advanced Beneficiary Notice (ABN)

A notice given to patients when a provider believes a service may not be covered by Medicare.

Protected Health Information (PHI)

Any information about a patient that can be used to identify them, as protected under HIPAA.

Interoperability

The ability of different information systems to communicate and share data effectively.

Bar Code Technology

A technology that uses bar codes for patient identification to prevent medical mistakes.

HIPAA Privacy Rule

The set of regulations ensuring the confidentiality and protection of patients' health information.

Clinical Decision Support System (CDSS)

A health information technology system designed to provide physicians and other health professionals with clinical decision-making support.

Billing and Coding

The process of assigning standardized codes to diagnoses and procedures for reimbursement purposes.

Patient Eligibility Verification

The process of confirming a patient's insurance coverage and benefits before providing services.

Quality Measures

Standards set by health organizations to improve patient care and outcomes.

Data Recovery

The process of retrieving lost or inaccessible data due to system failures.

Aging Report

A report that categorizes accounts receivable based on the length of time an invoice has been outstanding.

Electronic Medication Administration Record (eMAR)

An electronic document that tracks the administration of medications to patients.

Training and Updates

Programs designed to ensure staff proficiency in using electronic health record systems.

Encounter Documentation

The recording of patient visits, including history, examination findings, and treatment plans.

Manual Report of Laboratory Data

A method of documenting lab results by printing and scanning them into the patient's record.

Remittance Advice (RA)

A document sent by a payer detailing the payment made for services rendered.