WorksheetsCEHRS Practice Test 2
Total questions: 84
Worksheet time: 52mins
An EHR specialist is verifying the accuracy of a production by procedure report. The EHR specialist should identify that which of the following is a purpose of this report?
To schedule appointments and staff
To calculate the amount of revenue generated
To determine the reimbursement amounts by third-party payers
To sort services by provider
A patient witnesses a provider reviewing records using a laptop computer. The patient expresses concern about the security of this practice. Which of the following responses should a clinic staff member make to reassure the patient regarding the provider's security practices?
Transmissions to all devices used by our staff take place over a virtual private network.
The practice's mobile devices can only be used in the office.
Computer technicians update our EHR software regularly.
We employ a subcontractor to monitor our systems and notify us immediately if they are compromised.
In which of the following instances can a health care organization release protected health information (PHI) without patient authorization?
A fundraising group requests data regarding the number of patients who have a specific type of cancer.
The health care organization can share de-identified patient data with a fundraising group.
An EHR specialist is preparing a letter of estimated cost for a patient who is scheduled for surgery following completion of drug therapy to treat breast cancer. Which of the following actions should the EHR specialist take prior to preparing the letter?
Request precertification from the third-party payer.
Collect the required deductible from the patient.
Request the allowed amount from the third-party payer.
Collect a copayment from the patient.
A cardiologist asks the EHR specialist if there is a way to develop a template for heart transplants with information that can be searched. Which of the following types of data would go on this template?
Diagnostic images
Text files
Scanned documents
Coded data
A nurse in an infusion clinic asks the EHR specialist for assistance with discharging a patient who will soon be returning to receive their first infusion of a new medication. Which of the following actions should the EHR specialist take when providing patient education materials?
Ensure the patient education materials are specific to the new medication being administered.
Provide generic discharge instructions unrelated to the infusion.
Give the patient education materials for a different medication.
Skip providing any patient education materials.
An EHR specialist is assisting a nurse practitioner in creating a report about patient health outcomes specific to a particular disease. Which of the following tools should the EHR specialist use?
Computer-assisted coding (CAC)
Provider query
Computerized provider order entry (CPOE)
Clinical quality measures (CQMs)
An EHR specialist is preparing to send secure information to another facility. Which of the following methods should the EHR specialist use to transmit the information?
Adjudication
Deidentification
Preauthorization
Encryption
Which of the following patient information entered and verified during admission to the facility will likely generate an alert to the provider when using the computerized provider order entry system (CPOE)?
Known medication allergies
Last surgical procedure
Immunization history
Family medical history
Which of the following methods can patients use to enter data into the record themselves?
Check-in kiosk
Telephone
An EHR specialist is assisting the unit staff during a go-live session for implementation of the EHR system. The EHR specialist overhears a nursing assistant stating to another staff member, "I forgot my password. Can you log in so I can chart this information right now?" Which of the following actions should the EHR specialist take?
Report the incident to another staff member.
Help the nursing assistant obtain a new password.
An EHR specialist is organizing an in-service for staff members about securing personal mobile devices for work-related use. Which of the following instructions should the EHR specialist include?
Enable file-sharing applications.
Disable built-in encryption systems.
Enable a firewall.
Disable remote wiping for devices.
Which of the following is an EHR documentation tool that a provider can use to add comments for increasing the specificity of a physical examination finding?
General consent
Lists
Action buttons
Free-text box
A billing specialist should perform which of the following actions before applying charges to a patient's account when preparing to electronically submit charges to a third-party payer for a completed procedure?
Verify the accuracy of the procedure codes and patient information
Send the bill directly to the patient
Apply discounts to all charges automatically
Skip the review process to save time
How frequently should a health care organization obtain permission from a patient to release protected health information (PHI) for processing insurance claims?
Each calendar year
Every fiscal year
Once
Every visit
An EHR specialist must comply with the requirements of an EHR incentive program. Which of the following data is the EHR specialist required to submit to public health agencies?
Documented allergies
Reportable laboratory results
Prescribed and over-the-counter medications
Medical history
When attempting to enter an electronic order, a provider enters a term into the search box, and then asks an EHR specialist for assistance in locating information more specific to the term. Which of the following statements should the EHR specialist make?
The system prevents more than one word at a time to be searched.
Searching will display the lowest level match of the word entered.
Expand the search to the next level.
Entering a word in the search window will display every entry containing that word.
An EHR specialist receives a written prescription that has not been entered into the e-prescribe feature of the EHR. The EHR specialist should understand which of the following facts about submitting prescriptions electronically?
E-prescribing helps to decrease medication errors.
E-prescribing allows for more accurate CPT coding.
E-prescribing is required by the HIPAA Privacy Rule.
E-prescribing increases health care costs for patients.
An EHR specialist is generating patient statements. Which of the following types of information will be included?
Date of service
Marital status
Prescriptions
A provider requests an EHR specialist to gather information on the practice's patient population to monitor outcomes for patients who have diabetes mellitus. Which of the following actions by the EHR specialist would be most efficient?
Generate an electronic clinical report about the information.
Telephone involved patients to inquire about their progress.
Collaborate with other providers in the practice to determine the information.
Check with pharmacies regarding patient compliance with medication regimen.
An EHR specialist is reviewing the record of a patient who is in a coma. Which of the following entries documented in the record signals a data discrepancy?
The patient's head is elevated.
The patient's partner is present.
The patient reports a headache.
The patient's heart rate is regular.
A coder is using an EHR system that incorporates computer-assisted coding (CAC). Which of the following actions should the coder take to ensure the automated information regarding diagnosis codes is accurate for Medicare reimbursement for a patient who was admitted?
Change the diagnoses to reflect the code assigned by the system.
Validate whether the coded diagnoses were present on admission.
Ensure health care-associated infections are listed as present on admission.
An EHR specialist is reviewing documentation from the previous day and discovers some of the data is incorrect. The EHR specialist strikes through the incorrect data and includes their initials. Which of the following actions should the EHR specialist take next?
Delete the original data.
Indicating the word "error" next to an incorrect entry is not an acceptable method.
Indicate "error" next to the incorrect entry.
Add the date the change was made.
The original data should not be deleted.
Which of the following provides a snapshot of how much money is due to a facility from third-party payers and patients in a computerized practice management system?
Deposit report
Aging A/R report
Patient ledger
Day sheet
A patient who is being discharged asks an EHR specialist about how they can find out more information about their condition. Which of the following methods should the EHR specialist recommend?
Access the patient portal.
Search the internet.
Contact the Health Information Management department.
Which of the following features of the clinical decision support system presents a provider with standard plans of therapy for a documented diagnosis or condition?
Drug formulary
Protocols
The task list system
Medical references
A physical therapist asks an EHR specialist for assistance with entering a new e-prescription in the EHR. Which of the following statements should the EHR specialist make?
The provider will need to enter the e-prescription.
The pharmacist will need to enter the e-prescription.
The registered nurse will need to enter the e-prescription.
The office manager will need to enter the e-prescription.
A provider is performing a history and physical on a patient. Which of the following actions should the provider take to efficiently document the patient's history?
Write a narrative description of all physical examination findings.
The physical examination findings are separate from the history portion of the service and narrative text is not an efficient way to document findings.
Enter the patient's vital signs on a flow sheet.
Click through each element of the examination and select options from dropdown menus.
Under the HIPAA Privacy Rule, which of the following individuals can be given directory information about the patient without asking staff for a specific patient's name?
A patient's relative
A clergy person
A patient's friend
Law enforcement personnel
Which of the following information recorded by a provider during a patient's visit is required during electronic transmission of an order to an outside laboratory?
Assessment
Diagnosis code
Chief complaint
Treatment plan
A provider is caring for a patient who has Dengue fever. The provider has not encountered this diagnosis for several years. Which of the following tools will assist the provider in determining the current treatment for this condition?
An EHR specialist at a large health care facility is working with a provider who asks why front desk personnel cannot help with workflow by opening and forwarding laboratory results to consulting specialists. Which of the following responses should the EHR specialist make?
The front desk personnel user permissions do not allow forwarding of patient results.
The front desk personnel training does not include forwarding patient results.
Forwarding documents does not require specialized training.
The EHR software does not include this function.
The front desk personnel's professional organization prohibits them from handling patient results.
Before running an electronic report, a staff member seeks clarification from the EHR specialist by asking, "What is the purpose of the patient aging report?" Which of the following statements should the EHR specialist make?
It shows the current age of individual patients in the practice.
It shows how long patients have owed money to the practice.
It shows how long patients have been treated by the practice.
It shows the ages at death of patients who were treated by the practice.
An EHR specialist is assisting a certified coder with providing an in-service about the purpose of Current Procedural Terminology (CPT) codes for a group of staff members. Which of the following staff member statements indicates an understanding of the teaching?
CPT codes are used to classify services provided to patients.
CPT codes group patients using demographic information.
CPT codes are different from one facility to the next.
Which of the following is the most important characteristic of the digital images produced by a scanner?
Digital images require a human to view and interpret them.
The digital images can be translated into text from the scanner.
Digital images are the most common way to store data in an EHR.
EHR systems can instantly find the data that the digital images contain.
A patient who was discharged from the hospital yesterday telephones to ask how to view their final laboratory results. Which of the following EHR components should the EHR specialist instruct the patient to access?
Personal health record (PHR)
Clinical decision support system (CDSS)
Patient portal
Practice management system
When recording information in a patient's health record, an EHR specialist should understand that the consent forms represent which category of data in the EHR?
Administrative data
Clinical data
Financial data
Legal data
Which of the following types of data exchanged between a health care facility and its diagnostic laboratory can generate a visual representation of trends in a patient's laboratory results over time?
Fielded and coded data
Text data
Digital document image data
Patient-entered data
An EHR specialist is entering data in the record of a pediatric patient whose parent calls the office to report the child is experiencing hives when taking amoxicillin for the first time. In which of the following locations in the record would the EHR specialist find information about the child's prior reactions to medications?
The assessment section
The allergy section
The computerized provider order entry (CPOE)
The medical reference screen
An EHR specialist is assisting with training about an event of unexpected downtime of the EHR. Which of the following statements from a staff member indicates an understanding about submitting claims during a downtime procedure?
I can wait for the system to recover before submitting a claim.
I can submit a paper claim during downtime.
I can access claims via a web-based system during downtime.
I can access claims from the on-site server during downtime.
Which of the following methods should an EHR specialist implement to ensure that providers who are logged into the system from their mobile devices are authorized to access protected health information (PHI)?
Require all clinicians logging in from mobile devices to encrypt their passwords.
Require an end-user who is logging in from a mobile device to have a personal identification number (PIN).
Implement audit control to authenticate each user who logs into the EHR from a mobile device.
Install a file-sharing application to ensure all connected devices are secure.
Which of the following situations demonstrates appropriate documentation of data entered by the provider during an inpatient facility stay?
The provider completes a history and physical (H&P) examination within 24 hr after the admission.
Operative notes from surgery performed 3 days ago were completed last night.
An office manager is considering ways to improve clinic flow so that patients will spend less time completing health history forms in the waiting room. Which of the following methods should the office manager use?
Ask the patients to arrive 30 min before their appointment to fill out the forms.
Have the patients review and sign forms from prior appointments.
Have the provider ask targeted questions based on recommended quality measures during the exam.
Ask patients to fill out their medical history and symptoms online prior to their visits.
Which of the following reporting tools is commonly used in EHRs to aggregate data for monitoring milestones during well-child visits?
Early screening
Quality measures
Growth chart
Immunization schedule
An EHR specialist should recognize that which of the following terms is used to describe any sample of tissue or fluid collected from a patient at the point of care for testing purposes?
Venipuncture
Biopsy
Specimen
Cytology
Which of the following individuals can have access to the e-prescribing feature of an EHR?
Nurse practitioner
Occupational therapist
Social worker
Medical assistant
When assisting a provider in entering real-time clinical data into the health record, an EHR specialist should understand that the patient's vital signs are documented in which of the following sections of a SOAP note?
Objective data
Subjective data
Plan
Assessment
A research firm is requesting information about the number of patients who have had hernia surgeries in the past year for a retrospective study. When creating a report for the firm, which of the following codes should an EHR specialist use?
ICD-10-CM code
DSM-5 code
CPT code
CDT code
An EHR specialist is helping a billing supervisor retrieve an error report before transmitting claims to a payer. Which of the following is used to create the error report?
Superbill
Claim scrubbing
Remittance advice
Provider query
A patient is discharged from the hospital after a total abdominal hysterectomy. The provider lists the procedure as "TAH" in the discharge summary. Which of the following should the compliance team communicate to the provider?
This abbreviation is unacceptable according to The Joint Commission (TJC).
This abbreviation will be added to the organization's list of standard abbreviations.
The provider should refrain from using any abbreviations when documenting a discharge summary.
An EHR specialist is scanning a patient's x-ray results into the EHR. The EHR specialist should recognize that the EHR is fulfilling which of the following core functions laid out by the Institute of Medicine (IOM) by supporting this type of information?
Health information and data
Order management
Patient support
Administrative processes and reporting
During an orientation, a new coder states, "There is no need for the coder to review both the superbill and the health record documentation." Which of the following responses should the EHR specialist make?
Ask the provider whether you should use the superbill over the health record.
Verify the superbill against the health record documentation.
The provider's documentation is the only source the coder is required to review.
The superbill is the only source the coder is required to review.
Which of the following is the most important factor in compiling data for reports to the Medicare Merit-Based Incentive Payment System (MIPS)?
Selecting an appropriate dictation software system
Accurate and complete data collection or reporting
An EHR specialist is sending patient data that includes PHI to be used for research to the local health care facility. Which of the following data must be de-identified?
Laboratory work request
List of physical therapy services provided within a 24-hr period
List of radiology services provided over the last 30 days
Production by provider report
A provider requests that an EHR specialist enter a comorbidity of depression into the EHR to allow the provider to complete a medication order for the clinic visit. A comorbidity should be entered into which of the following sections of the record?
Primary diagnosis
Secondary diagnosis
Probable diagnosis
Admission diagnosis
An EHR specialist receives a request to generate a report with fields including claims that need to be billed or rebilled by the patient. The EHR specialist should generate which of the following reports?
Accounts Receivable report
Patient Demographics report
Medication Administration report
Appointment Schedule report
An EHR specialist is assisting with providing training to a newly hired provider. Which of the following statements should the EHR specialist make regarding the e-prescribing feature of the EHR?
The e-prescription is copied to a secure email to be transmitted to the pharmacy.
The pharmacist enters the e-prescription into the EHR.
A renewal authorization can be transmitted using this feature.
The receptionist can use e-prescriptions to reorder expired medications.
An EHR specialist is training new front desk staff about sending referral records securely. A staff member asks, "What if I get called away while working on a record and forget to close the chart?" Which of the following responses should the EHR specialist make?
You'd better not do that. You will be let go because that is a violation of patient confidentiality.
Nobody will see it. Only employees are allowed to be back at the desk.
It has a security feature. If you step away for a couple of minutes, it will log you out automatically.
The system tracks everything you do. If you leave your workstation too much, you'll have to repeat some training.
Insurance verification takes place in which of the following phases of the revenue cycle?
After receiving the remittance advice
When submitting the claim
During the encounter
Preregistration
A medical office manager is considering methods for improving the process of reviewing radiology reports that are manually entered into the EHR as a progress note. Which of the following processes should the EHR specialist suggest as being most efficient?
Printing and scanning reports into the EHR with concurrent provider alert
Sending reports to providers by email for review and uploading to the EHR
Importing reports to the EHR with concurrent provider alert
Sending reports to the office nurse for uploading and forwarding to provider inbox
An EHR specialist is reviewing the record of a patient who is 2 days postoperative following a left hip arthroplasty. Which of the following entries documented in the record signals a data discrepancy?
Patient’s partner is visiting
Patient requests pain medication
Staples intact to right hip incision
In the event of a computer antivirus update failure, which of the following will mitigate security threats such as a possible data breach?
Documentation requirements
Physical safeguards
Administrative safeguards
Permitted disclosure
An EHR specialist is assisting a nurse in gathering information from a health record to share with a patient about removing a catheter. Which of the following formats would be most useful for the patient to visualize weight fluctuations over a specific timeframe?
A graph
A table
A progress note
A physical exam template
Which of the following methods should an EHR specialist use to verify patient identifiers and ensure information is documented in the correct patient record?
Review the diagnosis list to determine if it represents the correct patient’s record
Instruct the patient to verify that the medical record has the correct name documented
Verify the information themselves
Which of the following documents is a patient required to sign for a health care facility to receive payment directly from the patient’s third-party payer?
Informed consent form
Notice of Privacy Practices (NPP)
Assignment of Benefits (AOB)
Patient encounter form
An EHR specialist is training staff about ways to increase privacy for patients in the waiting room of a provider’s office. Which of the following methods should the EHR specialist recommend when calling a patient back to a treatment room?
Display the patient’s full name on an electronic appointment board
Use the patient’s first and last initials
Have the patient check their name off a list of patients who have appointments that day
Provide each patient with a number at check-in
An EHR specialist is training staff about how to increase privacy for patients in the waiting room of a provider’s office. Which of the following features should the EHR specialist instruct the patient to use when the following features of the patient portal? “About immunizations” The EHR specialist should instruct the patient to use the following features of the patient portal?
An EHR specialist is preparing to enter patient data into the EHR. The EHR specialist has confirmed the patient’s first and last name. Which of the following secondary identifiers should the EHR specialist use to verify the patient’s identity?
ZIP code
Room number
Third-party payer
Date of birth
An EHR specialist is teaching a patient about how to use the patient portal. The patient asks, “How do I submit a question to my provider’s office about immunizations?” The EHR specialist should instruct the patient to use the following features of the patient portal?
Immunization record
Contact medical staff
Request a prescription refill
Message feature
Which of the following reports should the EHR specialist create for a practice manager to provide information for assisting in the scheduling of staff?
A patient who has Medicare Part B needs dentures that cost $1,500.00. What percentage of the total cost will the patient be responsible for paying?
0%
20%
25%
100%
In which of the following locations of the EHR system should an EHR specialist find documentation about a patient whose cultured sputum tested positive for methicillin-resistant Staphylococcus aureus (MRSA)?
Respiratory subsection of the review of systems (ROS)
Pathology section
Respiratory exam subsection of the physical examination
Laboratory section
Which of the following is a computer protocol that specifically supports both clinical and administrative health data?
In which of the following situations should an EHR specialist use a trend analysis report?
When organizing data across a health care institution
When representing data in numerical proportions
When comparing data across multiple dates, events, and tests
When using data to monitor progress
Which of the following information documented by a provider during a patient's visit should be included on the electronic superbill?
Patient's past medical history
Laboratory results
Diagnosis codes
SOAP notes
Which of the following additional documentation should the administrative professional request?
Consent to release form
A medical service order from the employer
A Doctor’s First Report of Occupational Injury or Illness
A progress report
An EHR specialist is assisting a new billing specialist with entering diagnosis codes for reimbursement purposes. While entering the codes, which of the following statements made by the billing specialist should the EHR specialist identify as being correct?
The comorbidity is entered as the primary diagnosis code.
It is not allowed to use a diagnosis code from a past patient visit.
The primary diagnosis is the reason the patient came to the health care facility.
A facility staff member asks an EHR specialist what to do if a visitor requests an adult patient’s health information. Under which of the following circumstances would the information be released to a visitor?
Information should only be released to a family member.
Information should only be released verbally.
Only de-identified information should be released to the visitor.
With a HIPAA violation release with proper authorization to release information.
An EHR specialist is working with an office manager to increase the efficiency of a health care organization. Which of the following should the EHR specialist understand is part of a successful overlapping schedule?
Asking the patient for insurance information
Inquiring about patient history
Defining roles within the office
Same appointment type
Which of the following is a computer protocol that specifically supports both clinical and administrative health data?
Digital Imaging and Communications in Medicine (DICOM)
Health Level 7 (HL7)
Clinical Data Interchange Standards Consortium (CDISC)
National Council for Prescription Drug Programs (NCPDP)
An EHR specialist is assisting a provider with documenting data obtained during a patient's history and physical examination (H&P). Which of the following information should be included in the history section of the H&P?
Benign colon polyps
Laceration right wrist
An EHR specialist is assisting with training a new provider on adding progress notes. Which of the following statements should the EHR specialist make about cloning progress notes?
Cloning progress notes assists with medical decision making.
Cloning progress notes can assist with billing and reimbursement.
Cloning progress notes is the preferred method of the Office of Inspector General.
Cloning progress notes can save time but can also cause inaccuracies in documentation.
An EHR specialist is assisting in collecting information for a workflow analysis. Which of the following actions should the EHR specialist take?
Use a vendor to conduct the workflow analysis.
Ask staff members to write detailed descriptions of the responsibilities of their positions.
Designate one contact person to coordinate the workflow analysis of staff members.
Create new forms to be included in the workflow analysis.
A medical coder is leaving a practice for a new position at a different facility. Which of the following actions should the EHR specialist take to prevent unauthorized access to the system?
Assign a new password to the coder's account.
Terminate the coder's account.
