NHA- (CEHRS) Electronic Health Records Specialist Exam || || || || || || ||
with accurate detailed answers || || ||
When abstracting from an outpatient record to assign the ICD-9-CM code, which of the following
|| || || || || || || || || || || || || ||
should an EHR specialist look for? - ✔✔Diagnosis listed first in the documentation
|| || || || || || || || || || || || ||
Surgical procedure codes - ✔✔Surgical procedure codes with a 2-digit classification followed by
|| || || || || || || || || || || || ||
one or two digits are in the ICD-9-CM manual and are used for coding inpatient procedures.
|| || || || || || || || || || || || || || ||
Current Procedural Terminology (CPT) codes — - ✔✔Numeric codes developed by the
|| || || || || || || || || || || ||
American Medical Association (AMA) to standardize medical services and procedures
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Encounter form — - ✔✔A form the provider fills out as she sees the patient; lists the service
|| || || || || || || || || || || || || || || || || ||
charges and how much the patient paid for the services; can be submitted for billing
|| || || || || || || || || || || || || ||
Face sheet — - ✔✔A standard structured document that contains patient information, such as
|| || || || || || || || || || || || || ||
name, date of birth, insurance information, reason for seeking medical care, and religious
|| || || || || || || || || || || || ||
preference; medical staff uses the document to quickly see the relevant points for patient care
|| || || || || || || || || || || || || ||
Healthcare Common Procedure Coding System (HCPCS) — - ✔✔A numeric and alphabetic || || || || || || || || || || || ||
coding system used for billing and pricing of procedures, medical supplies, medications, and
|| || || || || || || || || || || || ||
durable medical equipment || ||
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) || || || || || || || || ||
codes — - ✔✔Alphanumeric codes used to classify injuries, diseases, symptoms, and cause of
|| || || || || || || || || || || || || ||
death
Insurance verification — - ✔✔Process used to make sure the service received by the patient is
|| || || || || || || || || || || || || || || ||
approved and paid for by the insurance company || || || || || || ||
with accurate detailed answers || || ||
When abstracting from an outpatient record to assign the ICD-9-CM code, which of the following
|| || || || || || || || || || || || || ||
should an EHR specialist look for? - ✔✔Diagnosis listed first in the documentation
|| || || || || || || || || || || || ||
Surgical procedure codes - ✔✔Surgical procedure codes with a 2-digit classification followed by
|| || || || || || || || || || || || ||
one or two digits are in the ICD-9-CM manual and are used for coding inpatient procedures.
|| || || || || || || || || || || || || || ||
Current Procedural Terminology (CPT) codes — - ✔✔Numeric codes developed by the
|| || || || || || || || || || || ||
American Medical Association (AMA) to standardize medical services and procedures
|| || || || || || || || ||
Encounter form — - ✔✔A form the provider fills out as she sees the patient; lists the service
|| || || || || || || || || || || || || || || || || ||
charges and how much the patient paid for the services; can be submitted for billing
|| || || || || || || || || || || || || ||
Face sheet — - ✔✔A standard structured document that contains patient information, such as
|| || || || || || || || || || || || || ||
name, date of birth, insurance information, reason for seeking medical care, and religious
|| || || || || || || || || || || || ||
preference; medical staff uses the document to quickly see the relevant points for patient care
|| || || || || || || || || || || || || ||
Healthcare Common Procedure Coding System (HCPCS) — - ✔✔A numeric and alphabetic || || || || || || || || || || || ||
coding system used for billing and pricing of procedures, medical supplies, medications, and
|| || || || || || || || || || || || ||
durable medical equipment || ||
International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) || || || || || || || || ||
codes — - ✔✔Alphanumeric codes used to classify injuries, diseases, symptoms, and cause of
|| || || || || || || || || || || || || ||
death
Insurance verification — - ✔✔Process used to make sure the service received by the patient is
|| || || || || || || || || || || || || || || ||
approved and paid for by the insurance company || || || || || || ||
