CEHRS EVALUATION EXAM 2026 QUESTIONS AND
ANSWERS GRADED A+
✔✔What is Incremental Conversion? - ✔✔gradual change to electronic records.
Advantage of this type of change are lower cost and a smoother transition due to less of
an impact on the office. Disadvantages are that paper still needs to be used and not all
pt data is available. ***usually begins w/ pt's w/ scheduled appt****
✔✔What is Hybrid Conversion? - ✔✔using a combination of paper and electron form of
data. No matter what form is used dr still need to enter progress notes (most dr choose
dictation/transcription process) ***some may be outsourced, others in house**
✔✔What are clinical templates and what do they allow? - ✔✔structured form (progress
notes) that allows dr's to document pt encounters into an EHR, once it is entered it must
be INTEROPERABLE: must be able to exchange info and use it in a meaningful way,
therefore clinical standards are important to the details of pt info
✔✔Clinical Standards - ✔✔-ensure consistency, reliability and safety
✔✔Types of Clinical Standards - ✔✔-CLINICAL VOCABULARIES- set of common
definitions for medical terms, they ease communications by decreasing ambiguity
-SNOMED-CT- clinical vocabulary designed to encompass all terms used in medicine
-LOINC- terms and codes used for electronic exchange of lab results and clinical
observations
-UMLS- thesaurus database of medical terms
✔✔What are CLASSIFICATION SYSTEMS? - ✔✔they organize terms into categories
for easy retrieval, they are used for billing and reimbursement, statistical reporting and
admin functions
✔✔ICD-9 and ICD-10 - ✔✔International Classification of Disease-standard developed
by World Health Organization (WHO) contains diagnosis codes that are used in all
health care settings.
✔✔ICD-9-CM - ✔✔DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
✔✔ICD-10-CM - ✔✔DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
, ✔✔ICD-10-PCS - ✔✔DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
✔✔CPT - ✔✔Current Procedural Terminology- list of descriptive terms and identifying
codes for reporting medical services and procedures performed by health care
professionals in outpatient setting, developed and maintained by American Medical
Association (AMA)
✔✔CPT Code Ranges - ✔✔EVALUATION & MANAGEMENT (E&M): 99201-99499 (go
to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
✔✔HCPCS - ✔✔Healthcare Common Procedure Coding System- level II, national
codes, contains codes for products, supplies, and certain services not included in CPT.
Codes are maintained by Center for Medicare and Medicaid Services (CMS)
✔✔Messaging Standards - ✔✔-make it possible to transfer data from systems such as
lab or pharmacy system, play crucial role in interoperability among info systems
EX: HL7, DICOM, NCPDP AND IEEE1073
✔✔Health Level 7 (HL7) Messaging Standards - ✔✔(messaging standard used to send
data from one application to another)-scheduling, medical record & image management,
pt administration, observation reporting, financial management, public health
notification, and pt care
**demographics
**units of measure
**Immunizations
**Clinical encouncters
**Text based reports
✔✔Digital Imaging & Communications in Medicine (DICOM) Messaging Standards -
✔✔image info to workstations (x-rays, nuclear medicine) ***standards that enable info
exchange between imaging systems***
✔✔National Council for Prescription Drug Programs (NCPDP) SCRIPT Messaging
Standards - ✔✔used for retail pharmacy transactions ***standard for exchanging
prescription info*** HIPPA requires use in retail pharmacies
ANSWERS GRADED A+
✔✔What is Incremental Conversion? - ✔✔gradual change to electronic records.
Advantage of this type of change are lower cost and a smoother transition due to less of
an impact on the office. Disadvantages are that paper still needs to be used and not all
pt data is available. ***usually begins w/ pt's w/ scheduled appt****
✔✔What is Hybrid Conversion? - ✔✔using a combination of paper and electron form of
data. No matter what form is used dr still need to enter progress notes (most dr choose
dictation/transcription process) ***some may be outsourced, others in house**
✔✔What are clinical templates and what do they allow? - ✔✔structured form (progress
notes) that allows dr's to document pt encounters into an EHR, once it is entered it must
be INTEROPERABLE: must be able to exchange info and use it in a meaningful way,
therefore clinical standards are important to the details of pt info
✔✔Clinical Standards - ✔✔-ensure consistency, reliability and safety
✔✔Types of Clinical Standards - ✔✔-CLINICAL VOCABULARIES- set of common
definitions for medical terms, they ease communications by decreasing ambiguity
-SNOMED-CT- clinical vocabulary designed to encompass all terms used in medicine
-LOINC- terms and codes used for electronic exchange of lab results and clinical
observations
-UMLS- thesaurus database of medical terms
✔✔What are CLASSIFICATION SYSTEMS? - ✔✔they organize terms into categories
for easy retrieval, they are used for billing and reimbursement, statistical reporting and
admin functions
✔✔ICD-9 and ICD-10 - ✔✔International Classification of Disease-standard developed
by World Health Organization (WHO) contains diagnosis codes that are used in all
health care settings.
✔✔ICD-9-CM - ✔✔DIAGNOSIS USAGE: Inpatient & Outpatient
*Number of characters: 3-5 alphanumeric
*Number of Codes: 13,000
PROCEDURE USAGE: Inpatient*
*# of characters: 3-4 numeric
*# of codes 4,000
✔✔ICD-10-CM - ✔✔DIAGNOSIS USAGE: inpatient & outpatient
*# of characters: 3-7 alphanumeric
*# of codes: 120,00
PROCEDURE USAGE: none
, ✔✔ICD-10-PCS - ✔✔DIAGNOSIS USAGE: none
PROCEDURE USAGE: inpatient
*# of characters: 7 alphanumeric
*# of codes: 200,000
✔✔CPT - ✔✔Current Procedural Terminology- list of descriptive terms and identifying
codes for reporting medical services and procedures performed by health care
professionals in outpatient setting, developed and maintained by American Medical
Association (AMA)
✔✔CPT Code Ranges - ✔✔EVALUATION & MANAGEMENT (E&M): 99201-99499 (go
to dr feeling 99% leave getting high five)
ANESTHESIA: 00100-01999 (knocked out, always begin w/ 0)
SURGERY: 10021-69990 (want to feel 100%, begins w/ 1)
RADIOLOGY: (RPM, R=7, begins w/ 7)
PATHOLOGY AND LABORATORY: 80047-89356 (RPM. P=8, begins w/ 8)
MEDICINE: 90281-99607 (RPM, M=9, begins w/ 9)
✔✔HCPCS - ✔✔Healthcare Common Procedure Coding System- level II, national
codes, contains codes for products, supplies, and certain services not included in CPT.
Codes are maintained by Center for Medicare and Medicaid Services (CMS)
✔✔Messaging Standards - ✔✔-make it possible to transfer data from systems such as
lab or pharmacy system, play crucial role in interoperability among info systems
EX: HL7, DICOM, NCPDP AND IEEE1073
✔✔Health Level 7 (HL7) Messaging Standards - ✔✔(messaging standard used to send
data from one application to another)-scheduling, medical record & image management,
pt administration, observation reporting, financial management, public health
notification, and pt care
**demographics
**units of measure
**Immunizations
**Clinical encouncters
**Text based reports
✔✔Digital Imaging & Communications in Medicine (DICOM) Messaging Standards -
✔✔image info to workstations (x-rays, nuclear medicine) ***standards that enable info
exchange between imaging systems***
✔✔National Council for Prescription Drug Programs (NCPDP) SCRIPT Messaging
Standards - ✔✔used for retail pharmacy transactions ***standard for exchanging
prescription info*** HIPPA requires use in retail pharmacies
