CEHRS LATEST 2026 EXAM QUESTIONS AND ANSWERS
GRADED A+
✔✔Clinical Tools - ✔✔EHR's allow dr's the ability to access research, detail natioanl
treatment and makes pt's w/ chronic diseases easier to manage. EHR's also allow dr's
to: *Order test *Order Meds *Send scripts directly to pharmacy. It also has features that
check for medication contraindications and errors
✔✔EHR'S and Billing and Coding - ✔✔Most EHR's have features that automate the
coding process, though each EHR these features may vary, these codes are checked
for accuracy by a coding specialist. COMPUTER ASSISTED CODING works in a
variety of ways, some may assign codes based on keywords, other analyze
words/phrases and sentences. The integration of automated coding w/ the billing
system facilitates claims processing
✔✔Must every service submitted for payment be documented in the pt's medical
record? - ✔✔YES, in order to be reimbursed, providers must document each service
provided to the pt
✔✔Decision Support Tools - ✔✔make the latest clinical info available at the point of
care
some of the most common features inc: access to clinical info while making a diagnosis,
ID'ing pt's @ risk for a specific disease and adherence to guidelines if pt monitoring is
necessary. Clinical Tools will also do the following: *Screen for illness and disease
*Identify at risk pt's *Aid w/ disease management
✔✔What are clinical guidelines? - ✔✔descriptions of recommended pt care for a given
condition based on the best available scientific evidence. Guidelines are based on
evidence and are developed by experts in the field.
✔✔Medication Errors - ✔✔errors in prescribing medicine harm almost one million
americans per yr. These errors range from prescribing a drug that interacts w/ drugs
that the pt is already taking to dispensing the wrong med due to poor handwritting
✔✔E-Prescribing - ✔✔the ability to e-prescribe is a feature of most EHR programs. One
of the main advantages is it's ability to quickly perform safety checks, EHR programs
will send alerts for potential prescription problems.
✔✔EHR in the Hospital - ✔✔EHR in a hosp is extremely important to pt care. EHR
compiles data from multiple clinical systems and provides a single source of info about
that particular pt. EHR will also capture and store info about the pt care. It will assist in
managing transactions such as: medicine prescribed, test ordered/results, and
ultimately improving the quality of pt care.
✔✔Are hospital information systems complex? - ✔✔Yes
, ✔✔What are factors that affect the care the patient receives in a hospital? - ✔✔-
financial aspect of a pt's stay
-lab test ordered
-pharmacy info
-picture archiving
-radiology info
-clinical info
(all contribute to a pt's overall care in a hospital)
✔✔What are the primary benefits of a Hospital EHR? - ✔✔-Unlimited access to pt's ino
-Decreased waiting time for medication delivery as well as test results
-Increased efficiency and accuracy in overall pt care
✔✔Computerized Physician Order Entry (CPOE) - ✔✔an application used by dr's and
other healthcare providers to enter pt care info EHR's w/ the CPOE feature also
provides support tools that result in improved care and pt outcomes
✔✔Electronic Medication Administration Records (eMars) - ✔✔work w/ the CPOE
system to increase pt safety by electronically tracking medication administration.
✔✔The 5 rights to medication administration (eMars) - ✔✔1) the right pt
2) the right medication
3) the right dose
4) the right time
5) the right route (oral or intravenous)
✔✔Order Sets - ✔✔pre-defined groupings of standard orders for a condition, disease or
procedure. These order sets make it easier to deliver quality care by eliminating errors
and providing easy access to clinical content.
✔✔Adverse Drug Event (ADE) - ✔✔side effects or complications from medications
✔✔Medication reconciliation - ✔✔the process of obtaining and updating an accurate list
of all a pt's meds, is vital to the care of pt's
✔✔Personal Health Record (PHR) - ✔✔the compilation of the various componets of a
pt's lifelong medical history into an electronic format, may incl personal history, allergies,
past immunizations, previous surgeries and much more. While the pt is usually
responsible for the creation and maintenance of their personal record, they have the
option to share the info w/ their provider. Educate pt's as well as those involved in their
healthcare. Make it easier to monitor their health, record observations, and follow plan
recommendations
✔✔Does the PHR replace the legal records of any of the patients providers? - ✔✔NO
GRADED A+
✔✔Clinical Tools - ✔✔EHR's allow dr's the ability to access research, detail natioanl
treatment and makes pt's w/ chronic diseases easier to manage. EHR's also allow dr's
to: *Order test *Order Meds *Send scripts directly to pharmacy. It also has features that
check for medication contraindications and errors
✔✔EHR'S and Billing and Coding - ✔✔Most EHR's have features that automate the
coding process, though each EHR these features may vary, these codes are checked
for accuracy by a coding specialist. COMPUTER ASSISTED CODING works in a
variety of ways, some may assign codes based on keywords, other analyze
words/phrases and sentences. The integration of automated coding w/ the billing
system facilitates claims processing
✔✔Must every service submitted for payment be documented in the pt's medical
record? - ✔✔YES, in order to be reimbursed, providers must document each service
provided to the pt
✔✔Decision Support Tools - ✔✔make the latest clinical info available at the point of
care
some of the most common features inc: access to clinical info while making a diagnosis,
ID'ing pt's @ risk for a specific disease and adherence to guidelines if pt monitoring is
necessary. Clinical Tools will also do the following: *Screen for illness and disease
*Identify at risk pt's *Aid w/ disease management
✔✔What are clinical guidelines? - ✔✔descriptions of recommended pt care for a given
condition based on the best available scientific evidence. Guidelines are based on
evidence and are developed by experts in the field.
✔✔Medication Errors - ✔✔errors in prescribing medicine harm almost one million
americans per yr. These errors range from prescribing a drug that interacts w/ drugs
that the pt is already taking to dispensing the wrong med due to poor handwritting
✔✔E-Prescribing - ✔✔the ability to e-prescribe is a feature of most EHR programs. One
of the main advantages is it's ability to quickly perform safety checks, EHR programs
will send alerts for potential prescription problems.
✔✔EHR in the Hospital - ✔✔EHR in a hosp is extremely important to pt care. EHR
compiles data from multiple clinical systems and provides a single source of info about
that particular pt. EHR will also capture and store info about the pt care. It will assist in
managing transactions such as: medicine prescribed, test ordered/results, and
ultimately improving the quality of pt care.
✔✔Are hospital information systems complex? - ✔✔Yes
, ✔✔What are factors that affect the care the patient receives in a hospital? - ✔✔-
financial aspect of a pt's stay
-lab test ordered
-pharmacy info
-picture archiving
-radiology info
-clinical info
(all contribute to a pt's overall care in a hospital)
✔✔What are the primary benefits of a Hospital EHR? - ✔✔-Unlimited access to pt's ino
-Decreased waiting time for medication delivery as well as test results
-Increased efficiency and accuracy in overall pt care
✔✔Computerized Physician Order Entry (CPOE) - ✔✔an application used by dr's and
other healthcare providers to enter pt care info EHR's w/ the CPOE feature also
provides support tools that result in improved care and pt outcomes
✔✔Electronic Medication Administration Records (eMars) - ✔✔work w/ the CPOE
system to increase pt safety by electronically tracking medication administration.
✔✔The 5 rights to medication administration (eMars) - ✔✔1) the right pt
2) the right medication
3) the right dose
4) the right time
5) the right route (oral or intravenous)
✔✔Order Sets - ✔✔pre-defined groupings of standard orders for a condition, disease or
procedure. These order sets make it easier to deliver quality care by eliminating errors
and providing easy access to clinical content.
✔✔Adverse Drug Event (ADE) - ✔✔side effects or complications from medications
✔✔Medication reconciliation - ✔✔the process of obtaining and updating an accurate list
of all a pt's meds, is vital to the care of pt's
✔✔Personal Health Record (PHR) - ✔✔the compilation of the various componets of a
pt's lifelong medical history into an electronic format, may incl personal history, allergies,
past immunizations, previous surgeries and much more. While the pt is usually
responsible for the creation and maintenance of their personal record, they have the
option to share the info w/ their provider. Educate pt's as well as those involved in their
healthcare. Make it easier to monitor their health, record observations, and follow plan
recommendations
✔✔Does the PHR replace the legal records of any of the patients providers? - ✔✔NO
