WGU C816 ZQM1 : EHR IMPLEMENTATION
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ An electronic medical record project has been implemented. The executive
team has approved the system and signed for payment to the vendor. The
information technology manager has verified that items on the issues list
have been resolved.In which phase is the project management team
working?.
Answer: Closing the project
◍ Which clinical decision support (CDS) category would be used to help
clinicians determine the appropriate frequency of medicine?.
Answer: Medication dosing support
◍ Describe what phase of the system life cycle is the scope of the proposed
project identified..
Answer: Planning
◍ Why are medication errors the most frequent errors in nursing?.
Answer: The designed work processes in the medication administration
cycle leave room for human error.
◍ What is the next step in the system life cycle after a new health information
system has been purchased?.
Answer: Test the system
◍ Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT).
Answer: A terminology that is designed to capture detailed clinical
information, which then makes it possible to share and aggregate data.
◍ Time Frame for Health and Physical.
, Answer: 24 hours following admission and require that the history and
physical be completed by the practitioner who is admitting the patient. CMS
Conditions of participation require that the h&P be completed no more the
30 days before or 24 hours after admission and the report must be placed in
the record with 24 hours after admission.
◍ Biometric Authentication.
Answer: Allows a user to be uniquely identified and access the system based
on one or more biometric traits such as fingerprints, hand geometry, retinal
pattern, or voice waves.
◍ Encoder.
Answer: Used by coders to select the appropriate code for the diagnosis(es)
and procedure(s) supported by the medical record.
◍ Record Retention Policies.
Answer: Allows the HIM professional to know what data needs to be
maintained.
◍ Critical Path.
Answer: Shows the longest amount of time to complete the project. if key
task along the critical path are delayed, the critical path itself lengthens, thus
lengthening the duration of the project.
◍ System Implementation.
Answer: The process of preparing and launching the IS that has been
selected for use.
◍ Durable Power of Attorney.
Answer: Is a document that names someone to make decisions from the
patient if the patient is unable to make these decisions. The person is often
called a proxy. Goes into effect when the physician determines the patient is
no longer able to communicate about health care decisions.
◍ What system assists in ensuring patient safety by utilizing a computer to
collect and manage data?.
Answer: Database management system
,◍ Core Steps of an Effective Audit and Monitoring Program.
Answer: * Determine what systems produce audit logs.* Establish a process
and document a procedure* Define and determine who and what will be
audited* Create and implement effective audit tools* Define and determine
who will conduct the audits and the frequency* Define the process for
confronting employees when audits determine a potential breach* Define
and document the process for documenting audits and how long the data
will be kept
◍ Open-record review.
Answer: When qualitative analysis is done while the patient is in the facility
or under active treatment, it is called open-record review, ongoing records
review, point-of-care review, or continuous record review.
◍ Computer-Assisted Coding (CAC).
Answer: System requires the health record to be electronic for the system to
have the clinical data to analyze. I uses Natural Language Processing to
analyze clinical data to identify diagnoses and procedures and to assign the
appropriate ICD-10-CM, ICD-10-PCS, and CPT code to the system.
◍ Compliance.
Answer: Complying with rules, laws, standards, or regulations.
◍ Protected Health Information (PHI) or ePHI when electonic.
Answer: Individually identifiable health information held or transmitted by a
covered entity or business associate.
◍ CDI Program.
Answer: Function is to initiate concurrent and, as appropriate, retrospective
reviews of health records fro conflicting, incomplete, or nonspecific
provider documentation.
◍ What is defined as a recommendation intended to optimize patient care by
utilizing basis of a systemic review of evidence and an assessment of the
perceived benefits and harms to the patient?.
Answer: Clinical practice guidelines
, ◍ A database management system (DBMS) enables a user to store data by
organizing the data to be searched and categorized to obtain the information
necessary.How does a DBMS help with patient outcomes?.
Answer: It allows for easy access to data in a timely manner
◍ Unbundling.
Answer: The reporting of multiple codes to describe a service or procedure
when according to coding conventions, one code would accurately describe
the procedure. Can result in the organization receiving more reimbursement
for smaller procedures that were performed as a bundle.
◍ To assist with improving effective healthcare delivery, standardized
terminologies are implemented. Which terminology represents the
interoperability of clinical and administrative data?.
Answer: Health Level Seven (HL7)
◍ Logical Observation Identifiers Names and Codes (LOINC).
Answer: A laboratory vocabulary that is used to order and report laboratory
test and record clinical observations for use in patient care, outcomes
management, and research.
◍ Utilization Management.
Answer: A planned systematic review of patients in a healthcare facility
against care criteria for admission, continued stay and discharge.
◍ Health Care Fraud Statute (Criminal).
Answer: Identifies that it is illegal to defraud any healthcare benefit program
or to obtain fraudulent funds or property by any of the healthcare benefit
programs.
◍ Project Team.
Answer: Project team members should be identified before the project
begins. A project team is composed of people who are assigned to work on
the project either part time or full time. A project team is a collection of
individuals representing various disciplines such as billing, clinician,
administration, or information technology (IT) assigned to work on a
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ An electronic medical record project has been implemented. The executive
team has approved the system and signed for payment to the vendor. The
information technology manager has verified that items on the issues list
have been resolved.In which phase is the project management team
working?.
Answer: Closing the project
◍ Which clinical decision support (CDS) category would be used to help
clinicians determine the appropriate frequency of medicine?.
Answer: Medication dosing support
◍ Describe what phase of the system life cycle is the scope of the proposed
project identified..
Answer: Planning
◍ Why are medication errors the most frequent errors in nursing?.
Answer: The designed work processes in the medication administration
cycle leave room for human error.
◍ What is the next step in the system life cycle after a new health information
system has been purchased?.
Answer: Test the system
◍ Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT).
Answer: A terminology that is designed to capture detailed clinical
information, which then makes it possible to share and aggregate data.
◍ Time Frame for Health and Physical.
, Answer: 24 hours following admission and require that the history and
physical be completed by the practitioner who is admitting the patient. CMS
Conditions of participation require that the h&P be completed no more the
30 days before or 24 hours after admission and the report must be placed in
the record with 24 hours after admission.
◍ Biometric Authentication.
Answer: Allows a user to be uniquely identified and access the system based
on one or more biometric traits such as fingerprints, hand geometry, retinal
pattern, or voice waves.
◍ Encoder.
Answer: Used by coders to select the appropriate code for the diagnosis(es)
and procedure(s) supported by the medical record.
◍ Record Retention Policies.
Answer: Allows the HIM professional to know what data needs to be
maintained.
◍ Critical Path.
Answer: Shows the longest amount of time to complete the project. if key
task along the critical path are delayed, the critical path itself lengthens, thus
lengthening the duration of the project.
◍ System Implementation.
Answer: The process of preparing and launching the IS that has been
selected for use.
◍ Durable Power of Attorney.
Answer: Is a document that names someone to make decisions from the
patient if the patient is unable to make these decisions. The person is often
called a proxy. Goes into effect when the physician determines the patient is
no longer able to communicate about health care decisions.
◍ What system assists in ensuring patient safety by utilizing a computer to
collect and manage data?.
Answer: Database management system
,◍ Core Steps of an Effective Audit and Monitoring Program.
Answer: * Determine what systems produce audit logs.* Establish a process
and document a procedure* Define and determine who and what will be
audited* Create and implement effective audit tools* Define and determine
who will conduct the audits and the frequency* Define the process for
confronting employees when audits determine a potential breach* Define
and document the process for documenting audits and how long the data
will be kept
◍ Open-record review.
Answer: When qualitative analysis is done while the patient is in the facility
or under active treatment, it is called open-record review, ongoing records
review, point-of-care review, or continuous record review.
◍ Computer-Assisted Coding (CAC).
Answer: System requires the health record to be electronic for the system to
have the clinical data to analyze. I uses Natural Language Processing to
analyze clinical data to identify diagnoses and procedures and to assign the
appropriate ICD-10-CM, ICD-10-PCS, and CPT code to the system.
◍ Compliance.
Answer: Complying with rules, laws, standards, or regulations.
◍ Protected Health Information (PHI) or ePHI when electonic.
Answer: Individually identifiable health information held or transmitted by a
covered entity or business associate.
◍ CDI Program.
Answer: Function is to initiate concurrent and, as appropriate, retrospective
reviews of health records fro conflicting, incomplete, or nonspecific
provider documentation.
◍ What is defined as a recommendation intended to optimize patient care by
utilizing basis of a systemic review of evidence and an assessment of the
perceived benefits and harms to the patient?.
Answer: Clinical practice guidelines
, ◍ A database management system (DBMS) enables a user to store data by
organizing the data to be searched and categorized to obtain the information
necessary.How does a DBMS help with patient outcomes?.
Answer: It allows for easy access to data in a timely manner
◍ Unbundling.
Answer: The reporting of multiple codes to describe a service or procedure
when according to coding conventions, one code would accurately describe
the procedure. Can result in the organization receiving more reimbursement
for smaller procedures that were performed as a bundle.
◍ To assist with improving effective healthcare delivery, standardized
terminologies are implemented. Which terminology represents the
interoperability of clinical and administrative data?.
Answer: Health Level Seven (HL7)
◍ Logical Observation Identifiers Names and Codes (LOINC).
Answer: A laboratory vocabulary that is used to order and report laboratory
test and record clinical observations for use in patient care, outcomes
management, and research.
◍ Utilization Management.
Answer: A planned systematic review of patients in a healthcare facility
against care criteria for admission, continued stay and discharge.
◍ Health Care Fraud Statute (Criminal).
Answer: Identifies that it is illegal to defraud any healthcare benefit program
or to obtain fraudulent funds or property by any of the healthcare benefit
programs.
◍ Project Team.
Answer: Project team members should be identified before the project
begins. A project team is composed of people who are assigned to work on
the project either part time or full time. A project team is a collection of
individuals representing various disciplines such as billing, clinician,
administration, or information technology (IT) assigned to work on a
