2026 ACTUAL EXAM TEST BANK| C808
CLASSIFICATION SYSTEMS OA FINAL EXAM PREP
WITH COMPLETE 650 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
Which electronic health record (EHR) application is used to record
treatment results during a patient's visit?
a) Computerized provider order entry (CPOE)
b) Personal health record (PHR)
c) Decision support systems (DSS)
d) Point-of-care documentation (POC) – Correct Answer - Point-of-care
documentation (POC)
POC documentation allows real-time recording of treatment results
during patient visits.
Which electronic application assigns a unique identifier so that each
individual upon registration is represented only once across all the
organization's systems?
a) Health information exchange (HIE)
b) Master patient index (MPI)
c) Continuity of care document (CCD)
d) Electronic health record (EHR) – Correct Answer - Master patient
index (MPI)
MPI assigns unique identifiers to patients to ensure they are registered
only once across all systems.
pg. 1
,Which system assists doctors with providing current clinical guidelines
or supplying reminders and alerts?
a) Clinical decision support (CDS)
b) Computerized physician order entry (CPOE)
c) Electronic medication administration record (EMAR)
d) Electronic prescribing (e-Rx) – Correct Answer - Clinical decision
support (CDS)
CDS provides reminders, alerts, and guidelines to assist clinicians in
providing evidence-based care.
Which external agency requires the use of the Universal Protocol for
surgeries?
a) The Joint Commission (TJC)
b) Det Norske Veritas (DNV)
c) National Committee for Quality Assurance (NCQA)
d) Commission on Accreditation of Rehabilitation Facilities (CARF) –
Correct Answer - The Joint Commission (TJC)
TJC mandates the use of the Universal Protocol to prevent surgical
errors.
Which electronic log documents individual access, changes made, and
when the changes were made in an electronic health record (EHR)?
a) Account of disclosures
b) Authorization list
c) Protective health log
d) Audit trail – Correct Answer - Audit trail
pg. 2
,An audit trail in EHR systems logs who accessed records, any changes
made, and timestamps of those changes.
Which act or rule limits the disclosure of protected health information
(PHI) to the "minimum necessary"?
a) The Security Rule
b) The Healthcare Quality Improvement Act
c) The Privacy Rule
d) The Affordable Care Act – Correct Answer - The Privacy Rule
HIPAA's Privacy Rule restricts PHI disclosures to the minimum
necessary.
Which federal agency is charged with the responsibility for the oversight
and enforcement of the HIPAA privacy regulation?
a) The Office of the National Coordinator for Health Information
Technology
b) The HHS Office of the Inspector General
c) The Centers for Medicare & Medicaid Services
d) The HHS Office of Civil Rights – Correct Answer - The HHS Office
of Civil Rights
The HHS Office of Civil Rights is charged with responsibility for the
oversight and enforcement of the HIPAA privacy regulations.
Within which timeframe after a patient's admission to a hospital does
Medicare require that a history and physical examination is completed?
a) 48 hours
b) 24 hours
pg. 3
, c) 12 hours
d) 72 hours – Correct Answer - 24 hours
Medicare requires that a history and physical examination be completed
within 24 hours after a patient's admission to a hospital.
What was enacted to protect patients and federal healthcare programs
from fraud and abuse by reducing the influence of money on healthcare
decisions?
a) Red Flags Rule
b) Fair and Accurate Credit Transactions Act
c) Federal Anti-Kickback Statute
d) Employee Retirement Income Security Act of 1974 – Correct Answer
- Federal Anti-Kickback Statute
The Federal Anti-Kickback Statute was enacted to protect patients and
federal healthcare programs from fraud and abuse by reducing the
influence of money on healthcare decisions.
Which document must be placed in the patient's record before a surgical
procedure may be performed according to the Joint Commission
accreditation standards?
a) History and physical examination report
b) Discharge summary
c) Admission record
d) Physician's order – Correct Answer - History and physical
examination report
According to the Joint Commission accreditation standards, the history
and physical examination report must be placed in the patient's record
before a surgical procedure may be performed.
pg. 4