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Test Bank for Electronic Health Records 3rd Edition by Hamilton.

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Test Bank for Electronic Health Records 3rd Edition by Hamilton. Test Bank for Electronic Health Records 3rd Edition by Hamilton. Test Bank for Electronic Health Records 3rd Edition by Hamilton. Test Bank for Electronic Health Records 3rd Edition by Hamilton.

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This chapter has 100 questions.
Scroll down to see and select individual questions or 0 questions at random and keep in order 
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CAHIIM: I.D.2. Subdomain: Reimbursement Methodologies 2
Multiple Choice Questions - (100) comply with the changing regulations among various payment syste
Medicare, Medicaid, managed care, and so forth. (NEW) - (5)
CAHIIM: I.D.3. Subdomain: Reimbursement Methodologies 3
Odd Numbered - (50)
coding, chargemaster, claims management, and bill reconciliation p
CAHIIM: I.D.4. Subdomain: Reimbursement Methodologies 4
Even Numbered - (50)
with reimbursement and reporting requirements such as the Nationa
CAHIIM: I.D.5. Subdomain: Reimbursement Methodologies 5
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all
quality reviews to validate code assignment and compliance with re
times - (7)
prospective payment systems. - (1)
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or CAHIIM: I.D.6. Subdomain: Reimbursement Methodologies 6
information - (11) diagnostic/procedural groupings such as DRG, APC, and so on. (NE
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Resear
ABHES: 6.b. Properly utilize PDR, drug handbook and other drug references to
for clinical indices/databases/registries to meet specific organization
identify a drug's classification, usual dosage, usual side effects, and contraindications - (1)
disease registries. - (4)
ABHES: 7.b.1. Identify and properly utilize office machines, computerized systems
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Resear
and medical software such as: 1) Efficiently maintain and understand different types of
for quality management, utilization management, risk management,
medical correspondence and medical reports - (2)
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems
and medical software such as: 2) Apply computer application skills using variety of CAHIIM: II.B.2. Subdomain: Quality Management and Perfor
different electronic programs including both practice management software and EMR data to identify trends that demonstrate quality, safety, and effective
software - (15)
CAHIIM: III.A.1. Subdomain: Healthcare Delivery Systems 1
ABHES: 8.b. Prepare and maintain medical records - (8) licensure, and certification standards related to health information i
and facility levels. - (7)
CAHIIM: III.A.2. Subdomain: Healthcare Delivery Systems 2
ABHES: 8.d. Apply concepts for office procedures - (13) providers and disciplines throughout the continuum of healthcare an
needs. - (3)
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidenti
ABHES: 8.f. Schedule in patient and outpatient admissions - (1)
to the legal and regulatory requirements related to the health inform
ABHES: 8.hh. Receive, organize, prioritize, and transmit information CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidenti
expediently - (32) policies and procedures for access and disclosure of personal health
CAHIIM: III.B.3. Subdomain: Healthcare Privacy, Confidenti
ABHES: 8.i. Perform billing and collection procedures - (2)
patient-specific data to authorized users. - (1)
CAHIIM: IV.A.1. Subdomain: Information and Communicati
ABHES: 8.ll. Apply electronic technology - (98) including hardware and software, to ensure data collection, storage,
information. - (33)
CAHIIM: IV.A.2. Subdomain: Information and Communicati
ABHES: 8.u. Prepare and submit insurance claims - (2) software applications such as spreadsheets, databases, word process
so on in the execution of work processes. - (2)
CAHIIM: IV.A.3. Subdomain: Information and Communicati
ABHES: 8.y. Perform routine maintenance of administrative and clinical
software in the completion of HIM processes such as record trackin
equipment - (1)
grouping, registries, billing, quality improvement, and imaging. - (5
CAHIIM: IV.A.4. Subdomain: Information and Communicati
procedures to the use of networks, including intranet and Internet ap
ABHES: 9.g. Maintain medication and immunization records - (2)
health record (EHR), personal health record (PHR), public health, a
applications. - (25)
CAHIIM: IV.A.5. Subdomain: Information and Communicati
Blooms: Analyze - (1) planning, design, selection, implementation, integration, testing, ev
(NEW) - (13)
CAHIIM: IV.B.1. Subdomain: Data, Information, and File Str
Blooms: Remember - (58)
architecture and design (such as data dictionary) to meet departmen
CAHIIM: IV.C.1. Subdomain: Data Storage and Retrieval 1. U
Blooms: Understand - (41)
technology for data/record storage. - (9)
CAAHEP: IV.C.9. Discuss applications of electronic technology in effective CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Q
communication - (1) information retrieval using appropriate software. - (4)
CAHIIM: IV.D.3. Subdomain: Data Security 3. Apply departm
CAAHEP: IX.P.7. Document accurately in the patient record - (1)
information system security policies. - (2)
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summ
(EMR) - (52) data quality monitoring programs. - (1)
CAAHEP: V.C.12. Identify types of records common to the healthcare setting - (1) CAHIIM: IX.P.3. Apply HIPAA rules in regard to privacy/rel
CAAHEP: V.C.2. Describe scheduling guidelines - (2) CAHIIM: V.A.3. Subdomain: Human Resources 3. Conduct o
CAAHEP: V.C.4. Identify critical information required for scheduling patient CAHIIM: V.A.4. Subdomain: Human Resources 4. Monitor a

, CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify Learning Outcome: 01-06 - (35)
timeliness, completeness, accuracy, and appropriateness of data and data sources for patient
care, management, billing reports, registries, and/or databases. - (37)
CAHIIM: I.B.1. Subdomain: Healthcare Information Requirements and Standards 1.
Learning Outcome: 01-07 - (7)
Monitor and apply organization-wide health record documentation guidelines. - (4)
CAHIIM: I.B.2. Subdomain: Healthcare Information Requirements and Standards 2.
Apply policies and procedures to ensure organizational compliance with regulations and Topic: Barriers and Benefits of the EHR - (35)
standards. - (6)
CAHIIM: I.B.3. Subdomain: Healthcare Information Requirements and Standards 3.
Maintain the accuracy and completeness of the patient record as defined by organizational Topic: EHR Terminology - (19)
policy and external regulations and standards. - (6)
CAHIIM: I.B.4. Subdomain: Healthcare Information Requirements and Standards 4.
Assist in preparing the organization for accreditation, licensing, and/or certification Topic: Government Involvement in the EHR - (18)
surveys. - (2)
CAHIIM: I.C.1. Subdomain: Clinical Classification Systems 1. Use and maintain
electronic applications and work processes to support clinical classification and Topic: Healthcare Processes and the EHR - (7)
coding. - (1)
CAHIIM: I.C.5. Subdomain: Clinical Classification Systems 5. Validate coding
Topic: History of the Electronic Health Record - (10)
accuracy using clinical information found in the health record. - (3)
CAHIIM: I.C.7. Subdomain: Clinical Classification Systems 7. Resolve discrepancies
Topic: Overview of the Electronic Health Record - (9)
between coded data and supporting documentation. - (1)
CAHIIM: I.D.1. Subdomain: Reimbursement Methodologies 1. Apply policies and
procedures for the use of clinical data required in reimbursement and prospective payment Topic: The Future of the Electronic Health Record - (7)
systems (PPS) in healthcare delivery. - (2)

1. What is the catalyst that created the need of electronic health records (EHRs)?
Improvement of the health insurance industry.
→ Improvement of patient medical care.
Improvement of the work place for healthcare professionals.
The advancement of computer technology.

Improvement of patient medical care was and is the catalyst for the need of electronic health rec

ABHES: 8.d. Apply co
ABHES: 8.ll. A

CAAHEP: V.C.11. Discuss principles of using Electron
CAHIIM: IV.A.4. Subdomain: Information and Communication Techno
procedures to the use of networks, including intranet and Internet a
electronic health record (EHR), personal health record (PH

CAHIIM: IV.C.1. Subdomain: Data Storage and Retrieval 1. Use appro
technol



Multiple Choice Question Topic: History of th
2. In what decade were some of the first electronic medical record systems developed?
→ 1960s
1970s
1980s
1990s

The Mayo Clinic in Rochester, Minnesota; the University Hospital in Burlington, Vermont; and
Hospital in Salt Lake City, Utah, were some of the first medical facilities to use electronic healt
systems were developed in the early 1960s.

ABHES: 8.d. Apply co
ABHES: 8.ll. A

, CAAHEP: V.C.11. Discuss principles of using Electron
CAAHEP: V.C.6. Describe various types of content maintained
CAHIIM: I.A.1. Subdomain: Health Data Structure, Content, and Stand
health data (such as data elemen
CAHIIM: I.A.3. Subdomain: Health Data Structure, Content, and Stan
procedures to ensure



Topic: History of th
4. What is one advanced method used to input data into an EHR?
Typing with a keyboard.
Use an iPod.
→ Use a voice recognition system.
Use of a transcriptionist.

The use of a voice recognition system is one advanced method used to input data into an EHR.

ABHES: 8.d. Apply co
ABHES: 8.ll. A

CAAHEP: V.P.5. Execute data management using electronic healthca
CAHIIM: I.A.1. Subdomain: Health Data Structure, Content, and Stand
health data (such as data elemen
CAHIIM: I.A.3. Subdomain: Health Data Structure, Content, and Stan
procedures to ensure



Multiple Choice Question Topic: The Future of th
5. What are the large bodies of preset text known as?
Cut and paste
→ Templates
Text messages
Tap and Go™

Templates are large bodies of preset text in an EHR.

ABHES: 8.ll. A

CAAHEP: V.C.11. Discuss principles of using Electron
CAAHEP: V.P.5. Execute data management using electronic healthca
CAHIIM: I.A.3. Subdomain: Health Data Structure, Content, and Stan
procedures to ensure



Multiple Choice Question Topic: Health
6. Which of the following features is not a positive attribute of EHRs?
Enhanced accessibility to clinical information
Improved patient safety
Increased quality of patient care
→ Decreased efficiency and savings

, 7. Which advancement in technology has brought greater mobility to healthcare providers?
Handheld computers
Wireless connectivity
PDAs
→ All of these

Laptops, wireless connectivity, and Tablet PCs are some of the advancements in technology tha
mobility to health-care providers.

ABHES: 8.d. Apply co
ABHES: 8.ll. A

CAAHEP: V.C.11. Discuss principles of using Electron
CAAHEP: V.P.5. Execute data management using electronic healthca
CAHIIM: I.A.1. Subdomain: Health Data Structure, Content, and Stand
health data (such as data elemen
CAHIIM: I.A.3. Subdomain: Health Data Structure, Content, and Stan
procedures to ensure



Multiple Choice Question Topic: The Future of th
8. What is the definition of EHR?
→ Software with a full range of functionalities to store, access, and use patient medica
The time and place of care being given to the patient from the health-care provider.
A portable, handheld computer, with the ability to document directly on the screen
Software capable of voice recognition systems to document patient health insurance

An EHR is defined as software with a full range of functionalities to store, access, and use patie

ABHES: 8.ll. A

CAAHEP: V.C.11. Discuss principles of using Electron
CAAHEP: V.P.5. Execute data management using electronic healthca
CAHIIM: I.A.3. Subdomain: Health Data Structure, Content, and Stan
procedures to ensure
CAHIIM: IV.A.2. Subdomain: Information and Communication Te
software applications such as spreadsheets, databases, word proces
e-mail, and so on in the e



Multiple Choice Question Topic: Overview of th
9. Which of the following is a barrier to the implementation of EHR?
→ Lack of standards
E-prescribing options
Identified ROI
Increased patient safety

Lack of standards within EHR has many providers concerned with compatibility and interopera

ABHES: 8.b. Prepare an
ABHES: 8.ll. A

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