OST 148 chapter 2 questions with 100%
correct answers
medical record - correct answer ✔✔file containing the documentation of a patient's medical history and
related information
malpractice - correct answer ✔✔failure to use professional skill when giving medical services that results
in injury or harm
documentation - correct answer ✔✔documentation recording of a patient's health status in a medical
record
medical standards of care - correct answer ✔✔state - specified perfor mance measures for the delivery
of healthcare
encounter - correct answer ✔✔visit between a patient and a medical professional
evaluation and management ( E / M ) - correct answer ✔✔provider's evaluation of a patient's condition
and decision on a course of treatment to manage it
informed consent - correct answer ✔✔process by which a patient authorizes medical treatment after al
discussion with a physician
medical documentation and revenue cycle - correct answer ✔✔revenue cycle circle that explains how
using EHRS is integrated with practice management programs
Centers for Medicare and Medicaid Services ( CMS ) - correct answer ✔✔federal agency that runs
Medicare , Medicaid , clinical laboratories , and other government health programs
, Health Insurance Portability and Accountability Act ( HIPAA ) of 1996 - correct answer ✔✔federal act
with guidelines for standardizing the electronic data interchange of administrative and financial
transactions , exposing fraud and abuse , and protecting PHI
Health Information Technology for Economic and Clinical Health ( HITECH ) Act - correct answer ✔✔law
promoting the adoption and meaningful use of health information technology
meaningful use - correct answer ✔✔utilization of certified EHR technology to improve quality , efficiency
, and patient safety
health information exchange ( HIE ) - correct answer ✔✔enables the sharing of health - related
information among provider organizations
Affordable Care Act ( ACA ) - correct answer ✔✔health system reform legislation that offers improved
insurance coverage and other benefits
accountable care organization ( ACO ) - correct answer ✔✔network of doctors and hospitals that shares
responsibil ity for managing the quality and cost of care provided to a group of patients
electronic data interchange ( EDI ) - correct answer ✔✔computer - to - computer exchange of data in a
standard ized format
transaction - correct answer ✔✔electronic exchange of healthcare information
covered entity ( CE ) - correct answer ✔✔health plan , clearinghouse , or provider who transmits any
health information in electronic form
clearinghouse - correct answer ✔✔company that converts nonstandard transac tions into standard
transactions and transmits the data to health plans , and the reverse process
business associate ( BA ) - correct answer ✔✔person or organization that performs a function or activity
for a covered entity
correct answers
medical record - correct answer ✔✔file containing the documentation of a patient's medical history and
related information
malpractice - correct answer ✔✔failure to use professional skill when giving medical services that results
in injury or harm
documentation - correct answer ✔✔documentation recording of a patient's health status in a medical
record
medical standards of care - correct answer ✔✔state - specified perfor mance measures for the delivery
of healthcare
encounter - correct answer ✔✔visit between a patient and a medical professional
evaluation and management ( E / M ) - correct answer ✔✔provider's evaluation of a patient's condition
and decision on a course of treatment to manage it
informed consent - correct answer ✔✔process by which a patient authorizes medical treatment after al
discussion with a physician
medical documentation and revenue cycle - correct answer ✔✔revenue cycle circle that explains how
using EHRS is integrated with practice management programs
Centers for Medicare and Medicaid Services ( CMS ) - correct answer ✔✔federal agency that runs
Medicare , Medicaid , clinical laboratories , and other government health programs
, Health Insurance Portability and Accountability Act ( HIPAA ) of 1996 - correct answer ✔✔federal act
with guidelines for standardizing the electronic data interchange of administrative and financial
transactions , exposing fraud and abuse , and protecting PHI
Health Information Technology for Economic and Clinical Health ( HITECH ) Act - correct answer ✔✔law
promoting the adoption and meaningful use of health information technology
meaningful use - correct answer ✔✔utilization of certified EHR technology to improve quality , efficiency
, and patient safety
health information exchange ( HIE ) - correct answer ✔✔enables the sharing of health - related
information among provider organizations
Affordable Care Act ( ACA ) - correct answer ✔✔health system reform legislation that offers improved
insurance coverage and other benefits
accountable care organization ( ACO ) - correct answer ✔✔network of doctors and hospitals that shares
responsibil ity for managing the quality and cost of care provided to a group of patients
electronic data interchange ( EDI ) - correct answer ✔✔computer - to - computer exchange of data in a
standard ized format
transaction - correct answer ✔✔electronic exchange of healthcare information
covered entity ( CE ) - correct answer ✔✔health plan , clearinghouse , or provider who transmits any
health information in electronic form
clearinghouse - correct answer ✔✔company that converts nonstandard transac tions into standard
transactions and transmits the data to health plans , and the reverse process
business associate ( BA ) - correct answer ✔✔person or organization that performs a function or activity
for a covered entity
