NHA - Certified Electronic Health Record
Specialist (CEHRS) Study Guide
Encounter Form -Answer:-A form the provider fills out as she sees the patient;
lists the service charges and how much the patient paid for the services; can
be submitted for billing.
Face Sheet -Answer:-A standard structured document that contains patient
information, such as name, date of birth, insurance information, reason for
seeking medical care, and religious preference;
Healthcare Common Procedure Coding System (HCPCS) -Answer:-A numeric
and alphabetic coding system used for billing and pricing of procedures,
medical supplies, medications, and durable medical equipment.
International Classification of Diseases, Ninth Revision, Clinical Modification
(ICD-9-CM) codes -Answer:-Alphanumeric codes used to classify injuries,
diseases, symptoms, and cause of death.
Insurance verification -Answer:-Process used to make sure the service
received by the patient is approved and paid for by the insurance company.
,National Provider Identifier (NPI) number -Answer:-A unique 10-digit
number assigned to providers in the U.S. to identify themselves in all HIPAA
transactions.
Practice Management System -Answer:-A software designed to assist in the
office workflow by streamlining scheduling, insurance information, patient
demographics, and billing.
Third-party Vendor -Answer:-A separate business that handles a specific task
for a facility; common third-party vendors include billing companies,
transcription companies, and coding firms.
Ad Hoc Reports -Answer:-Reports created or programmed in response to an
inquiry or issue that comes up; they are not normally scheduled reports.
Compliance -Answer:-As it relates to paper or electronic medical records
refers to the completion of the record and the adherence to medical records
and documentation requirements set forth by state and federal law, as well as
accreditation and regulatory agencies.
Database Queries -Answer:-Reports run on records stored in a database to
find specific information; an ad hoc report is set up as a query.
, Diagnosis-related groups (DRGs) -Answer:-Assigned to inpatients based on
the principal diagnosis; determines the hospital's reimbursement; based on
the prospective payment system.
Garbage-in, garbage-out (GIGO0 -Answer:-Refers to the fact that poor
documentation or data entry results in poor output from a computer or
informations system.
Incomplete Charts -Answer:-Charts that are missing signatures, reports, or
other required elements as outlined in either CMS Conditions for Participation
for Medical Record Services or the Joint Commission accreditation guidelines
for information management.
Payers -Answer:-Another word for insurance companies or the responsible
party who will pay for the medical services patients receive.
Point-of-care (POC) Charting -Answer:-The ability of providers to document
the care and treatment they render in real time, when they are with he
patient.
Record Destruction Policy -Answer:-Facilities that maintain medical records
of any form must have a record destruction policy in place.
Specialist (CEHRS) Study Guide
Encounter Form -Answer:-A form the provider fills out as she sees the patient;
lists the service charges and how much the patient paid for the services; can
be submitted for billing.
Face Sheet -Answer:-A standard structured document that contains patient
information, such as name, date of birth, insurance information, reason for
seeking medical care, and religious preference;
Healthcare Common Procedure Coding System (HCPCS) -Answer:-A numeric
and alphabetic coding system used for billing and pricing of procedures,
medical supplies, medications, and durable medical equipment.
International Classification of Diseases, Ninth Revision, Clinical Modification
(ICD-9-CM) codes -Answer:-Alphanumeric codes used to classify injuries,
diseases, symptoms, and cause of death.
Insurance verification -Answer:-Process used to make sure the service
received by the patient is approved and paid for by the insurance company.
,National Provider Identifier (NPI) number -Answer:-A unique 10-digit
number assigned to providers in the U.S. to identify themselves in all HIPAA
transactions.
Practice Management System -Answer:-A software designed to assist in the
office workflow by streamlining scheduling, insurance information, patient
demographics, and billing.
Third-party Vendor -Answer:-A separate business that handles a specific task
for a facility; common third-party vendors include billing companies,
transcription companies, and coding firms.
Ad Hoc Reports -Answer:-Reports created or programmed in response to an
inquiry or issue that comes up; they are not normally scheduled reports.
Compliance -Answer:-As it relates to paper or electronic medical records
refers to the completion of the record and the adherence to medical records
and documentation requirements set forth by state and federal law, as well as
accreditation and regulatory agencies.
Database Queries -Answer:-Reports run on records stored in a database to
find specific information; an ad hoc report is set up as a query.
, Diagnosis-related groups (DRGs) -Answer:-Assigned to inpatients based on
the principal diagnosis; determines the hospital's reimbursement; based on
the prospective payment system.
Garbage-in, garbage-out (GIGO0 -Answer:-Refers to the fact that poor
documentation or data entry results in poor output from a computer or
informations system.
Incomplete Charts -Answer:-Charts that are missing signatures, reports, or
other required elements as outlined in either CMS Conditions for Participation
for Medical Record Services or the Joint Commission accreditation guidelines
for information management.
Payers -Answer:-Another word for insurance companies or the responsible
party who will pay for the medical services patients receive.
Point-of-care (POC) Charting -Answer:-The ability of providers to document
the care and treatment they render in real time, when they are with he
patient.
Record Destruction Policy -Answer:-Facilities that maintain medical records
of any form must have a record destruction policy in place.
