CEHRS Exam Prep with complete
solutions graded A+ already passed
Preauthorization - correct answer ✔✔the process of determining whether the third party payer agrees
that the requested service is medically necessary
Precertification - correct answer ✔✔the process of determining whether a procedure or test is covered
under the insurance contract
Predetermination - correct answer ✔✔the process of discovering the maximum amount the third-party
payer will pay for a particular service
Preregistration - correct answer ✔✔process of entering a patient's demographic and historical info into
the EHR prior to their visit
Day Sheet Report - correct answer ✔✔used to reconcile patient accounts on a daily basis to ensure there
are no occurrences of fraud, abuse, or theft
Patient Aging Report - correct answer ✔✔shows how long patients have owed money to the provider
Production by insurance report - correct answer ✔✔details the revenue from each third-party payer
Billing/Payment Status Report - correct answer ✔✔lists the financial status of every patient account
Trend Analysis - correct answer ✔✔Used to compare data across multiple dates, events, and tests
Scorecard Report - correct answer ✔✔Used to measure progress or accomplishments
, Health Level 7 (HL7) - correct answer ✔✔standard and protocol used for transmitting both clinical and
administrative data; uses universal specifications to enable smooth translation of data among EHR
systems
Clinical Data Interchange Standards Consortium (CDISC) - correct answer ✔✔organization that creates
standards for health care research and has the goal of promoting systems interoperability to advance
medical research
Digital imaging and communications in Medicine (DICOM) - correct answer ✔✔standard and protocol
used for transmitting digital radiographic and endoscopic images for clinical use
Uniform Ambulatory Care Data Set (UACDS) - correct answer ✔✔used for registration in provider offices
and outpatient clinics
Business Associate Agreement - correct answer ✔✔A legal contract dictating a business associate to
comply
with protection of protected
health information under
the HIPAA Privacy Rule
HIPAA Security Rule - correct answer ✔✔describes the measures that should be taken to prevent
improper use of disclosure of PHI. Security requirements can be met through risk analysis and
management; physical, technical, and administrative safeguards; policies; procedures; and
documentation of these measures
Covered Entity - correct answer ✔✔A legal contract dictating a
business associate to comply
with protection of protected
health information under
the HIPAA Privacy Rule; doesn't require business associate agreement
HIPAA Privacy Rule - correct answer ✔✔Describes what kind of information should be protected and
how protected information can be used
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