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CEHRS Certification questions with complete solutions
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CEHRS Certification questions with complete solutions
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CEHRS Certification questions withcomplete solutions
Ad hoc reports - correct answer ✔✔Reports created or programmed in response to inquiry. Reports that
return requested data.
Addendum - correct answer ✔✔Additional documentation added
ADA - correct answer ✔✔American Dental Association
Advance directives - correct answer ✔✔Documents that give patients the right to make decisions about
their care and designate others to do so if they are incapacitated.
Amendment - correct answer ✔✔And addition to the record meant to clarify and further explain existing
documentation
AHIMA - correct answer ✔✔*American Health Information Management Association.* A professional
organization founded in 1928 that is committed to advancing the HIM profession in an increasingly
electronic and global environment through leadership in advocacy, education, certification, and lifelong
learning.
ALOS - correct answer ✔✔Average length of stay
ARRA - correct answer ✔✔American Recovery & Reinvestment Act of 2009
CCD - correct answer ✔✔Continuity of Care Document (CCD is a key aspect of quality medical care that
encompasses planning and coordination of care, including communication between a health care team,
and accessibility and transportability of information).
,CCHIT - correct answer ✔✔*Certification Commission for Health Information Technology.* A recognized
body of EHRs and their networks. The CCHIT is an independent, voluntary, private-sector initiative whose
goal is to accelerate the adoption of health information technology.
CCR - correct answer ✔✔Continuity of Care Record (Past)
CDM - correct answer ✔✔A *charge description master*, or CDM, encompasses basic information and
coding about everything a hospital can charge a patient. (Price List)
CDS - correct answer ✔✔*Clinical Decision Support.* A collection of patient-centered tools imbedded in
EHR software that can be used to improve patient safety, insure care adheres to published protocol for
specific conditions, and reduce duplicate or unnecessary care and its associated costs.
CFO - correct answer ✔✔Chief Financial Officer
Clinical Analyst - correct answer ✔✔Health Information Technician * Records and info coordinator*
CMS - correct answer ✔✔Centers for Medicare and Medicaid Services
Compliance - correct answer ✔✔Completing records and adherence to requirements set up by state and
accreditation and regulatory agencies.
CoPs - correct answer ✔✔Conditions of Participation
CPOE - correct answer ✔✔Computerized Provider Order Entry "e-prescribing." Ordering of tests &
medications via automated format. Reduces errors, delays & duplication.
CPT - correct answer ✔✔Current Procedural Terminology (Introduced in 1992). CPT codes are published
by the American Medical Association, and the fourth edition is the most current. The purpose of the
coding system is to provide uniform language that accurately describes medical, surgical, and diagnostic
services. A CPT code is a five digit numeric code that is used to describe medical, surgical, radiology,
laboratory, anesthesiology, and evaluation/management services of physicians, hospitals, and other
,health care providers. There are approximately 7,800 CPT codes ranging from 00100 through 99499. Two
digit modifiers may be appended when appropriate to clarify or modify the description of the procedure.
Credentialing - correct answer ✔✔Process used to document a provider's education, licensure, and
qualifications in order to allow for the assignment of privileges to practice in a physician hospital setting.
Daily Census - correct answer ✔✔The count of how many patients are in beds by patient care unit for an
impatient facility. Are specific to each patient care unit (PCU). Daily census reports are specific to each
patient care unit (PCU).
Database - correct answer ✔✔A collection of pieces of information that is organized and used on a
computer.
Database queries - correct answer ✔✔Reports run on database to find specific info; and ad hoc report is
set up as query.
Digitize - correct answer ✔✔Transform info from paper document into electronic format
DRG - correct answer ✔✔Diagnoses Related Group (Driven by principle diagnoses)
EMR - correct answer ✔✔Electronic Medical Record. (Inhouse)
E&M - correct answer ✔✔Evaluation and Management
EHR - correct answer ✔✔*Electronic Health Record* (Broader scope health record, designed to reach
out to other medical care providers, meant to include a complete, all-inclusive medical history of a
patient.)
EMR - correct answer ✔✔Electronic Medical Record (Digital version of paper charts in physician's office).
An EMR contains the medical and treatment history of the patients in one practice.
, Incomplete charts - correct answer ✔✔Charts missing signatures, reports, or other required elements as
outlined in either CMS Conditions for Participation or Joint Commission accreditation guidelines.
Incremental conversion - correct answer ✔✔paper to electronic document conversion
ISMP - correct answer ✔✔Institute for Safe Medicines Practices
IT - correct answer ✔✔Information Technology
H&P - correct answer ✔✔Health and Physical (Report must be in within 24 hour of patient admission.)
HCPCS Level II - correct answer ✔✔*Healthcare Common Procedure Coding System* Level II: Contains
codes for products, supplies and certain services not included in the CPT manual. These codes are
maintained by the Centers for Medicare and Medicaid Services (CMS).
HHS - correct answer ✔✔Department of Health and Human Services->Principle agency for protecting
Americans' health.
HIM - correct answer ✔✔Health Information Management
HIPAA52 - correct answer ✔✔HIPAA is the federal Health Insurance Portability and Accountability Act of
1996. The primary goal of the law is to make it easier for people to keep health insurance, protect the
confidentiality and security of healthcare information and help the healthcare industry control
administrative costs.
HIS - correct answer ✔✔Hospital Information System
HITECH - correct answer ✔✔*Health Information Technology for Economic & Clinical Health Act.* The
Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 provides HHS with
the authority to establish programs to improve health care quality, safety, and efficiency through the
promotion of health IT, including electronic health records and private and secure electronic health
information exchange.
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