CEHRS Study Guide with 100% correct
answers
Which of the following features of the clinical decision support system presents a provider with standard
plans of therapy for a documented diagnosis or condition?
a. Drug formulary
b. Protocols
c. The task list system
d. Medical references - correct answer ✔✔B. Protocols
1. A neighbor of an EHR specialist is admitted to the facility where the EHR specialist works. Which of the
following HIPAA standards monitors control for accessing the neighbor's PHI without purpose for
treatment, payment, and health care operations?
a. Administrative safeguards
b. Physical safeguards
c. Technical safeguards
d. Permitted disclosures - correct answer ✔✔C. Technical Safeguards
1. Which of the following types of data exchanged between a health care facility and its diagnostic
laboratory can generate a visual representation of trends in a patient's laboratory results over time?
a. Fielded and coded data
b. Text data
c. Digital document image data
d. Patient-entered data - correct answer ✔✔A. Fielded and coded data
1. A provider is performing a history and physical on a patient. Which of the following actions should the
provider take to efficiently document the patient's history?
a. Write a narrative description of all physical examination findings
b. Enter the patient's vital signs on a flow sheet
c. Click through each element of the examination and select options from dropdown menus
,d. Use a template to record the provider's preferred workflow - correct answer ✔✔D. Use a template to
record the provider's preferred workflow
1. Which of the following is the most important factor in compiling data for reports to the Medicare
Merit-Based Incentive Payment System (MIPS)?
a. Selecting an appropriate dictation software system.
b. Timely submission of accounting reports
c. Accuracy of clinical documentation
d. Interoperability with Medicare systems - correct answer ✔✔C. Accuracy of clinical documentation
1. Which of the following is a messaging standard that translates and interfaces health care data among
EHR systems?
a. Systematized Nomenclature of Medicine Clinical Terms (SNOMED-CT)
b. Health Level 7 (HL7)
c. Logical Observation Identifiers Names and Codes (LOINC)
d. Laboratory Information System (LIS) - correct answer ✔✔B. Health Level 7
1. In which of the following instances can a health care organization release PHI without patient
authorization?
a. A fundraising group requests data regarding the number of patients who have a specific type of cancer
b. A research group requests patient records relating to a specific procedure
c. The marketing department requests data regarding the number of patients who have heart failure
d. The CDC requests health records of patients who have a reportable communicable disease. - correct
answer ✔✔d The CDC requests health records of patients who have a reportable communicable disease.
1. When recording information in a patient's health record, an EHR specialist should understand that the
consent forms represent which category of data in the EHR?
a. Administrative data
b. Clinical data
c. Financial data
d. Legal data - correct answer ✔✔d. legal data
,1. A provider requests that an EHR specialist enter a comorbidity of depression into the EHR to allow the
provider to complete a medication order for the clinic visit. A comorbidity should be entered into which
of the following sections of the record?
a. Primary diagnosis
b. Secondary diagnosis
c. Probable diagnosis
d. Admission diagnosis - correct answer ✔✔b. secondary diagnosis
1. A patient arrives at an initial health care visit for an occupational injury covered under works'
compensation plans. An administration professional collects proof of identity and demographic
information. Which of the following additional documentation should the administrative professional
request?
a. A consent to release form
b. A medical service order
c. A Doctor's First Report of Occupational Injury or Illness
d. A progress report - correct answer ✔✔b. a medical service order
1. An EHR specialist is reviewing the record of a patient who is in a coma. Which of the following entries
documented in the record signals a data discrepancy?
a. The patient's head is elevated.
b. The patient's partner is present.
c. The patient reports a headache.
d. The patient's heart rate is regular. - correct answer ✔✔c. The patient reports a headache
1. Which of the following reporting tools is commonly used in EHRs to aggregate data for monitoring
milestones during well-child visits?
a. Early screening
b. Quality measures
c. Growth chart
d. Immunization schedule - correct answer ✔✔c. growth chart
, 1. Which of the following information recorded by a provider during a patient's visit is required during
electronic transmission of an order to an outside laboratory?
a. Assessment
b. Diagnosis code
c. Chief complaint
d. Treatment plan - correct answer ✔✔b. diagnosis code
1. An EHR specialist is assisting a certified coder with providing an in-service about the purpose of CPT
codes for a group of staff members. Which of the following staff member statements indicates an
understanding of the teaching?
a. CPT codes are used to classify services provided to patients.
b. CPT codes group patients using demographic information.
c. CPT codes are used to classify patient diagnoses.
d. CPT codes are different from one facility to the next. - correct answer ✔✔a. CPT codes are used to
classify services provided to patients.
1. Which of the following is an EHR documentation tool that a provider can use to add comments for
increasing the specificity of a physical examination finding?
a. General consent
b. Lists
c. Action buttons
d. Free-text box - correct answer ✔✔d. free-text box
1. An EHR specialist is explaining to a new provider the process for entering a new prescription for a
patient discharge. In which of the following EHR locations should the EHR specialist direct the provider to
enter the information?
a. Progress note
b. Clinical results reporting
c. E-prescribing
d. Medication administration - correct answer ✔✔c. e-prescribing
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