FBLA HEALTH CARE ADMINISTRATION EXAM QUESTIONSBANK 2025 |GUARANTEED PASS!!
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FBLA Health Care Administration
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FBLA Health Care Administration
Health record - ACCURATE ANSWERS A health record can be defined as written or graphic information documenting facts and events during the rendering of patient care. Either paper or electronic format.
American Recovery and Reinvestment Act of 2009 (ARRA) - ACCURATE ANSWERS encourages implementati...
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FBLA HEALTH CARE
ADMINISTRATION EXAM
QUESTIONSBANK 2025 |
GUARANTEED PASS!!
Health record - ACCURATE ANSWERS✔✔ A health record can be
defined as written or graphic information documenting facts and events
during the rendering of patient care. Either paper or electronic format.
American Recovery and Reinvestment Act of 2009 (ARRA) -
ACCURATE ANSWERS✔✔ encourages implementation by offering
five annual financial incentives for qualifying offices that convert to an
electronic format beginning in 2011 and ending in 2015 or 2016.
1. Patient registration (demographic information)
2. Medication record
3. history and physical exam, notes or report
4. Progress or chart notes
5. Consultation reports
6. imaging and x-ray reports
7. Laboratory reports
8. Immunization record
9. Consent and authorization forms
,10. Operative report
11. Pathology report.
In hospital setting would also include
- attending physician's orders
- date of admission
- hospital stay dates
- discharge date
- discharge summary - ACCURATE ANSWERS✔✔ Health record
content (common)
1. problem-oriented record (POR system)
2. source-oriented record (SOR system or integrated system) -
ACCURATE ANSWERS✔✔ What types of systems are used in
electronic health record system (EHR)
Problem-Oriented Record System (POR) - ACCURATE ANSWERS✔✔
consists of: flow sheets, charts, or graphs, that allow aphysician to
quickly locate information and compare eaulation
Source-Oriented Record system (SOR) - ACCURATE ANSWERS✔✔
documents are arranged according to sections (e.g., H&P section,
progress notes, lab tests, radiology reports, or surgical operations) SOR
system filed in reverse chronological order. More difficult to locate data
due to scattering throughout
,Electronic Health Record System - ACCURATE ANSWERS✔✔
collection of medical information about the past, present and future of a
patient that resides in a centralized electronic system.
: An EMR is individual physician's EMR for the patient, including
medical history, allergies, and appointment information.
An EHR is all patient medical information from many information
systems, including all components of the EMR. - ACCURATE
ANSWERS✔✔ Difference between an EHR and an EMR
1. no physical space required
2. abstracting data is eliminated except when free-form documentation
such as narrative notes, dictations, and natural language processing is
used.
3. free-text approach, encourages use of abbreviations or fewer spelled
out words may result in scant or undecipherable documents.
4. Electronic systems have built in security safeguards to protect against
improper disclosure, unauthorized access, or unintended alteration of
information for both the data and the system.
5. ARRA requires covered entities to notify individuals if their protected
health information is accessed or disclosed in an unauthorized manner. -
ACCURATE ANSWERS✔✔ Advantages of EHR
SNOMED-CT - ACCURATE ANSWERS✔✔ Systemized
Nomenclature of Medicine for Clinical Terminology. Medical
terminology cassification system that codes text data in an EHR system
will assist in standardizing clinical medical terminology
, Medicare Modernization Act - ACCURATE ANSWERS✔✔ created the
Commission on Systemic Interoperability to develop a strategy to make
health care information abailable at all times to patients and physicians.
Goal by 2014.
Electronic medical report - ACCURATE ANSWERS✔✔ part of health
record that is used to complete the insurance claim form.
permanent legal document that formally states outcomes of the patients'
examination or treatment in letter or report form.
Insurance claim - ACCURATE ANSWERS✔✔ - DOS, date of service
- POS, place of service
- Dx, diagnosis
- Procedures
- codes are used for interpretation by the insurance company when
processing a claim
documenters - ACCURATE ANSWERS✔✔ all individuals providing
health care services that chronlogically record pertinent facts and
observations about patient's health.
documentation - ACCURATE ANSWERS✔✔ charting, may be
electronically handwritten, dictated and transcribed or downloaded from
a (PDA) personal digital assistant or smartphone
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