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NHA CEHRS Vocabulary Review Part 1 Questions and Answers

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NHA CEHRS Vocabulary Review Part 1 Questions and Answers Health information technology for economic and clinical health - Answer-federal legislation that expands consumer rights and protections outlined by HIPAA and sets the quality and use of EHR's Healthcare Common Procedure Coding System (HC...

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  • August 12, 2024
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  • 2024/2025
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NHA CEHRS Vocabulary Review Part
1 Questions and Answers
Health information technology for economic and clinical health - Answer-federal
legislation that expands consumer rights and protections outlined by HIPAA and sets
the quality and use of EHR's

Healthcare Common Procedure Coding System (HCPCS) - Answer-System of
classification for certain services and procedures not listed in the CPT manual. Level I is
used to bill outpatient procedures and Physician services.
Level II is used to bill professional services, supplies, and products not listed in the CPT
codes.

Human Factors Engineering - Answer-Attempts to address human strengths and
weaknesses into programs or systems.

Hybrid System - Answer-System that uses both paper-and electronic-based processing
for documentation of health information.

internal audit - Answer-A periodic assessment of a company's own planning, organizing,
leading, and controlling processes.

International Classification of Diseases 10th revision, Clinical Modification (ICD-10-CM)
- Answer-International Classification of Diseases Coding Manual used for Professional
Services and a coding system used for diagnoses.

International Classification of Diseases 10th Revision, Procedural Coding System (ICD-
10-PCS) - Answer-International Classification of Diseases, 10th Revision, Procedure
Coding System is used for procedures done in inpatient facilities.

Interoperability - Answer-the ability to exchange and use computer information within
and across networks through standardized coding.

Laboratory information system (LIS) - Answer-A database of prescribed laboratory tests
and results transferred from instruments used to analyze the tests.

Medical Record Number (MRN) - Answer-a unique number assigned to each patient
seen by a facility or office

minimum necessary concept - Answer-Protecting private health information by limiting
access based on need.

, Notice of Privacy Practices (NPP) - Answer-a document that is required by law to inform
the patient how the organization will use their healthcare information.

Physical Safeguard - Answer-physical method, policy, or procedure to protect stored
data and software from threats, natural or environmental hazard, and unauthorized
invasion.

Physician Query - Answer-A request that a provider add documentation to the EHR to
clarify a diagnosis or procedure that has been performed.

practice management system - Answer-a system that stores information on revenue
cycle processes (appointments, registration, scheduling, health information
management, billing, and coding)


Advanced Directive (AD) - Answer-A legal document in which an individual gives written
instructions expressing his or her wishes regarding health care in the event that person
can no longer make those decisions.

aging report - Answer-a report that lists the amount of money owed to the practice,
organized by the amount of time the money has been owed

assignment of benefits - Answer-patient's written authorization giving the insurance
company the right to pay the physician directly for billed charges

authorization - Answer-a document giving a covered entity permission to use protected
health information unrelated to treatment under the HIPAA privacy rule

benchmark - Answer-a measure of performance against industry standards, practice
guidelines, or targets set by an organization

business associate - Answer-a third party entity that has contact with protected health
information to provide services unrelated to treating patients

business associate agreement - Answer-Written agreement requiring entities to follow
HIPAA PHI privacy rules

Centers for Medicare and Medicaid Services (CMS) - Answer-a federal agency within
the U.S. Department of Health and Human Services that is responsible for Medicare
and Medicaid, among many other responsibilities.

clinical decision support system - Answer-a program designed to prompt providers with
clinical decisions

Clinical Documentation Improvement (CDI) - Answer-a process of reviewing clinical
documentation to ensure that it accurately reflects and supports CPT and ICD-10-CM
codes submitted with claims for payment

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