NHA CEHRS Chapter 5 Questions with Answers All Correct
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NHA CEHRS Chapter 5 Questions with Answers All Correct
Who's in charge of credentialing? - Answer-HIM department.
What Act established NPDB? - Answer-Healthcare Quality Improvement Act of 1986.
Can you create ad hoc templates on EHR systems? - Answer-No, but during installation consultants...
NHA CEHRS Chapter 5 Questions
with Answers All Correct
Who's in charge of credentialing? - Answer-HIM department.
What Act established NPDB? - Answer-Healthcare Quality Improvement Act of 1986.
Can you create ad hoc templates on EHR systems? - Answer-No, but during installation
consultants and tech experts from EHR vendor are on-site and have to work with
department who is going to use it. (You can ask questions then.)
Who mandates medical records to be accounted for? When should it be performed? -
Answer--Joint Commission and CMS.
-Should be at the same time as discharge.
What laws protect information on a database? - Answer-Federal and state laws.
What are the legal and regulatory requirements for a facility? - Answer--Be up to date
with administrative information. (ex: insurance, codes, and such)
-Have to be aware of time table for code set updates.
Who oversees ICD-10-CM/PCS code updates? When should it be updated? - Answer--
National Center for Health Statistics and CMS.
-Publish twice a year and update when necessary.
Who oversees CPT codes? - Answer-AMA, American Medical Association.
What do you do if you see an error in the database? - Answer-Report it to responsible
parties.
What happens when provider or nurse activity is NOT able to be recorded? - Answer-
Report filters up through EHR committee structure to HIM or IT professional and they
handle and resolve the inquiry or issue.
What code has 7 alphanumeric characters? What do you do if a character is missing? -
Answer--ICD-10-CM/PCS.
-You put an "x" if a character is missing.
What does ICD-10-CM contain? *2 things* - Answer--Index to diseases and injuries.
-Tabular list of diseases and injuries.
, How do you locate information using ICD-10-CM code? - Answer-Review tabular list to
ensure you have the correct code.
What's the difference between ICD-10-CM and ICD-10-PCS, when writing the codes?
*2 things* - Answer--ICD-10-CM includes decimals.
-ICD-10-PCS does not include letters "I and O".
How is ICD-10-PCS organized? *2 ways* - Answer--Has index and tables.
-Organized into 17 sections.
How do you use ICD-10-PCS to locate procedures? - Answer-Use the appropriate table
to build a code.
How do you identify what the ICD-10-PCS code means? *2 things* - Answer--First
character tells where procedure is classified.
-Second character pertains to their own unique section.
What are the 2 levels of HCPCS codes? - Answer--Level 1 = medical, surgical, and
diagnostic services performed.
-Level 2 = services, supplies, and equipment provided.
What should a statement include? *7 types of things* - Answer--patient name, address,
and insurance information
-facility name, address, phone number, fax number, and website
-description of all services provided during a visit
-charges for services
-date of service
-provider name and NPI number
-charges of what insurance and patient are paying
How many parts does an encounter form have? And what are they? - Answer--3 forms.
-E&M code, medications, and diagnostics.
How is the superbill/itemized created? - Answer-It's automatically created after
encounter form is completed.
Do hospitals adapt information systems? - Answer-Yes.
What must each patient record include? *10 items* - Answer--patient
demographic/registration information
-medical history
-physical exam
-clinical data and observation
-physician orders
-results from care
-discharge summary
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