MRS MOWDY BILLING FINAL Flashcards

(69 cards)

1
Q

A COMPUTERIZED SYSTEM THAT ALLOWS PHYSICIANS TO REQUEST LAB, RADIOLOGY OR PHARMACY SERVICES FOR THEIR PATIENTS IS KNOWN AS

A

Computerized physician order entry

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2
Q

a —— is a security feature that plays a role in the advancement of EHR use by encrypting data sent via the internet and verifies the identity of verified users through the use of User ID and passwords

A

Virtual private network

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3
Q

The ability to provide an electronic copy of health information

A

Meaningful use requires that each patient upon request, must be provided with a summary of test results, problem list, medication list and medication allergies. The core objectives in the:

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4
Q

Place of service code

A

The setting where services took place is known as a

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5
Q

In the field “primary language” English appears in the field, this is known as what value?

A

Default

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6
Q

Continuity of care documents CCD

A

a major goal of using electronic health care records is the sharing of important clinical information about a patient. The use of _____is directly related to this goal

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7
Q

Reporting cases of fraud or of abuse must be reported to

A

Health integrity and Protection
Data Bank

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8
Q

Which is the following is not a vital sign

A

complete blood count

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9
Q

a formal written document that describes how a hospital or physician practice ensures that rules, regulations and standards are being adhered to is called a/an

A

compliance plan

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10
Q

the law that strengthened HIPAA privacy and security regulations

A

HITECH

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11
Q

a report that is ran on demand is created

A

as it is needed

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12
Q

The step that occurs after the patient is seen by the care provider is

A

patient stops at cashier or check out desk

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13
Q

which of the following EHR applications may be more beneficial and efficient for the patient?

A

eprescribing

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14
Q

in what health care setting is a patient not registered prior to receiving care?

A

Patients are registered in all these settings

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15
Q

the amount charged for each service provided in a medical practice is known as a

A

fee schedule

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16
Q

the first step in calling to make an appointment for your physical exam would be what step in the process?

A

scheduling

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17
Q

John Roberts has a heart condition. a home health nurse visits him monthly and performs an EKG, the recording of which is sent to Dr. Stevens office via telephone connection. this is an example of

A

telemedicine

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18
Q

the required code set for documenting diagnosis on all patients in any health care setting is known as

A

ICD 10 cm

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19
Q

if a computerized physicians order is sent to the local hospital for a blood test findings, this order is considered

A

returned

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20
Q

in a medical office, a standard report that would be run to show how much each patient owes is the

A

patient balance report

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21
Q

some managed care plans encourage the use of clinical decision support (CDS) functionality by

A

offering monetary incentives for care providers who utilize CDS

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22
Q

Which of the following is not a part of the paper encounter form (super bill)

A

the medical history

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23
Q

when does the actual claim process begin for the patient?

A

when they make their appointment—

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24
Q

Natalie Burns has just arrived for her 1:00 appointment with Dr. Earl. she informs the health care professional that she is there for a follow-up of hypertension. this is known as Natalie’s what?

A

Chief complaint

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25
protected health information
hipaa defines a patient's name, social security number, employer or medical records/ account numbers that tie information to a particular patient as
26
computers and devices that are physically close together are connected by what type of network
a local area network
27
a-----function includes reminders and alerts, diagnostic and therapeutic guidance, and links to expert resources
clinical decision support
28
the name, address, npi number, and telephone number of a physician is known as a ------information
provider
29
in a physician's practice, the index of all patients seen in that practice is most commonly known as the
patient list
30
The field that focuses on capture, retrieval, storage and a use of health information is
health information
31
In a hospital setting, the care provider takes the patient's history, details. the reason the patient is being admitted and performs a physical exam. The report of this information is known as the
History and physical
32
The date of birth on a patient's record is what type of data?
structured
33
a progress note written in an emergency room would be an example of ------data
unstructured
34
of the following, which is an advantage of adopting an electronic health record
the potential for interoperability with other computerized systems within the practice or hospital
35
a hard copy document such as an insurance card may be converted to a digital format for inclusion of a patient's health record. The process of converting the document from paper format is known as
scanning
36
The review of systems ROS is documented for a patient care purposes and also factors into the -----for the patient's visit
Care plan, charges, diagnosis, and assessment
37
after the care provider has documented a diagnosis or diagnosis and all the charges have been posted
The patient's bill for an encounter is ready to be sent to the insurer. at what point in the encounter?
38
promoting interoperability (meaningful use) guidelines requires the keeping of an up to date-------
problem list
39
a computerized system that allows physicians to request lab, radiology or pharmacy services for their patients is known as-------
computerized physician order entry
40
The chronological listing of all newborns at a hospital is also known as
registry
41
Susan is collecting data from a patient, and she asks him for his address. the patient asks whether she means his PO box number or his physical street address. Susan would find the meaning of this field permanent address in the practice's --------
data dictionary
42
the soap documentation format is most commonly used in which healthcare setting
physician's office
43
in a hospital setting, the management personnel and much of the staff of the department responsible for maintaining and retrieving data from health records are often certified through and members of which professional organization.
American Health information management association AHIMA
44
The primary person covered by the insurance plan is called the -----
subscriber
45
an insurance company submits payments to a medical practice along with a document that details the patients and accounts form which payment is made. this document is call the
RA remittance advice
46
One of the reasons eprescribing is being used by a greater number of physicians is that it
requirement of the HITECH meaningful use, now promoting interoperability, operations
47
a patient states that her pain is at an 8 on a scale of 1 - 10. this is known as the ------ in a history of present illness HPI
severity
48
what is not considered part of a patients medical or surgical history? medications, marital status, drug allergies, past surgeries?
Marital status
49
the out of pocket payment amount that a policy holder must meet before insurance coverage begins is called the
deductible
50
the incorrect entry is corrected and the original entry is hidden from view but is still retrievable
how is a correction made to an electronic health record
51
The process of reviewing claims to determine payment is call
adjudication
52
the result of a patient's rapid stress test would be found in which area of a soap note
objective
53
The patient-centered medical home PCMH model was developed by the -----
American academy of family practitioners
54
CPT which is used to code procedures in office is an example of a
Code set
55
emails or faxes that are sent and arrive at the wrong location constitute a privacy-----
breach
56
in order for any test, procedure, or medication to be administered to a patient, there must be a
care providers order
57
a ------- report shows a summary but no detail
aggregate
58
The coding system used in illustrating the tangible items such as supplies is called
HCPCS level 2
59
a set of standards, services, and policies that enable the secure exchange of health information over the internet is known as
National health information Network
60
in a physician's practice, the documentation of a patient's office visit is often referred to as a
progress note
61
in a ------environment, the physician's office or hospital has the advantage of unlimited processing and storage capacity
Cloud
62
-----is a security method that prevents unauthorized access into or out of the network?
firewall
63
is self-pay patient considered a type of medical insurance?
no
64
a zip code would be an example of what type of data
structured
65
The source document for completing the actual insurance claim form is the
encounter form
66
in order to send an accept diagnosis codes using ICD-10 CM, which version of the HIPAA code set rule was effective as of January 1st 2012
version 5010
67
Which of the following is a benefit of voice recognition technology
Documents are made part of the patent’s record in a timelier manner
68
A staff member who monitors existing and new regulations and the go to person should an incident occur is known as the
Compliance officer
69
This position was created in 2004 by presidential order and was later mandated by high-tech lizard. Legislation the position is known as the.
National coordinator