Practice for spiral bound test
Terms in this set (65)
List the types of information that insurance companies need to be provided with on a billing claim form.
billing claim forms need to show patient and insurance company information and any applicable ICD-10-CM/PCS and CPT codes.
What is PrimeSPEECH?
PrimeSPEECH is speech recognition technology available in PrimeSUITE
EHR/EMR software is more comprehensive than practice management software because it?
includes clinical documentation
A patient is entered into the patient list?
The process of moving a patient from appointment making through check-out is called?
An encounter form is also known as?
One factor that might contribute to slow acceptance of EHRs is?
What illustrates clinical information collected through an EHR?
plan of care
What are three advantages to electronic health records?
Lower long-term costs, ability to have a comprehensive record of patients, and the EHRs help with research and health
What is the first step in the patient flow of information?
Scheduling an appointment
What are three advantages of EMRs?
interoperability, saving space in office, and share large amounts of data.
What are three main applications found in a typical PM software program?
patient master list, way to schedule appointments, and a way to assign codes
What is the difference between a medical assistant and an office administrator?
Medical assistants provide patient care and are responsible for information on a patients health record, while an office administrator oversees administrative functions of an office facility.
In the past, physicians married the location of a patient's pain by drawing on a picture of a body. With the advantages of EHRs, what are they now able to do?
Computerized models are extremely specific in terms of locating pain.
What do PACS allow providers to do?
PACS allow users to view images, such as x-rays, remotely for use in clinical decision-making.
Name two ways that identifying information is collected from a patient.
A completed form to the office, or responding to a healthcare professional's questions
The acronym HIE stands for?
health information exchange
The ________ defined the eight core functions of an EHR.
Institute of Medicine
In a physician's office, patient data collection begins when?
the patient calls to make an appointment
Knowing that Jim Smith had a heart attack when he was 53 is an example of?
If a hospital uses information gathered through their EHRs to justify the purchase of state-of-the-art equipment to improve patient care, they are?
engaging in meaningful use
Define the roles of six healthcare professionals involved in EMR use.
-Health care administrator
-Director of HI department
Explain the difference between data and information, and give an example of each.
Data is a single fact, while information is a collection of facts.
What are the four types of histories entered into a patient's electronic record?
Explain the purpose of a Regional Extension Center (REC)
Regional Extension Center oversees EHR systems
What are the advantages and disadvantages with using incentives as a tool for implementing EHRs?
advantages include increased compliance with regulations, quick implementation, speedy integration. Disadvantages would include errors due to quick ramp-up, skirting regulations to implement quick, falsification or negligence in data reporting in order to receive incentives.
What main objective of EHR do you feel is most useful?
care providers- quality/coordination of care
-patients - legal protection objective
-office managers - billing and insurance claim objective
What type of data includes demographic data?
Is primary physician an example of demographic data?
Before a patient can be traced at a healthcare setting, she must be?
Recording a patient's previous or married name might help with?
An insurance claim may be denied if the receptionist fails to?
eneter all data correctly
Accountable Care organization rely on EHR?
Editing a patient's mailing address is accomplished by using?
Patient check-in is?
important for efficient patient tracking
What is the difference between centralized and decentralized registration centers in a hospital setting?
Centralized center means that all registration is done in one location. Decentralized center means each department has it's own registration centers
List three ways an office can obtain updated patient information.
patient calls to update info, patient uses computer in office, receptionist shows the patient the screen for verification
The CMS-1500 form is used to submit claims for _________ encounters while the UB-04 form is used to submit _________ claims.
The CMS-1500 form is used to submit claims for outpatient encounters while the UB-04 form is used to submit hospital claims.
Fields such as Visit Type, that contains a list of options to choose from, are known as what type of menus?
List 5 major section on a standard claim form.
What is typically found on a patient's insurance card?
Discuss why administrative data such as race, ethnicity, and preferred language might need to be reported to satisfy meaningful use requirements.
These pieces of information might be analyzed to ensure that a practice is not discriminating or showing prejudice toward a specific group of people.
An on-screen item of data is known as?
PrimeSUITE allows you to note discrepancies in the _____________ box.
It is important to keep the design of paper forms?
Is birth a required part of patient history?
Who benefits from thoroughly completed paper forms?
All people who might use or read paper forms will benefit if they are properly completed
The patient's __________ history could possible help predict a future health condition.
A patient's vital signs are entered via PrimeSUITE's ____________ screen.
Is an interview an acceptable way of gathering a patient's history?
Is allergies a piece of information that might be included multiple times on a form?
A patient's past surgical history includes the?
approximate date of the procedure
Any discrepancies in patient information need to be?
Why is it important to keep the design of paper forms logical and orderly?
The more logical the form, the easier it is to transfer information into an EHR.
Is DURATION an element of the history of present illness?
Notes about a prescription ordered for a patient would appear in the _______________ section of a SOAP note.
PrimeSUITE has the capability to ___________ the status of an order?
Information gathered during a provider's physical exam would appear in the _____________ section of a SOAP note.
There must be a ______________ to perform any tests or treatments.
care provider request
What of the following elements of an HPI are collected at a visit?
ONLY THOSE THAT APPLY TO THE PATIENT'S CHIEF COMPLAINT
Meaningful use regulations require the keeping of an up-to-date?
List three drawbacks of handwritten patient charts.
handwriting issues, misinterpretations, and incorrect dosing
What are factors that might influence the extent of a physical exam?
the patient's chief complain and ROS will determine the extent of the PE
Why is there still a need for medical transcriptionists in an age of voice recognition software?
There is still need for editorial purposes, to ensure that the spoken words were understood.
List four types of medical providers who might perform a physical exam.
physician, physician's assistant, nurse practitioner, or nurse midwife.