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Chapter 002 - Standards and Features of Electronic Health Records
Multiple Choice Questions
1. The progress of EHR implementation has been slowed by _______.
A. Cost
B. Organization
C. Standards
D. All of these
2. HIPAA is an acronym for:
A. Health Insurance Probability and Accountability Act
B. Health Insurance Portability and Accountability Act
C. Health Institute for Probability and Accountability Act
D. Health Insurance for Personnel Accountability Act
3. When did HIPAA begin?
A. 1994
B. 1995
C. 1996
D. 1997
4. What did HIPAA establish?
A. Standards for accountability and criteria for the protection and confidentiality of health
information that was transported electronically.
B. Standards for accountability and criteria for the protection and confidentiality of health
information for outpatient care.
C. A license for doctors to enforce the protection and confidentiality of health information that
was transported electronically.
D. An institute of medicine that gives advice and information about government policies that
effect human health.
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Chapter 002 - Standards and Features of Electronic Health Records
5. When did the HIPAA standards affect the development of EHRs?
A. In later stages of the development of EHRs.
B. In the early stages of the development of EHRs.
C. It did not affect the development of EHRs.
D. It will probably affect EHRs in the future.
6. What significant step did CHI conduct in the development of EHRs?
A. Released e-prescribing standards in 2003
B. Developed Voice Recognition Systems
C. Released EHR standards in 2003
D. Developed the Tap&Go™ system
7. Which organization was commissioned to credential EHR programs?
A. CCHIT
B. CHI
C. HIPAA
D. FDA
8. Which institute gives advice and information about government policies that affect human
health?
A. Institute of Health and Human Services
B. Institute of Medicine
C. Institute of Electronic Health Records
D. Institute of Health and Science
9. CHI is an acronym for which of the following?
A. Clinical Health Institute
B. Consolidated Health Institute
C. Clinical Health Informatics
D. Consolidated Health Informatics
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Chapter 002 - Standards and Features of Electronic Health Records
10. CCHIT is an acronym for which of the following?
A. Certification Council for Healthcare Informatics and Technology
B. Certification Commission for Health Information Technology
C. Commission of Certification for Health Information and Telecommunications
D. Certifiable Council for Health Information Technicians
11. Why do HIPAA regulations affect EHRs?
A. Because of the standardization of the patient's protected health information.
B. Because of the lack of healthcare staff trained to use EHRs.
C. Because of the portability of the patient's protected health information.
D. Because HIPAA is a powerful government agency.
12. PHI is an acronym for which of the following?
A. Protected Health Information
B. Personal Health Information
C. Protected Health Informatics
D. Personal Hygiene Information
13. What two items are necessary for password management?
A. Anti-virus software and firewall protection.
B. A doctor and a nurse's authorization.
C. Policies and procedures.
D. At least one uppercase character and one lowercase character.
14. In what way(s) must EHRs programs provide password management?
A. Ability to create
B. Ability to change
C. Ability to safeguard
D. All of these
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Chapter 002 - Standards and Features of Electronic Health Records
15. What period of time is recommended for password expiration?
A. 120 to 180 days
B. 90 to 120 days
C. 30 to 90 days
D. Any period of time is acceptable
16. What type of passwords is to be eliminated with the use of EHRs?
A. Default passwords
B. Passwords consisting of eight or more characters
C. Passwords containing special characters
D. Passwords containing numeric characters
17. What must each EHR user be assigned to identify and track the user's activity within the
program?
A. An eight digit password
B. A retina scan
C. A fingerprint scan
D. A unique username
18. What is meant by access authorization?
A. Only doctors may access a patient's EHR.
B. Every staff member in a clinic is authorized to access a patient's EHR.
C. Specific assignable security levels regulate who may access, modify, delete, or transmit
specific information.
D. All clinical staff must have a key to the patients' files.
19. When might access authorization be enforced?
A. If the nature of the office visit pertains to mental health issues.
B. If the nature of the office visit pertains to substance abuse.
C. If the nature of the office visit pertains to reports or tests such as HIV.
D. All of these
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Chapter 002 - Standards and Features of Electronic Health Records
20. Where must backup storage units be stored?
A. Anywhere within the medical office.
B. In a secure, off-site location.
C. In the IT office of the clinic.
D. In a location where the temperature will not exceed 65 degrees.
21. How is prevention of intentional or unintentional disclosures and modifications to PHI
accomplished?
A. By tracking user access.
B. By not allowing patients to have access to their health records.
C. By having clinical staff sign an anti-disclosure form.
D. None of these.
22. Which of the following is an example of a national standard code set?
A. CDT codes
B. HIPAA codes
C. ICD codes
D. HMO codes
23. What type of code sets must the EHR use?
A. International standard code sets
B. Standardized federal code sets
C. State regulated code sets
D. National standard code sets
24. Which of the following federal agencies has interoperability in healthcare and
health-related issues?
A. Department of Veteran's Affairs
B. Department of Health and Human Services
C. The Department of Defense
D. All of these
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Chapter 002 - Standards and Features of Electronic Health Records
25. When did CHI first announce a set of standards for EHRs?
A. 2003
B. 2001
C. 1999
D. 1996
26. How many regulations were set in place to standardize how information would be coded or
termed for use in exchanging data to or from an EHR?
A. Five
B. Twenty
C. Fifteen
D. Twenty-Five
27. What is one reason the federal government uses CHI standards?
A. To promote the use of access authorization.
B. Because it's required by law.
C. To promote interoperability between EHR systems.
D. Because it lowers the cost of healthcare.
28. HL7 is an acronym for which of the following?
A. Health Level Seven
B. Health Location Seven
C. Hacker Level Seven
D. None of these
29. What does HL7 enable clinical systems to do?
A. Track EHR user activity.
B. Track sensitive lab tests and results such as HIV.
C. Communicate (interface) with each other.
D. Update patient health records.
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Chapter 002 - Standards and Features of Electronic Health Records
30. NCPDP is an acronym for which of the following?
A. National Council on Prescription Data Programs
B. National Council on Prescription Drug Programs
C. National Council Programs for Drug Prescriptions
D. National Council Prescriptions & Drug Programs
31. What is the purpose(s) of the NCPDP?
A. To create and promote standards for the transfer of data to and from retail pharmacy services.
B. To promote the use of Voice Recognition Systems.
C. To create regulations pertaining to the distribution of pharmaceutical drugs.
D. All of these.
32. IEEE is an acronym for which of the following?
A. Institute of Electronics, Engineers, and Environment
B. Institute of Electrical Engineers and Electronics
C. Institute for the Election of Electrical Engineers
D. Institute of Electrical and Electronics Engineers
33. What is the purpose of the IEEE?
A. It's a national organization for the promotion of EHRs.
B. It's an international organization for the advancement of technology related to electricity.
C. It's an international organization to assist electrical engineers with employment benefits.
D. It's a national organization to promote solar electricity.
34. To what do the 11073 standards refer?
A. The Personal Health Information Device Communication Standards
B. The Digital Imaging Communications in Medicine Standards
C. The Medical Device Communication Standards
D. HIPAA's Transaction and Code Sets
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Chapter 002 - Standards and Features of Electronic Health Records
35. What do the Medical Device Communication Standards established by IEEE 11073
address?
A. The diagnostic information that is transferred from various medical devices
B. The electronic transfer of clinical laboratory results.
C. The interoperability of medical devices.
D. The standards for electronic exchange of information for billing and administration.
36. Which of the following describes services that use electronic and communication
technology to deliver medical information and services via a standard phone line?
A. Telemarket
B. Telehealth
C. Teleprompt
D. All of these.
37. Which of the following advocates for uniform healthcare data sets for underrepresented
populations?
A. NAACP
B. HCPCS.
C. ASP
D. NCVHS
38. SNOMED CT is an acronym for which of the following?
A. Systematized National Operation of Medicine Clinical Terms
B. Systematized Nomenclature of Medicine Clinical Terms
C. Science Neurological Occupation for Medicine and Clinical Terms
D. System of National Operability of Medicine
39. What does SNOMED CT provide?
A. Standard terminology for health insurance providers.
B. Standard terminology for EHRs.
C. Standard terminology for laboratory result contents, anatomy, diagnosis, medical problems,
and nursing.
D. Standards which address the interoperability of medical devices.
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Chapter 002 - Standards and Features of Electronic Health Records
40. What are HIPAA's Transaction and Code Sets?
A. Standards for electronic exchange of information for billing and administration.
B. Standards for encrypting information for the transfer of medical data via EHR systems.
C. Systemized nomenclatures for clinical terminology.
D. IEEE 11073 standards
41. To which organization does the acronym NCVHS refer?
A. National Commission for Vital and Healthcare Statistics
B. National Committee on Vital and Health Statistics
C. National Commerce of Vital and Healthy Statistics
D. None of these.
42. Which of the following represents a set of instructions performed to ensure that the system
functions as expected?
A. Advance directives
B. Test script
C. Results management
D. None of these
43. For which of the following do providers qualify by demonstrating the ability to meet
meaningful use goals and objectives?
A. Continuing education credit
B. Incentive program
C. Status as an eligible provider
D. All of these
44. Which of the following did the IOM identify as a key capability of an EHR?
A. Health Information and Patient Data
B. Medical Decision Support
C. Results Management
D. All of these.
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Chapter 002 - Standards and Features of Electronic Health Records
45. Which of the following is not a key capability of an EHR as defined by the Institute of
Medicine?
A. Order Entry/Management
B. Results Management
C. Medical Decision Support
D. All of these are key capabilities.
46. What does the capability of Results Management include?
A. Home monitoring of patients, patient education, and telehealth.
B. Management of lab test results and radiology results.
C. Management of scheduling, billing, medical claims, authorizations, and referrals.
D. Monitoring of the entry of orders and prescriptions.
47. What is the purpose of the Medical Decision Support feature of an EHR?
A. Home monitoring of patients, patient education, and telehealth.
B. Scheduling, billing, medical claims, authorizations, and referrals.
C. Management and ordering of lab tests results, radiology results, and medical tests.
D. None of these.
48. Which of the following refers to demonstrably effective utilization of an EHR program?
A. Meaningful Use
B. Uniform Use
C. Contractual Use
D. Professional Use
49. LAN is an abbreviation for which of the following?
A. Local Advancement Network
B. Local Area Network
C. Local Authorized Network
D. Last Available Network
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Chapter 002 - Standards and Features of Electronic Health Records
50. LAN enables multiple computers to do which of the following?
A. Communicate with individual healthcare providers
B. Use advanced technology such as voice recognition systems
C. Download software
D. Communicate together and utilize a main server for the database
51. Which of the following is a benefit of wireless LANs?
A. To enable healthcare providers with full or open access to their EHR from anywhere within
the healthcare facility.
B. To help lower the cost of the utility bill at a healthcare office.
C. To increase the amount of data that can be stored on the main server of the LAN.
D. To enable the encryption of data stored for security purposes.
52. Which of the following technology has increased the availability of medical databases that
can be accessed and shared across large distances?
A. Internet
B. LAN
C. Intranet
D. Both Internet and Intranet
53. When might intranet or internet technologies benefit a healthcare provider?
A. When accessing their EHR from a hospital.
B. When accessing their EHR from a nursing home.
C. When accessing their EHR from a home office.
D. All of these
54. Which of the following is another name for web-based EHR?
A. Local Area Network
B. Electronic Patient Record
C. Intranet technologies
D. Application Server Provider
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Chapter 002 - Standards and Features of Electronic Health Records
55. Which of the following describes computer data that is changed from its original form to be
transmitted securely?
A. coded
B. encrypted
C. disguised
D. altered
56. Which of the following is a requirement for a healthcare provider to use an ASP?
A. A laptop computer
B. Wireless technology
C. High-speed internet
D. A server at the medical office
57. Which of the following is a main computer designed to provide services to a workstation
over a local area network?
A. Mother board
B. Server
C. Application Server Provider
D. More than one choice is correct.
58. Which of the following is a privately maintained computer network that provides secure
accessibility to authorized people enabling sharing of software, databases, and files?
A. Internet
B. World Wide Web
C. Intranet
D. Local Area Network
59. Which of the following is an independent, nonprofit organization that works to provide
unbiased and authoritative medical advice to decision makers and the public?
A. CHI
B. ASP
C. IOM
D. CMS
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Chapter 002 - Standards and Features of Electronic Health Records
60. Which of the following organizations operates with the mission to "accelerate the adoption
of health information technology by creating an efficient, credible, and sustainable product
certification program?
A. CMS
B. ABN
C. CCHIT
D. IOM
61. Which of the following exert major influence on EHR development, features and
standards?
A. HIPAA
B. CCHIT
C. Both HIPAA and CCHIT
D. Neither HIPPA nor CCHIT
62. Which of the following qualifies for classification by Medicare as an eligible professional
(EP)?
A. Pharmacist
B. Podiatrist
C. Chemist
D. Radiology technician
63. Which of the following is NOT a component of meaningful use, as specified by ARRA?
A. e-Prescribing
B. Electronic exchange of lab results
C. EHR use to submit clinical quality reports
D. All of these are components of meaningful use.
64. As part of the Meaningful Use mandatory functions, how many ambulatory clinical quality
measures must be submitted to the CMS?
A. 2
B. 4
C. 6
D. 10
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Chapter 002 - Standards and Features of Electronic Health Records
65. As part of the Meaningful Use mandatory functions, which of the following are types of
checks required for prescriptions?
A. Pharmacy supply on hand
B. Drug-drug interactions
C. Drug-food interactions
D. Peanut allergy/sensitivity
66. As part of the Meaningful Use mandatory functions, for which of the following patient age
groups must providers record smoking status?
A. 13 years old or older
B. 16 years old or older
C. 18 years old or older
D. 21 years old or older
67. Which of the following is a database of approved medications in drug therapy categories
that includes information on the preparation, safety, effectiveness, and cost of medications?
A. Formulary
B. Inventory
C. Both formulary and inventory
D. Neither formulary nor inventory
68. Which of the following is information that is organized in a format so that it is identifiable,
storable, retrievable, and analyzable in a computer system?
A. structured data
B. unstructured data
C. encrypted data
D. statistical data
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Chapter 002 - Standards and Features of Electronic Health Records
69. Which of the following is the process of communicating a provider's instructions for patient
treatment over a computer network to departments within a hospital or testing facilities outside
the patient setting?
A. CPOE
B. NCPDP
C. PHI
D. ASP
70. Which of the following can lead to errors and potential injuries to patients?
A. Manual order entry
B. Nonstandard abbreviations
C. Illegible handwriting
D. All of these lead to errors and potential injuries to patients.
71. Which of the following is a benefit of CPOE functions in an EHR?
A. Expedient order completion
B. Reduction in errors related to handwriting
C. Opportunity to check for duplicate or incorrect tests
D. All of these are benefits of CPOE.
72. Which of the following includes any information (past, present, or future) about health
status, provision of healthcare, and payment of healthcare than can be linked to a specific
individual?
A. CHI
B. PHI
C. NCCI
D. None of these
73. Which of the following acts allows for disclosure of PHI in relationship to terrorism?
A. Health Information Portability and Accountability Act
B. PATRIOT Act
C. HITECH Act
D. The American Recovery and Reinvestment Act
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Chapter 002 - Standards and Features of Electronic Health Records
74. EHR reporting capabilities enable practitioners and hospitals to track the spread of diseases
and outbreaks of illness caused by which of the following?
A. Exposure to hazardous materials
B. Contaminated foods
C. Both of these
D. None of these
75. When did healthcare organizations become responsible for adherence to HIPAA
regulations to protect the privacy of electronic protected health information (ePHI)?
A. 1996
B. 2000
C. 2004
D. None of these.
76. Which of the following is a code set developed by the AMA and adopted by insurance
carriers and managed care companies as the means for identifying common medical
procedures?
A. ICD
B. CPT
C. HCPCS
D. All of these.
77. Which of the following is a code set used to identify durable medical equipment and
supplies, as well as some medical procedures as recognized by the CMS?
A. ICD
B. CPT
C. HCPCS
D. All of these.
78. Which of the following is an electronic file with a predesigned or set format and structure?
A. Template
B. Database
C. Blog spot
D. None of these
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Chapter 002 - Standards and Features of Electronic Health Records
79. Which of the following contributes to greater mobility and lower costs in healthcare
delivery?
A. COWs
B. WOWs
C. Wireless connectivity
D. All of these
80. Which of the following influenced the need to move away from the keyboard as the means
of data entry in EHR?
A. Need for convenience
B. Need for speed
C. Need for efficiency
D. All of these
81. Which of the following is the ability to make and maintain a connection between two or
more points in a telecommunications system without using "hard" wires or cables?
A. Internet
B. Intranet
C. Wireless connectivity
D. LAN
82. Which of the following is a self-governing entity with the American Association of Medical
Assistants Endowment?
A. MAERB
B. CAAHEP
C. CMC
D. None of these
83. Which of the following is a nonprofit allied health education organization that accredits
entry-level, allied health education programs?
A. MAERB
B. CAAHEP
C. CMC
D. CMS
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Chapter 002 - Standards and Features of Electronic Health Records
84. Which of the following is responsible for medical assisting educations program reviews and
the development and revision of the core curriculum for medical assistants?
A. MAERB
B. CAAHEP
C. CMC
D. CMS
85. Which of the following is a nonprofit entity sponsored by the U.S. Department of Labor
Employment and Training Administration to provide official industrial competency models?
A. MAERB
B. CAAHEP
C. CMC
D. CMS
86. Which of the following provides structured guidelines and tests that enable the
identification, development, and evaluation of job proficiency skills?
A. NAACP
B. CAAHEP
C. NCVHS
D. CMS
87. Due to the rapid increase in HIT and the need for clerical and clinical staff with critical EHR
work skills, what are the MAERB and CAAHEP currently developing?
A. Protocols
B. Policies
C. Core curricula
D. Complaints process
88. Which of the following is NOT an EHR competency as defined by CMC?
A. Locate and retrieve information in EHR.
B. Utilize basic IT trouble shooting processes.
C. Write upgrades for EHR software.
D. Follow security and privacy policies.
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Chapter 002 - Standards and Features of Electronic Health Records
89. Which of the following is NOT a mode of data entry in EHR?
A. Voice recognition software
B. Keyboard
C. Templates
D. Photocopying from a paper chart
90. Which of the following organizations committed resources to create the independent,
nonprofit, private-sector Certification Commission?
A. AHIMA
B. HIMSS
C. NAHIT
D. All of these.
91. To which of the following are EHR vendors required to submit their EHR products for
testing and certification?
A. MAERB
B. ONC-ATCB
C. PTCB
D. CPOE
92. Which of the following authorized the ONC to promote EHR adoption by means of a
financial incentive program based on healthcare practitioners' meaningful use of the
technology?
A. HITECH
B. HIPPA
C. HIE
D. CCHIT
93. How many Authorized Testing and Certification Bodies were sanctioned in 2010 to certify
EHR programs?
A. 2
B. 4
C. 6
D. 12
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Chapter 002 - Standards and Features of Electronic Health Records
94. The criteria for Meaningful Use are staged in how many steps?
A. 1
B. 3
C. 6
D. 9
95. To qualify for incentive payments in 2011, EPs were asked to demonstrate meaningful use
for ________.
A. 30 days
B. 60 days
C. 90 days
D. 180 days
96. Because of the possible privacy threat to PHI, practitioners opt to communicate
electronically with patients with which of the following methods?
A. E-mail
B. Texting
C. Patient Portal
D. Skype
97. Which of the following are issues the healthcare industry grapples with in creating
necessary technology to guarantee total security of ePHI?
A. E-mail Security
B. Digital Signatures
C. Both E-mail Security and Digital Signatures
D. Neither E-mail nor Digital Signatures
98. When does HIPAA require the use of electronic signatures?
A. Always
B. Never
C. On mental health disclosures
D. None of these
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Chapter 002 - Standards and Features of Electronic Health Records
99. Although there are many modes of data entry in EHR, which of the following are the most
common?
A. Keyboard
B. Electronic Handwriting
C. Voice Recognition
D. Templates and Pick lists
100. Competency training and evaluation concentrates on an allied health professional's ability
to do which of the following?
A. Complete a task proficiently
B. Secure meaningful employment
C. Demonstrate personality
D. None of these
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Chapter 002 - Standards and Features of Electronic Health Records Key
Multiple Choice Questions
1. The progress of EHR implementation has been slowed by _______.
A. Cost
B. Organization
C. Standards
D. All of these
Obstacles such as cost, organization, standards, as well as functionality, and interoperability
have slowed the progress of the EHR.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAHIIM: I.B.2. Subdomain: Healthcare Information Requirements and Standards 2. Apply policies and procedures to ensure organizational
compliance with regulations and standards.
CAHIIM: III.A.1. Subdomain: Healthcare Delivery Systems 1. Apply current laws, accreditation, licensure, and certification standards related
to health information initiatives from the national, state, local, and facility levels.
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.A.5. Subdomain: Information and Communication Technologies 5. Participate in the planning, design, selection, implementation,
integration, testing, evaluation, and support for EHRs. (NEW)
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
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Chapter 002 - Standards and Features of Electronic Health Records Key
2. HIPAA is an acronym for:
A. Health Insurance Probability and Accountability Act
B. Health Insurance Portability and Accountability Act
C. Health Institute for Probability and Accountability Act
D. Health Insurance for Personnel Accountability Act
The acronym for Health Insurance Portability and Accountability Act is HIPAA.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
Blooms: Remember
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAHIIM: I.B.2. Subdomain: Healthcare Information Requirements and Standards 2. Apply policies and procedures to ensure organizational
compliance with regulations and standards.
CAHIIM: III.A.1. Subdomain: Healthcare Delivery Systems 1. Apply current laws, accreditation, licensure, and certification standards related
to health information initiatives from the national, state, local, and facility levels.
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.A.5. Subdomain: Information and Communication Technologies 5. Participate in the planning, design, selection, implementation,
integration, testing, evaluation, and support for EHRs. (NEW)
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
3. When did HIPAA begin?
A. 1994
B. 1995
C. 1996
D. 1997
HIPAA (Health Insurance Portability and Accountability Act) began in 1996.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Remember
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-23
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
4. What did HIPAA establish?
A. Standards for accountability and criteria for the protection and confidentiality of health
information that was transported electronically.
B. Standards for accountability and criteria for the protection and confidentiality of health
information for outpatient care.
C. A license for doctors to enforce the protection and confidentiality of health information that
was transported electronically.
D. An institute of medicine that gives advice and information about government policies that
effect human health.
HIPAA established standards for accountability and criteria for the protection and
confidentiality of health information that was transported electronically.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Understand
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-24
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
5. When did the HIPAA standards affect the development of EHRs?
A. In later stages of the development of EHRs.
B. In the early stages of the development of EHRs.
C. It did not affect the development of EHRs.
D. It will probably affect EHRs in the future.
HIPAA standards affected the early stages of the development of EHRs.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Remember
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-25
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
6. What significant step did CHI conduct in the development of EHRs?
A. Released e-prescribing standards in 2003
B. Developed Voice Recognition Systems
C. Released EHR standards in 2003
D. Developed the Tap&Go™ system
The release of EHR standards in 2003 was one significant step CHI conducted in the
development of EHRs.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAHIIM: I.A.3. Subdomain: Health Data Structure, Content, and Standards 3. Apply policies and procedures to ensure the accuracy of health
data.
CAHIIM: I.B.2. Subdomain: Healthcare Information Requirements and Standards 2. Apply policies and procedures to ensure organizational
compliance with regulations and standards.
CAHIIM: III.A.1. Subdomain: Healthcare Delivery Systems 1. Apply current laws, accreditation, licensure, and certification standards related
to health information initiatives from the national, state, local, and facility levels.
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-26
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
7. Which organization was commissioned to credential EHR programs?
A. CCHIT
B. CHI
C. HIPAA
D. FDA
CCHIT was commissioned to credential EHR programs by HHS in 2005.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.3. Subdomain: Health Data Structure, Content, and Standards 3. Apply policies and procedures to ensure the accuracy of health
data.
CAHIIM: I.B.2. Subdomain: Healthcare Information Requirements and Standards 2. Apply policies and procedures to ensure organizational
compliance with regulations and standards.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
8. Which institute gives advice and information about government policies that affect human
health?
A. Institute of Health and Human Services
B. Institute of Medicine
C. Institute of Electronic Health Records
D. Institute of Health and Science
The Institute of Medicine gives advice and information about government policies that affect
human health.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-27
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
9. CHI is an acronym for which of the following?
A. Clinical Health Institute
B. Consolidated Health Institute
C. Clinical Health Informatics
D. Consolidated Health Informatics
The acronym for Consolidated Health Informatics is CHI.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
10. CCHIT is an acronym for which of the following?
A. Certification Council for Healthcare Informatics and Technology
B. Certification Commission for Health Information Technology
C. Commission of Certification for Health Information and Telecommunications
D. Certifiable Council for Health Information Technicians
The acronym for Certification Commission for Health Information Technology is CCHIT.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.3. Subdomain: Health Data Structure, Content, and Standards 3. Apply policies and procedures to ensure the accuracy of health
data.
CAHIIM: I.B.2. Subdomain: Healthcare Information Requirements and Standards 2. Apply policies and procedures to ensure organizational
compliance with regulations and standards.
CAHIIM: III.A.1. Subdomain: Healthcare Delivery Systems 1. Apply current laws, accreditation, licensure, and certification standards related
to health information initiatives from the national, state, local, and facility levels.
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-28
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
11. Why do HIPAA regulations affect EHRs?
A. Because of the standardization of the patient's protected health information.
B. Because of the lack of healthcare staff trained to use EHRs.
C. Because of the portability of the patient's protected health information.
D. Because HIPAA is a powerful government agency.
HIPAA regulations affect EHRs because of the portability of the patient's protected health
information.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Understand
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
12. PHI is an acronym for which of the following?
A. Protected Health Information
B. Personal Health Information
C. Protected Health Informatics
D. Personal Hygiene Information
The acronym for Protected Health Information is PHI.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Remember
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-29
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
13. What two items are necessary for password management?
A. Anti-virus software and firewall protection.
B. A doctor and a nurse's authorization.
C. Policies and procedures.
D. At least one uppercase character and one lowercase character.
Policies and procedures are necessary for password management.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Understand
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-30
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
14. In what way(s) must EHRs programs provide password management?
A. Ability to create
B. Ability to change
C. Ability to safeguard
D. All of these
EHRs must provide clinics with the ability to create, change, and safeguard passwords for the
program.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Understand
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-31
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
15. What period of time is recommended for password expiration?
A. 120 to 180 days
B. 90 to 120 days
C. 30 to 90 days
D. Any period of time is acceptable
90 to 120 days is the time period recommended for password expiration.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Remember
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-32
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
16. What type of passwords is to be eliminated with the use of EHRs?
A. Default passwords
B. Passwords consisting of eight or more characters
C. Passwords containing special characters
D. Passwords containing numeric characters
Default passwords are eliminated with the use of EHRs because each user can set or change his
or her own password.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.1. Manage appointment schedule, using established priorities
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-33
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
17. What must each EHR user be assigned to identify and track the user's activity within the
program?
A. An eight digit password
B. A retina scan
C. A fingerprint scan
D. A unique username
Each EHR user must be assigned a unique name and/or number to identify and track the user's
activity within the program.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
Blooms: Understand
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-34
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
18. What is meant by access authorization?
A. Only doctors may access a patient's EHR.
B. Every staff member in a clinic is authorized to access a patient's EHR.
C. Specific assignable security levels regulate who may access, modify, delete, or transmit
specific information.
D. All clinical staff must have a key to the patients' files.
Access authorization is specific assignable security levels to regulate who may access, modify,
delete, or transmit specific information.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.d. Apply concepts for office procedures
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-35
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
19. When might access authorization be enforced?
A. If the nature of the office visit pertains to mental health issues.
B. If the nature of the office visit pertains to substance abuse.
C. If the nature of the office visit pertains to reports or tests such as HIV.
D. All of these
An EHR should be able to limit user access because of the nature of an office visit, for example,
mental health and substance abuse. Access may also be regulated to certain reports or tests such
as HIV or other PHI.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.d. Apply concepts for office procedures
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-36
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
20. Where must backup storage units be stored?
A. Anywhere within the medical office.
B. In a secure, off-site location.
C. In the IT office of the clinic.
D. In a location where the temperature will not exceed 65 degrees.
A secure off-site location is the best place to store backup files to an EHR.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
Blooms: Understand
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-37
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
21. How is prevention of intentional or unintentional disclosures and modifications to PHI
accomplished?
A. By tracking user access.
B. By not allowing patients to have access to their health records.
C. By having clinical staff sign an anti-disclosure form.
D. None of these.
By tracking user access, the prevention of intentional or unintentional disclosures and
modifications to PHI is accomplished.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.d. Apply concepts for office procedures
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-38
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
22. Which of the following is an example of a national standard code set?
A. CDT codes
B. HIPAA codes
C. ICD codes
D. HMO codes
ICD codes are an example of a national standard code set. Other examples may include CPT or
HCPCS codes.
ABHES: 8.t. Perform diagnostic and procedural coding
ABHES: 8.u. Prepare and submit insurance claims
Blooms: Remember
CAAHEP: VIII.C.1. Describe how to use the most current procedural coding system
CAAHEP: VIII.C.3. Describe how to use the most current diagnostic coding classification system
CAAHEP: VIII.C.4. Describe how to use the most current HCPCS coding
CAHIIM: I.A.3. Subdomain: Health Data Structure, Content, and Standards 3. Apply policies and procedures to ensure the accuracy of health
data.
CAHIIM: I.C.2. Subdomain: Clinical Classification Systems 2. Apply diagnosis/procedure codes according to current nomenclature.
CAHIIM: I.C.4. Subdomain: Clinical Classification Systems 4. Adhere to current regulations and established guidelines in code assignment.
CAHIIM: I.C.5. Subdomain: Clinical Classification Systems 5. Validate coding accuracy using clinical information found in the health record.
CAHIIM: I.D.3. Subdomain: Reimbursement Methodologies 3. Support accurate billing through coding, chargemaster, claims management,
and bill reconciliation processes.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-39
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
23. What type of code sets must the EHR use?
A. International standard code sets
B. Standardized federal code sets
C. State regulated code sets
D. National standard code sets
National standard code sets must be used in an EHR.
ABHES: 8.t. Perform diagnostic and procedural coding
ABHES: 8.u. Prepare and submit insurance claims
Blooms: Remember
CAAHEP: VIII.C.1. Describe how to use the most current procedural coding system
CAAHEP: VIII.C.3. Describe how to use the most current diagnostic coding classification system
CAAHEP: VIII.C.4. Describe how to use the most current HCPCS coding
CAHIIM: I.A.3. Subdomain: Health Data Structure, Content, and Standards 3. Apply policies and procedures to ensure the accuracy of health
data.
CAHIIM: I.C.2. Subdomain: Clinical Classification Systems 2. Apply diagnosis/procedure codes according to current nomenclature.
CAHIIM: I.C.4. Subdomain: Clinical Classification Systems 4. Adhere to current regulations and established guidelines in code assignment.
CAHIIM: I.C.5. Subdomain: Clinical Classification Systems 5. Validate coding accuracy using clinical information found in the health record.
CAHIIM: I.D.3. Subdomain: Reimbursement Methodologies 3. Support accurate billing through coding, chargemaster, claims management,
and bill reconciliation processes.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-40
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
24. Which of the following federal agencies has interoperability in healthcare and
health-related issues?
A. Department of Veteran's Affairs
B. Department of Health and Human Services
C. The Department of Defense
D. All of these
The Department of Veterans Affairs, Department of Health and Human Services, and the
Department of Defense are all federal agencies with the interoperability in healthcare and
health-related issues.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-41
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
25. When did CHI first announce a set of standards for EHRs?
A. 2003
B. 2001
C. 1999
D. 1996
The first set of standards was announced by CHI in March 2003 and included five regulations.
In May 2004 the second set of fifteen standards was adopted.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-42
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
26. How many regulations were set in place to standardize how information would be coded or
termed for use in exchanging data to or from an EHR?
A. Five
B. Twenty
C. Fifteen
D. Twenty-Five
Twenty regulations were set in place. These 20 criteria became the benchmark to standardize
how the information would be coded or termed for use in exchanging data to or from an EHR.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-43
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
27. What is one reason the federal government uses CHI standards?
A. To promote the use of access authorization.
B. Because it's required by law.
C. To promote interoperability between EHR systems.
D. Because it lowers the cost of healthcare.
One reason the federal government uses CHI standards is to promote interoperability between
EHR systems.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-44
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
28. HL7 is an acronym for which of the following?
A. Health Level Seven
B. Health Location Seven
C. Hacker Level Seven
D. None of these
The acronym for Health Level Seven is HL7.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-45
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
29. What does HL7 enable clinical systems to do?
A. Track EHR user activity.
B. Track sensitive lab tests and results such as HIV.
C. Communicate (interface) with each other.
D. Update patient health records.
The HL7 allows electronic clinical systems to communicate (interface) with each other.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-46
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
30. NCPDP is an acronym for which of the following?
A. National Council on Prescription Data Programs
B. National Council on Prescription Drug Programs
C. National Council Programs for Drug Prescriptions
D. National Council Prescriptions & Drug Programs
The acronym for National Council on Prescription Drug Programs is NCPDP.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-47
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
31. What is the purpose(s) of the NCPDP?
A. To create and promote standards for the transfer of data to and from retail pharmacy services.
B. To promote the use of Voice Recognition Systems.
C. To create regulations pertaining to the distribution of pharmaceutical drugs.
D. All of these.
The NCPDP creates and promotes standards for the transfer of data to and from retail pharmacy
services. NCPDP standards are focused on prescription drug messages and the activities
involved in billing pharmacy claims and services, rebates, pharmacy ID cards, and standardized
business transaction between pharmacies and the professionals who prescribe medications.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-48
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
32. IEEE is an acronym for which of the following?
A. Institute of Electronics, Engineers, and Environment
B. Institute of Electrical Engineers and Electronics
C. Institute for the Election of Electrical Engineers
D. Institute of Electrical and Electronics Engineers
The acronym for the Institute of Electrical and Electronics Engineers is IEEE.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-49
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
33. What is the purpose of the IEEE?
A. It's a national organization for the promotion of EHRs.
B. It's an international organization for the advancement of technology related to electricity.
C. It's an international organization to assist electrical engineers with employment benefits.
D. It's a national organization to promote solar electricity.
The IEEEis an international organization for the advancement of technology related to
electricity.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-50
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
34. To what do the 11073 standards refer?
A. The Personal Health Information Device Communication Standards
B. The Digital Imaging Communications in Medicine Standards
C. The Medical Device Communication Standards
D. HIPAA's Transaction and Code Sets
The 11073 format is the Medical Device Communication Standards, which addresses the
interoperability of medical devices.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-51
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
35. What do the Medical Device Communication Standards established by IEEE 11073
address?
A. The diagnostic information that is transferred from various medical devices
B. The electronic transfer of clinical laboratory results.
C. The interoperability of medical devices.
D. The standards for electronic exchange of information for billing and administration.
The 11073 format is the Medical Device Communication Standards , which addresses the
interoperability of medical devices.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-52
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
36. Which of the following describes services that use electronic and communication
technology to deliver medical information and services via a standard phone line?
A. Telemarket
B. Telehealth
C. Teleprompt
D. All of these.
Telehealth describes services that use electronic and communication technology to deliver
medical information and services via a standard phone line.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: IV.P.7. Demonstrate telephone techniques
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-53
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
37. Which of the following advocates for uniform healthcare data sets for underrepresented
populations?
A. NAACP
B. HCPCS.
C. ASP
D. NCVHS
The National Committee on Vital and Health Statistics advocates for uniform healthcare data
sets for underrepresented populations
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-54
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
38. SNOMED CT is an acronym for which of the following?
A. Systematized National Operation of Medicine Clinical Terms
B. Systematized Nomenclature of Medicine Clinical Terms
C. Science Neurological Occupation for Medicine and Clinical Terms
D. System of National Operability of Medicine
The acronym for Systematized Nomenclature of Medicine Clinical Terms is SNOMED CT.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-55
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
39. What does SNOMED CT provide?
A. Standard terminology for health insurance providers.
B. Standard terminology for EHRs.
C. Standard terminology for laboratory result contents, anatomy, diagnosis, medical problems,
and nursing.
D. Standards which address the interoperability of medical devices.
SNOMED-CT provides standard terminology for laboratory result contents, anatomy,
diagnosis, medical problems, and nursing.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-56
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
40. What are HIPAA's Transaction and Code Sets?
A. Standards for electronic exchange of information for billing and administration.
B. Standards for encrypting information for the transfer of medical data via EHR systems.
C. Systemized nomenclatures for clinical terminology.
D. IEEE 11073 standards
HIPAA's Transaction and Code Sets are standards for electronic exchange of information for
billing and administration.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Understand
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-57
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
41. To which organization does the acronym NCVHS refer?
A. National Commission for Vital and Healthcare Statistics
B. National Committee on Vital and Health Statistics
C. National Commerce of Vital and Healthy Statistics
D. None of these.
National Committee on Vital and Health Statistics is represented by the acronym NCVHS.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-58
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
42. Which of the following represents a set of instructions performed to ensure that the system
functions as expected?
A. Advance directives
B. Test script
C. Results management
D. None of these
A test script is a set of instructions performed to ensure that the system functions as expected.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-59
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
43. For which of the following do providers qualify by demonstrating the ability to meet
meaningful use goals and objectives?
A. Continuing education credit
B. Incentive program
C. Status as an eligible provider
D. All of these
Providers who demonstrate the ability to meet meaningful use goals and objectives qualify for
the incentive program.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: VIII.P.1. Perform procedural coding
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-60
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
44. Which of the following did the IOM identify as a key capability of an EHR?
A. Health Information and Patient Data
B. Medical Decision Support
C. Results Management
D. All of these.
The IOM identified Health Information and Patient Data, Medical Decision Support, and
Results Management (along with Order Entry/Management) as four of the notable key
capabilities or functions of EHRs.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-61
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
45. Which of the following is not a key capability of an EHR as defined by the Institute of
Medicine?
A. Order Entry/Management
B. Results Management
C. Medical Decision Support
D. All of these are key capabilities.
The IOM identified Health Information and Patient Data, Medical Decision Support, and
Results Management (along with Order Entry/Management) as four of the notable key
capabilities or functions of EHRs.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-62
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
46. What does the capability of Results Management include?
A. Home monitoring of patients, patient education, and telehealth.
B. Management of lab test results and radiology results.
C. Management of scheduling, billing, medical claims, authorizations, and referrals.
D. Monitoring of the entry of orders and prescriptions.
Results management addresses the management of laboratory test and radiology results.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-63
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
47. What is the purpose of the Medical Decision Support feature of an EHR?
A. Home monitoring of patients, patient education, and telehealth.
B. Scheduling, billing, medical claims, authorizations, and referrals.
C. Management and ordering of lab tests results, radiology results, and medical tests.
D. None of these.
The purpose of the Medical Decision Support feature is the improvement of the quality of care
through the use of disease screening, diagnosis and treatment.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-64
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
48. Which of the following refers to demonstrably effective utilization of an EHR program?
A. Meaningful Use
B. Uniform Use
C. Contractual Use
D. Professional Use
Meaningful use refers to the effective use of an EHR program.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-65
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
49. LAN is an abbreviation for which of the following?
A. Local Advancement Network
B. Local Area Network
C. Local Authorized Network
D. Last Available Network
The abbreviation for Local Area Network is LAN.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
50. (p. 45) LAN enables multiple computers to do which of the following?
A. Communicate with individual healthcare providers
B. Use advanced technology such as voice recognition systems
C. Download software
D. Communicate together and utilize a main server for the database
A LAN enables computers to communicate together and utilize a main server for a database.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-66
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
51. Which of the following is a benefit of wireless LANs?
A. To enable healthcare providers with full or open access to their EHR from anywhere within
the healthcare facility.
B. To help lower the cost of the utility bill at a healthcare office.
C. To increase the amount of data that can be stored on the main server of the LAN.
D. To enable the encryption of data stored for security purposes.
One benefit of a wireless LAN is to enable healthcare providers with full or open access to their
EHR from anywhere within the healthcare facility.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-67
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
52. Which of the following technology has increased the availability of medical databases that
can be accessed and shared across large distances?
A. Internet
B. LAN
C. Intranet
D. Both Internet and Intranet
The internet and intranet are two technologies that have increased the availability of medical
databases that can be accessed and shared across large distances.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-68
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
53. When might intranet or internet technologies benefit a healthcare provider?
A. When accessing their EHR from a hospital.
B. When accessing their EHR from a nursing home.
C. When accessing their EHR from a home office.
D. All of these
Internet or intranet technologies give healthcare providers access to their EHR from remote
locations such as a hospital, nursing home, or home office.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-69
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
54. Which of the following is another name for web-based EHR?
A. Local Area Network
B. Electronic Patient Record
C. Intranet technologies
D. Application Server Provider
Application Server Provider (ASP) is another name for a web-based EHR.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-70
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
55. Which of the following describes computer data that is changed from its original form to be
transmitted securely?
A. coded
B. encrypted
C. disguised
D. altered
Encrypting changes the data from its original form to be transmitted securely.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-71
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
56. Which of the following is a requirement for a healthcare provider to use an ASP?
A. A laptop computer
B. Wireless technology
C. High-speed internet
D. A server at the medical office
High-speed (broadband) internet is a requirement to access an ASP.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-72
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
57. Which of the following is a main computer designed to provide services to a workstation
over a local area network?
A. Mother board
B. Server
C. Application Server Provider
D. More than one choice is correct.
A server is a main computer designed to provide services to a workstation over a local area
network.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-73
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
58. Which of the following is a privately maintained computer network that provides secure
accessibility to authorized people enabling sharing of software, databases, and files?
A. Internet
B. World Wide Web
C. Intranet
D. Local Area Network
The intranetis a privately maintained computer network that provides secure accessibility to
authorized people enabling sharing of software, databases, and files.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-74
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
59. Which of the following is an independent, nonprofit organization that works to provide
unbiased and authoritative medical advice to decision makers and the public?
A. CHI
B. ASP
C. IOM
D. CMS
IOM is an independent, nonprofit organization that works to provide unbiased and authoritative
medical advice to decision makers and the public.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-75
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
60. Which of the following organizations operates with the mission to "accelerate the adoption
of health information technology by creating an efficient, credible, and sustainable product
certification program?
A. CMS
B. ABN
C. CCHIT
D. IOM
CCHIT operates with the mission to "accelerate the adoption of health information technology
by creating an efficient, credible, and sustainable product certification program.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-76
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
61. Which of the following exert major influence on EHR development, features and
standards?
A. HIPAA
B. CCHIT
C. Both HIPAA and CCHIT
D. Neither HIPPA nor CCHIT
HIPAA and CCHIT have exerted major influence on EHR development, features, and
standards.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-77
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
62. Which of the following qualifies for classification by Medicare as an eligible professional
(EP)?
A. Pharmacist
B. Podiatrist
C. Chemist
D. Radiology technician
To qualify as an EP under Medicare, the professional must either be a doctor of medicine,
osteopathy, dental surgery, dental medicine, podiatry, optometry, or chiropractor.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-78
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
63. Which of the following is NOT a component of meaningful use, as specified by ARRA?
A. e-Prescribing
B. Electronic exchange of lab results
C. EHR use to submit clinical quality reports
D. All of these are components of meaningful use.
The ARRA specifies three main components of meaningful use including using EHR in a
specified significant manner, using EHR for the exchange of health information, and using
EHR to submit clinical quality reporting pieces.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.6. Use office hardware and software to maintain office systems
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-79
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
64. As part of the Meaningful Use mandatory functions, how many ambulatory clinical quality
measures must be submitted to the CMS?
A. 2
B. 4
C. 6
D. 10
As part of the 15 core objectives for meaningful use, providers must report a total of 6
ambulatory clinical quality measures to the CMS.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-80
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
65. As part of the Meaningful Use mandatory functions, which of the following are types of
checks required for prescriptions?
A. Pharmacy supply on hand
B. Drug-drug interactions
C. Drug-food interactions
D. Peanut allergy/sensitivity
As part of the 15 core objectives for meaningful use, providers must report performance of
drug-drug and drug-allergy interaction checks.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-81
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
66. As part of the Meaningful Use mandatory functions, for which of the following patient age
groups must providers record smoking status?
A. 13 years old or older
B. 16 years old or older
C. 18 years old or older
D. 21 years old or older
As part of the 15 core objectives for meaningful use, providers must record smoking status for
patients age 13 years old or older
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-82
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
67. Which of the following is a database of approved medications in drug therapy categories
that includes information on the preparation, safety, effectiveness, and cost of medications?
A. Formulary
B. Inventory
C. Both formulary and inventory
D. Neither formulary nor inventory
A formulary is a database of approved medications in drug therapy categories that includes
information on the preparation, safety, effectiveness, and cost of medications.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-83
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
68. Which of the following is information that is organized in a format so that it is identifiable,
storable, retrievable, and analyzable in a computer system?
A. structured data
B. unstructured data
C. encrypted data
D. statistical data
Structured data is information that is organized in a structure so that it is identifiable, storable,
retrievable, and analyzable in a computer system.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.jj. Perform fundamental writing skills including correct grammar, spelling, and formatting techniques when writing prescriptions,
documenting medical records, etc.
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-84
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
69. Which of the following is the process of communicating a provider's instructions for patient
treatment over a computer network to departments within a hospital or testing facilities outside
the patient setting?
A. CPOE
B. NCPDP
C. PHI
D. ASP
CPOE, computerized physician order entry, transmits instructions for patient treatment or the
ordering of tests to a testing facility.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
ABHES: 9.f. Screen and follow up patient test results
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-85
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
70. Which of the following can lead to errors and potential injuries to patients?
A. Manual order entry
B. Nonstandard abbreviations
C. Illegible handwriting
D. All of these lead to errors and potential injuries to patients.
Manual order entry, nonstandard abbreviations, and illegible handwriting contribute to medical
errors.
ABHES: 3.a. Define and use entire basic structure of medical words and be able to accurately identify in the correct context, i.e., root, prefix,
suffix, combinations, spelling and definitions
ABHES: 4.a. Document accurately
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.b. Prepare and maintain medical records
ABHES: 9.i. Use standard precautions
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-86
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
71. Which of the following is a benefit of CPOE functions in an EHR?
A. Expedient order completion
B. Reduction in errors related to handwriting
C. Opportunity to check for duplicate or incorrect tests
D. All of these are benefits of CPOE.
Expedient order completion, reduction in handwriting errors, and the opportunity to check for
duplicate or incorrect tests are all benefits of CPOE.
ABHES: 3.a. Define and use entire basic structure of medical words and be able to accurately identify in the correct context, i.e., root, prefix,
suffix, combinations, spelling and definitions
ABHES: 4.a. Document accurately
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.b. Prepare and maintain medical records
ABHES: 9.i. Use standard precautions
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-87
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
72. Which of the following includes any information (past, present, or future) about health
status, provision of healthcare, and payment of healthcare than can be linked to a specific
individual?
A. CHI
B. PHI
C. NCCI
D. None of these
PHI, protected health information, includes any information (past, present, or future) about
health status, provision of healthcare, and payment of healthcare than can be linked to a specific
individual.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Remember
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-88
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
73. Which of the following acts allows for disclosure of PHI in relationship to terrorism?
A. Health Information Portability and Accountability Act
B. PATRIOT Act
C. HITECH Act
D. The American Recovery and Reinvestment Act
The federal government may access medical records under the PATRIOT Act to protect against
international and intelligence activities.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Remember
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-89
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
74. EHR reporting capabilities enable practitioners and hospitals to track the spread of diseases
and outbreaks of illness caused by which of the following?
A. Exposure to hazardous materials
B. Contaminated foods
C. Both of these
D. None of these
EHR reporting capabilities enable practitioners and hospitals to track the spread of diseases and
outbreaks of illness caused by exposure to hazardous materials and contaminated food supplies.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAAHEP: V.P.7. Use Internet to access information related to the medical office
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-90
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
75. When did healthcare organizations become responsible for adherence to HIPAA
regulations to protect the privacy of electronic protected health information (ePHI)?
A. 1996
B. 2000
C. 2004
D. None of these.
Healthcare organizations became responsible for adherence to HIPAA regulations to protect
the privacy of electronic protected health information (ePHI) in April 2003.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Remember
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-91
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
76. Which of the following is a code set developed by the AMA and adopted by insurance
carriers and managed care companies as the means for identifying common medical
procedures?
A. ICD
B. CPT
C. HCPCS
D. All of these.
Current Procedural Terminology (CPT) codes were developed by the AMA as a means for
identifying common medical procedures.
ABHES: 8.t. Perform diagnostic and procedural coding
ABHES: 8.u. Prepare and submit insurance claims
Blooms: Remember
CAAHEP: VIII.C.1. Describe how to use the most current procedural coding system
CAAHEP: VIII.C.3. Describe how to use the most current diagnostic coding classification system
CAAHEP: VIII.C.4. Describe how to use the most current HCPCS coding
CAHIIM: I.C.1. Subdomain: Clinical Classification Systems 1. Use and maintain electronic applications and work processes to support
clinical classification and coding.
CAHIIM: I.C.2. Subdomain: Clinical Classification Systems 2. Apply diagnosis/procedure codes according to current nomenclature.
CAHIIM: I.C.4. Subdomain: Clinical Classification Systems 4. Adhere to current regulations and established guidelines in code assignment.
CAHIIM: I.C.5. Subdomain: Clinical Classification Systems 5. Validate coding accuracy using clinical information found in the health record.
CAHIIM: I.D.3. Subdomain: Reimbursement Methodologies 3. Support accurate billing through coding, chargemaster, claims management,
and bill reconciliation processes.
CAHIIM: I.D.4. Subdomain: Reimbursement Methodologies 4. Use established guidelines to comply with reimbursement and reporting
requirements such as the National Correct Coding Initiative.
CAHIIM: I.D.6. Subdomain: Reimbursement Methodologies 6. Ensure accuracy of diagnostic/procedural groupings such as DRG, APC, and
so on. (NEW)
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-92
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
77. Which of the following is a code set used to identify durable medical equipment and
supplies, as well as some medical procedures as recognized by the CMS?
A. ICD
B. CPT
C. HCPCS
D. All of these.
HCPCS (Healthcare Common Procedure Coding System) is used by CMS to identify DME and
supplies, as well as some medical procedures.
ABHES: 8.t. Perform diagnostic and procedural coding
ABHES: 8.u. Prepare and submit insurance claims
Blooms: Remember
CAAHEP: VIII.C.1. Describe how to use the most current procedural coding system
CAAHEP: VIII.C.3. Describe how to use the most current diagnostic coding classification system
CAAHEP: VIII.C.4. Describe how to use the most current HCPCS coding
CAHIIM: I.C.1. Subdomain: Clinical Classification Systems 1. Use and maintain electronic applications and work processes to support
clinical classification and coding.
CAHIIM: I.C.2. Subdomain: Clinical Classification Systems 2. Apply diagnosis/procedure codes according to current nomenclature.
CAHIIM: I.C.4. Subdomain: Clinical Classification Systems 4. Adhere to current regulations and established guidelines in code assignment.
CAHIIM: I.C.5. Subdomain: Clinical Classification Systems 5. Validate coding accuracy using clinical information found in the health record.
CAHIIM: I.D.3. Subdomain: Reimbursement Methodologies 3. Support accurate billing through coding, chargemaster, claims management,
and bill reconciliation processes.
CAHIIM: I.D.4. Subdomain: Reimbursement Methodologies 4. Use established guidelines to comply with reimbursement and reporting
requirements such as the National Correct Coding Initiative.
CAHIIM: I.D.6. Subdomain: Reimbursement Methodologies 6. Ensure accuracy of diagnostic/procedural groupings such as DRG, APC, and
so on. (NEW)
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-93
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
78. Which of the following is an electronic file with a predesigned or set format and structure?
A. Template
B. Database
C. Blog spot
D. None of these
A template can serve as a model for letters, faxes, and reports that need to be filled in to be
completed.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-94
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
79. Which of the following contributes to greater mobility and lower costs in healthcare
delivery?
A. COWs
B. WOWs
C. Wireless connectivity
D. All of these
Computers on Wheels, Workstations on Wheels, and wireless connectivity all result in greater
mobility and lower costs in healthcare delivery.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-95
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
80. Which of the following influenced the need to move away from the keyboard as the means
of data entry in EHR?
A. Need for convenience
B. Need for speed
C. Need for efficiency
D. All of these
The need for convenience, speed, and efficiency mandated other methods of input into the EHR
(including voice recognition, etc.) in lieu of the keyboard as the sole means.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-96
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
81. Which of the following is the ability to make and maintain a connection between two or
more points in a telecommunications system without using "hard" wires or cables?
A. Internet
B. Intranet
C. Wireless connectivity
D. LAN
Wireless connectivity is the ability to make and maintain a connection free of hard wires and
cables.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-97
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
82. Which of the following is a self-governing entity with the American Association of Medical
Assistants Endowment?
A. MAERB
B. CAAHEP
C. CMC
D. None of these
The MAERB, the Medical Assisting Education Review Board is a self-governing entity within
the American Association of Medical Assistants Endowment.
ABHES: 11.b.9. Demonstrate professionalism by: 9) Conducting work within scope of education, training, and ability
Blooms: Remember
CAAHEP: IX.C.1. Discuss legal scope of practice for medical assistants
CAHIIM: V.A.3. Subdomain: Human Resources 3. Conduct orientation and training programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-05
Topic: Electronic Health Record Competencies
83. Which of the following is a nonprofit allied health education organization that accredits
entry-level, allied health education programs?
A. MAERB
B. CAAHEP
C. CMC
D. CMS
CAAHEP, the Commission on Accreditation of Allied Health Education Programs accredits
entry-level, allied health education programs.
ABHES: 11.b.9. Demonstrate professionalism by: 9) Conducting work within scope of education, training, and ability
Blooms: Remember
CAAHEP: IX.C.1. Discuss legal scope of practice for medical assistants
CAHIIM: V.A.3. Subdomain: Human Resources 3. Conduct orientation and training programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-05
Topic: Electronic Health Record Competencies
02-98
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
84. Which of the following is responsible for medical assisting educations program reviews and
the development and revision of the core curriculum for medical assistants?
A. MAERB
B. CAAHEP
C. CMC
D. CMS
MAERB is responsible for medical assisting educations program reviews and the development
and revision of the core curriculum for medical assistants.
ABHES: 1.a. Comprehend the current employment outlook for the medical assistant
ABHES: 1.d. Have knowledge of the general responsibilities of the medical assistant
ABHES: 11.b.9. Demonstrate professionalism by: 9) Conducting work within scope of education, training, and ability
Blooms: Remember
CAAHEP: IX.C.1. Discuss legal scope of practice for medical assistants
CAHIIM: V.A.3. Subdomain: Human Resources 3. Conduct orientation and training programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-05
Topic: Electronic Health Record Competencies
85. Which of the following is a nonprofit entity sponsored by the U.S. Department of Labor
Employment and Training Administration to provide official industrial competency models?
A. MAERB
B. CAAHEP
C. CMC
D. CMS
The Competency Model Clearinghouse (CMC) provides official industrial competency models.
ABHES: 11.b.9. Demonstrate professionalism by: 9) Conducting work within scope of education, training, and ability
Blooms: Remember
CAAHEP: IX.C.1. Discuss legal scope of practice for medical assistants
CAHIIM: V.A.3. Subdomain: Human Resources 3. Conduct orientation and training programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-05
Topic: Electronic Health Record Competencies
02-99
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Chapter 002 - Standards and Features of Electronic Health Records Key
86. Which of the following provides structured guidelines and tests that enable the
identification, development, and evaluation of job proficiency skills?
A. NAACP
B. CAAHEP
C. NCVHS
D. CMS
Organizations like CAAHEP provide structured guidelines and tests that enable the
identification, development, and evaluation of job proficiency skills
ABHES: 11.b.9. Demonstrate professionalism by: 9) Conducting work within scope of education, training, and ability
Blooms: Remember
CAAHEP: IX.C.1. Discuss legal scope of practice for medical assistants
CAHIIM: V.A.3. Subdomain: Human Resources 3. Conduct orientation and training programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-05
Topic: Electronic Health Record Competencies
87. Due to the rapid increase in HIT and the need for clerical and clinical staff with critical EHR
work skills, what are the MAERB and CAAHEP currently developing?
A. Protocols
B. Policies
C. Core curricula
D. Complaints process
Due to the rapid increase in HIT and the need for clerical and clinical staff with critical EHR
work skills, the MAERB and CAAHEP are currently developing core curricula for EHR
competencies.
ABHES: 1.a. Comprehend the current employment outlook for the medical assistant
ABHES: 1.d. Have knowledge of the general responsibilities of the medical assistant
ABHES: 11.b.9. Demonstrate professionalism by: 9) Conducting work within scope of education, training, and ability
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: V.A.3. Subdomain: Human Resources 3. Conduct orientation and training programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-05
Topic: Electronic Health Record Competencies
02-100
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
88. Which of the following is NOT an EHR competency as defined by CMC?
A. Locate and retrieve information in EHR.
B. Utilize basic IT trouble shooting processes.
C. Write upgrades for EHR software.
D. Follow security and privacy policies.
Writing upgrades for EHR software is NOT an EHR competency as defined by the Competency
Model Clearinghouse.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-05
Topic: Electronic Health Record Competencies
02-101
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
89. Which of the following is NOT a mode of data entry in EHR?
A. Voice recognition software
B. Keyboard
C. Templates
D. Photocopying from a paper chart
Photocopying does not input data into an EHR.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-102
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Chapter 002 - Standards and Features of Electronic Health Records Key
90. Which of the following organizations committed resources to create the independent,
nonprofit, private-sector Certification Commission?
A. AHIMA
B. HIMSS
C. NAHIT
D. All of these.
AHIMA, HIMSS, and NAHIT collaborated to create the Certification Commission.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-01
Topic: History of EHR Standards
02-103
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
91. To which of the following are EHR vendors required to submit their EHR products for
testing and certification?
A. MAERB
B. ONC-ATCB
C. PTCB
D. CPOE
To qualify for incentive money, EHR programs must meet certification requirements of an
ONC-ATCB, ONC-Authorized Testing and Certification Body.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-104
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
92. Which of the following authorized the ONC to promote EHR adoption by means of a
financial incentive program based on healthcare practitioners' meaningful use of the
technology?
A. HITECH
B. HIPPA
C. HIE
D. CCHIT
In 2009, HITECH authorized the ONC to promote EHR adoption by means of a financial
incentive program based on healthcare practitioners' meaningful use of the technology.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-105
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
93. How many Authorized Testing and Certification Bodies were sanctioned in 2010 to certify
EHR programs?
A. 2
B. 4
C. 6
D. 12
The ONC sanctioned 6 ATCBs in 2010 to certify EHR programs.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-106
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
94. The criteria for Meaningful Use are staged in how many steps?
A. 1
B. 3
C. 6
D. 9
The criteria for MU are staged in three steps beginning in 2011 and will continue for four years.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-107
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
95. To qualify for incentive payments in 2011, EPs were asked to demonstrate meaningful use
for ________.
A. 30 days
B. 60 days
C. 90 days
D. 180 days
In 2011, EPs could qualify for incentive payments after demonstrating meaningful use for 90
consecutive days.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-02
Topic: EHR Functionality
02-108
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
96. Because of the possible privacy threat to PHI, practitioners opt to communicate
electronically with patients with which of the following methods?
A. E-mail
B. Texting
C. Patient Portal
D. Skype
Email is not secure and data cannot be encrypted; messaging through the patient portal allows
patients to communicate via the clinic's website with a secured login and password
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Understand
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-109
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
97. Which of the following are issues the healthcare industry grapples with in creating
necessary technology to guarantee total security of ePHI?
A. E-mail Security
B. Digital Signatures
C. Both E-mail Security and Digital Signatures
D. Neither E-mail nor Digital Signatures
Both e-mail security and digital signatures present security issues with ePHI.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Understand
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-110
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
98. When does HIPAA require the use of electronic signatures?
A. Always
B. Never
C. On mental health disclosures
D. None of these
HIPAA does not require the use of electronic signatures, nor has the government set a standard
for their use in EHR.
ABHES: 11.b.3. Demonstrate professionalism by: 3) Maintaining confidentiality at all times
ABHES: 4.b. Institute federal and state guidelines when releasing medical records or information
ABHES: 8.d. Apply concepts for office procedures
Blooms: Understand
CAAHEP: IX.A.1. Demonstrate sensitivity to patient rights
CAAHEP: IX.C.3. Describe the implications of HIPAA for the medical assistant in various medical settings
CAAHEP: IX.P.3. Apply HIPAA rules in regard to privacy/release of information
CAHIIM: III.B.1. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 1. Adhere to the legal and regulatory
requirements related to the health information infrastructure.
CAHIIM: III.B.2. Subdomain: Healthcare Privacy, Confidentiality, Legal, and Ethical Issues 2. Apply policies and procedures for access and
disclosure of personal health information.
CAHIIM: IV.D.1. Subdomain: Data Security 1. Apply confidentiality and security measures to protect electronic health information.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-03
Topic: Privacy and Security of the EHR
02-111
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any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
99. Although there are many modes of data entry in EHR, which of the following are the most
common?
A. Keyboard
B. Electronic Handwriting
C. Voice Recognition
D. Templates and Pick lists
EHR developers have now moved toward a template-based and pick list-based form of data
entry. The use of templates, or large bodies of preset text, reduces the need to constantly rekey
data used multiple times.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Understand
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: I.A.4. Subdomain: Health Data Structure, Content, and Standards 4. Verify timeliness, completeness, accuracy, and appropriateness
of data and data sources for patient care, management, billing reports, registries, and/or databases.
CAHIIM: II.A.1. Subdomain: Healthcare Statistics and Research 1. Collect, maintain, and report data for clinical indices/databases/registries
to meet specific organization needs such as medical research and disease registries.
CAHIIM: II.A.2. Subdomain: Healthcare Statistics and Research 2. Collect, organize, and present data for quality management, utilization
management, risk management, and other related studies.
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.3. Subdomain: Information and Communication Technologies 3. Use specialized software in the completion of HIM processes
such as record tracking, release of information, coding, grouping, registries, billing, quality improvement, and imaging.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
CAHIIM: IV.C.2. Subdomain: Data Storage and Retrieval 2. Query and generate reports to facilitate information retrieval using appropriate
software.
CAHIIM: IV.D.4. Subdomain: Data Security 4. Use and summarize data compiled from audit trails and data quality monitoring programs.
Difficulty: 2 Medium
Est Time: 0-1 minute
Learning Outcome: 02-04
Topic: EHR Implementation and Technology
02-112
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.
Chapter 002 - Standards and Features of Electronic Health Records Key
100. Competency training and evaluation concentrates on an allied health professional's ability
to do which of the following?
A. Complete a task proficiently
B. Secure meaningful employment
C. Demonstrate personality
D. None of these
Due to the rapid increase in HIT and the need for clerical and clinical staff with critical EHR
work skills, MAERB and CAAHEP, along with CMC, are currently developing core curricula
for EHR competencies.
ABHES: 7.b.2. Identify and properly utilize office machines, computerized systems and medical software such as: 2) Apply computer
application skills using variety of different electronic programs including both practice management software and EMR software
ABHES: 8.hh. Receive, organize, prioritize, and transmit information expediently
ABHES: 8.ll. Apply electronic technology
Blooms: Remember
CAAHEP: V.C.11. Discuss principles of using Electronic Medical Records (EMR)
CAAHEP: V.P.5. Execute data management using electronic healthcare records such as the EMR
CAHIIM: IV.A.1. Subdomain: Information and Communication Technologies 1. Use technology, including hardware and software, to ensure
data collection, storage, analysis, and reporting of information.
CAHIIM: IV.A.4. Subdomain: Information and Communication Technologies 4. Apply policies and procedures to the use of networks,
including intranet and Internet applications, to facilitate the electronic health record (EHR), personal health record (PHR), public health, and
other administrative applications.
Difficulty: 1 Easy
Est Time: 0-1 minute
Learning Outcome: 02-05
Topic: Electronic Health Record Competencies
02-113
© 2013 by McGraw-Hill Education. This is proprietary material solely for authorized instructor use. Not authorized for sale or distribution in
any manner. This document may not be copied, scanned, duplicated, forwarded, distributed, or posted on a website, in whole or part.