NHA CEHRS Final practice test review

NHA CEHRS Final practice test review how does the registration process begin in an outpatient setting? - ANS - when a new patient calls the office for an appointment to see a provider. what does a front staff member d ...

NHA CEHRS Final practice test review how does the registration process begin in an outpatient setting? - ANS - when a new patient calls the office for an appointment to see a provider. what does a front staff member do once they obtain information from a new patient? - ANS - they create an account that includes the patient's identity, medical condition, and insurance/payment info. what does a front staff member do once they obtain information from an established patient? - ANS - the staff member searches for the patient record by using demographic data once the data is verified, followed by a review and update of the patient's insurance or third party payer, and the guarantor on the account. what happens once the financial data is verified? - ANS - the patient is given a NPP, and other documents like an advance directive and assignment of benefit forms. what is a notice of privacy practices (NPP) form? - ANS - a document that is required by law to inform a patient how an organization will use their health care information. what is an advance directive? - ANS - a legal document that contains information about a patient's treatment choices when they are unable to make health care decisions. what is an assignment of benefits form? - ANS - a patient's authorization to allow health insurance payment to be made directly to the provider of service. how are patients registered in an ambulatory setting? - ANS - the patient info is used to generate wristbands, which are used for identification and can display health info. what are color coded wristbands? - ANS - they are used to alert providers of allergies, blood type, or DNR. what clinical information are entered by providers and support staff? - ANS - review of systems, physical examination, diagnosis, and treatment are all included in an encounter note. what is internal data? - ANS - it is recorded by providers(sometimes patients) during an encounter. what is included within internal data? - ANS - financial information entered during scheduling and patient registration to enable reimbursement for services. what is external data? - ANS - (digital images, lab results) often starts outside the office where the patient record lives. directing info into the patient's electronic record helps create complete record of the patient what is common to find in a fully integrated EHR environment? - ANS - only electronic documentation of all patient care data, these organizations might maintain paper records only from before the EHR was adopted. what do patient kiosks allow? - ANS - patients to sign into the waiting room using a computer. this enables patient demographic data to be available in the system before they are called. the preloaded clinical data is displayed to the provider as a starting point to engage the patient in care. what are peripheral devices? - ANS - ex: bar code scanners, cameras, printers, signature pads, fax machines. they are used to obtain and record patient info, especially when transitioning from paper-based transactions to electronic systems. what are electronic signatures used to do? - ANS - capture patient signatures. they record patient acknowledgements and consents for treatments, as well as patient responsibility for service charges. what does the practice management software keep record of? - ANS - appointments, hence no paper logs or books. can be used to complete patient registration as well. how is patients insurance documentation verified? - ANS - through web portals what is the responsibility of the front staff? - ANS - to schedule appointments and perform patient check ins. what can the clerical staff assist with? - ANS - coding or billing of services provided during an encounter how do some offices start the workflow? - ANS - with patient-entered data where the patient logs in and populates PREregistration what happens once the info is verified by the front desk? - ANS - the patient's arrival is electronically confirmed and a notification is generated to inform the provider that the patient is ready to be seen what are electronic devices used to measure? - ANS - the patient's vital signs, and results, as they are immediately recorded into the EHR. who can see a patient's EHR? - ANS - anyone involved in the treatment of the patient, the subjective and objective data at the point of care can be seen by other providers. what if a provider requests a referral? - ANS - a template can be used to enter the info for the referred provider to review. how can a patient present for inpatient admission? - ANS - emergency department or surgery department also after an office visit or if a patient was transferred from another facility how does inpatient workflow begin? - ANS - with recording demographic data and identifying the patient as an active care recipient in the system. what may physical, speech, and occupational therapists provide? - ANS - rehabilitation services and document patient progress in the EHR. how are test results from laboratory diagnostics transmitted? - ANS - from the LIS into the patient record to enable multiple providers to access data when making treatment or care decisions. the LIS interfaces with the EHR system to deliver results to the patient's record. how is laboratory testing batch processed? - ANS - by entering info into an automated analytical instrument where the evaluation of the sample is completed. what do hospitals that have a radiology info system (RIS) commonly user? - ANS - a PACS, picture archiving, and communication system to store and report results of diagnostic imaging. where are electronic orders entered by providers in clinics transmitted? - ANS - to the RIS, and patient images are captures during a test. the image stored in the PACS is associated with the order in the RIS. a report is then generated from the radiologist's interpretation