NHA CEHRS Practice test 1 Latest Update 2023- 2024 99 Questions and Verified Correct Answers Guaranteed A+ A clinician is recording patient information. Which of the following information should a clinician document as subjective?
a.) Physical examination b.) Review of systems c.) Laboratory results
d.) chief complaint - Correct Answer: d.) chief complaint
Subjective= the reason for the patients visit i.e. chief complaint
A government research study hasrequested patient data. Which of the following actions should an EHR specialist take after confirming correct authorization?
a.) Make a backup of the data before releasing the information b.) Request a release from the patient c.) Ask a provider to validate the aggregate data
d.) Remove PHI from the data - Correct Answer: d.) Remove PHI from the data
The EHR specialist should remove PHI from the data before releasing the information
A Mother presents insurance information for her son's office visit. He is covered by two policies. The mother carries one policy, and the father carries the other. The mother's birthday is November 4th, 1972, and the father's birthday is January 4th, 1973. To which of the following insurance plans should an EHR specialist bill this office visit?
a.) The mother's insurance, not the father's insurance b.) The father's insurance, not the mother's insurance c.) The mother's insurance as primary and the father's insurance as secondary d.) the father's insurance as primary and the mother's insurance as secindary - Correct Answer: d.) the father's insurance as primary and the mother's insurance as secindary
Any time two policies are present, both carriers must be billed. Because the father's birthday occurs earlier in the year. hi insurance should be billed as primary
A patient is admitted with tonsillitis for which a tonsillectomy was performed. During the recovery, the patient fell and fractured the right ulna, requiring reduction of the bone.The principal procedure will be listed as
a.) tonsillitis b.) tonsillectomy c.) fractured ulna 1 / 3
d.) reduction of ulna - Correct Answer: b.) tonsillectomy
The principal procedure is the tonsillectomy because it is the treatment associated with the principal diagnosis
A patient is being seen in a clinic for a follow-up visit. The medical assistant has gathered the patient's vital signs. In which of the following should this information be entered?
a.) PHR b.) e-Prescription c.) Laboratory section
d.) EMR - Correct Answer: d.) EMR
the electronic medical record (EMR) stores a patients clinical information, such as vital signs
A Patient presents to a provider's office with a third degree burn on his hand from cooking oil. Which of the following should an EHR specialist do first?
a.) Severity b.) Cause c.) Location
d.) Classification - Correct Answer: d.) Classification
is the first number established when coding a diagnosis or disease
A patient presents to a provider's office with strep throat. In which of the following locations of the EHR would information about the onset and duration of the symptoms be documented?
a.) History of present illness (HPI) b.) Chief complaint (cc) c.) Review of systems (ROS) d.) Past medical history (PMH) - Correct Answer: a.) History of present illness (HPI)
HPI details the pertinent history of the current illness
A patient presents to a providers office for a scheduled appointment. Before seeing his doctor, a co-payment is requested. The patient notifies the EHR specialist that he forgot his payment. Which of the following steps should the EHR specialist take?
a.) Bill the patient b.) Post the payment to accounts receivable c.) Post the payment to accounts payable d.) Bill the patients insurance - Correct Answer: a.) Bill the patient 2 / 3
If the patient cannot provide his co-payment at the time of service, the patient may be billed
A patient provides a document detaining her marital status. In which of the following sections should this information be recorded?
a.) Family history b.) Past medical history c.) Progress notes
d.) Social History - Correct Answer: d.) Social History
Social History containing information about a patient, including relationship status
A patient smokes 4 packs of cigarettes per day and has chronic obstructive pulmonary disease (COPD). The patient presents for an office visit for a urinary tract infection.Which of the following is the primary diagnosis for this visit?
a.) Nicotine dependence b.) COPD c.) Urinary tract infection
d.) Kidney infection - Correct Answer: c.) Urinary tract infection
it is the reason the patient is seen during the office visit
A patient who has Medicare coverage opts to have a procedure performed that is not covered. Which of the following forms is the patient required to sign to have this non- covered procedure preformed?
a.) Power of attorney b.) Advance Beneficiary Notice c.) Home Health Beneficiary notice of non-coverage d.) Notice of discharge and medicare appeal rights - Correct Answer: b.) Advance Beneficiary Notice
A Medicare beneficiary must complete and sign this form each time a provider believes a normally covered service will be covered and the provider wants to bill the beneficiary directly for the service
A provider performs a chest x-ray before and after the placement of a chest tube. This repeat procedure by the same provider should be coded with which of the following?
a.) Manifestation rule b.) Modifier c.) Bundled code d.) Global surgery policy - Correct Answer: b.) Modifier
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