CEHRS Electronic Prescribing and Medication Management

Question 1

Which regulatory authority issued the foundational rule that established legal standards for electronic prescribing of controlled substances (EPCS)?

Accepted Answer

The Drug Enforcement Administration (DEA)

Answer

The DEA published its Interim Final Rule on Electronic Prescriptions for Controlled Substances in 2010, establishing the technical and identity-proofing requirements that prescribers and software vendors must meet to transmit Schedule II–V controlled substance prescriptions electronically.

Question 2

A pharmacy calls the clinic because a controlled substance e-prescription lacks evidence of two-factor authentication. What does this MOST likely indicate?

Accepted Answer

The prescribing provider did not complete EPCS identity proofing or logical access controls

Answer

EPCS regulations require that prescribers complete identity proofing and use two-factor authentication each time they sign a controlled substance prescription electronically. Missing authentication is a sign that the EPCS setup was not completed or bypassed, making the prescription invalid.

Question 3

When an EHR displays a drug–drug interaction alert during order entry, what is the MOST appropriate role of the EHR specialist?

Accepted Answer

Bring the alert to the prescribing provider's attention for clinical review and decision

Answer

The EHR specialist is not licensed to make clinical decisions about drug interactions. The correct action is to ensure the clinician is aware of the alert so they can evaluate it and document their clinical reasoning — whether they override it or change the order.

Question 4

Medication reconciliation in an EHR is BEST defined as:

Accepted Answer

Comparing a patient's current medication orders to all medications the patient was previously taking to identify discrepancies

Answer

Medication reconciliation is the clinical process of creating the most accurate possible list of all medications a patient is taking and comparing it to the provider's orders. This process is critical at care transitions (admission, discharge, transfers) to prevent omissions, duplications, and dosing errors.

Question 5

Which national network is most commonly used to route electronic prescriptions between EHR systems and retail pharmacies in the United States?

Accepted Answer

Surescripts

Answer

Surescripts operates the largest e-prescribing network in the U.S., connecting prescribers, pharmacies, and pharmacy benefit managers. It handles both standard e-prescriptions and EPCS transmissions that meet DEA requirements.

(CEHRS) Certified Electronic Health Records Specialist Practice Test

(CEHRS) Certified Electronic Health Records Specialist Practice Test

CEHRS Electronic Prescribing and Medication Management