CEHRS Clinical and Financial Reporting 2

Question 1

Which financial report shows the amount owed to a practice by patients and insurers at a specific point in time?

Accepted Answer

Accounts receivable aging report

Answer

The accounts receivable aging report categorizes outstanding balances by how long they have been unpaid, helping practices track money owed to them.

Question 2

A patient's EHR shows an ICD-10-CM code of Z23 on a visit claim. What type of encounter does this represent?

Accepted Answer

Encounter for immunization

Answer

ICD-10-CM code Z23 is used to indicate that a patient is receiving an immunization during the encounter.

Question 3

Which clinical quality measure (CQM) category focuses on how well a provider coordinates care across different settings?

Accepted Answer

Care coordination

Answer

Care coordination CQMs assess how effectively providers manage patient transitions and communication across different care settings.

Question 4

In financial reporting, what does the term 'contractual adjustment' refer to?

Accepted Answer

The difference between billed charges and the contracted payer rate

Answer

Contractual adjustments represent the amount a provider agrees to write off based on their negotiated contract with an insurance payer.

Question 5

Which report would a CEHRS specialist run to identify claims that were submitted but have not yet received a response from the payer?

Accepted Answer

Claims status/pending claims report

Answer

A pending claims report tracks submitted claims that are still awaiting adjudication or response from the insurance payer.

(CEHRS) Certified Electronic Health Records Specialist Practice Test