CEHRS Regulatory Compliance and Quality Assurance 3

Question 1

Which regulation requires clinical laboratories to maintain quality control records and participate in proficiency testing?

Accepted Answer

Clinical Laboratory Improvement Amendments (CLIA)

Answer

CLIA establishes quality standards for all laboratory testing to ensure accurate and reliable test results regardless of where the test is performed.

Question 2

When conducting an internal audit of EHR documentation, which metric best measures the completeness of medical records?

Accepted Answer

Deficiency rate per record

Answer

The deficiency rate per record measures how frequently medical records are incomplete, directly indicating documentation completeness quality.

Question 3

A patient requests an amendment to their medical record because they believe information is incorrect. Under HIPAA, the covered entity may deny the request if:

Accepted Answer

The record was not created by that covered entity

Answer

A covered entity may deny an amendment request if the information was not created by that entity, as the creator is best positioned to evaluate its accuracy.

Question 4

Which standard defines the electronic format for submitting HIPAA-covered healthcare claims from providers to payers?

Accepted Answer

ASC X12 837

Answer

The ASC X12 837 transaction set is the HIPAA-mandated standard electronic format for submitting healthcare claims from providers to payers.

Question 5

In quality management, a fishbone (Ishikawa) diagram is used to:

Accepted Answer

Identify root causes of a quality problem

Answer

A fishbone diagram visually organizes potential causes of a problem into categories, helping teams identify root causes during quality improvement investigations.

(CEHRS) Certified Electronic Health Records Specialist Practice Test

(CEHRS) Certified Electronic Health Records Specialist Practice Test

CEHRS Regulatory Compliance and Quality Assurance 3