Electronic Health Records and Health Information Technology Flashcards
7 cards from real CMAA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Electronic Health Records and Health Information Technology flashcards as text
Under the 21st Century Cures Act, healthcare providers are prohibited from engaging in which of the following practices?
Answer: Information blocking — interfering with access, exchange, or use of electronic health information
The 21st Century Cures Act explicitly prohibits information blocking, which refers to any practice that unreasonably restricts the access, exchange, or use of electronic health information.
What does 'ICD-10-CM' refer to in the context of electronic health records?
Answer: The International Classification of Diseases, 10th Revision, Clinical Modification — used to code patient diagnoses
ICD-10-CM is the code set used in EHRs to classify and record patient diagnoses; it is required for billing and statistical reporting in the United States.
Which federal agency administers the Medicare and Medicaid EHR Incentive Programs (now called the Promoting Interoperability Programs)?
Answer: Centers for Medicare & Medicaid Services (CMS)
CMS (Centers for Medicare & Medicaid Services) administers the EHR Incentive Programs, offering financial incentives and imposing penalties for eligible providers based on EHR use.
What is a Health Information Exchange (HIE)?
Answer: A secure electronic network that enables healthcare providers to share patient information across organizations
A Health Information Exchange (HIE) is a network infrastructure that allows authorized providers and patients to share clinical information electronically across different health organizations.
What does CPOE stand for in the context of EHR systems?
Answer: Computerized Physician Order Entry
CPOE (Computerized Physician Order Entry) is an EHR feature that allows providers to enter orders—such as medications, labs, and imaging—directly into the electronic system, reducing errors from handwritten orders.
Which of the following is an example of a Clinical Decision Support (CDS) tool within an EHR?
Answer: An automated alert warning a provider of a potential drug-drug interaction
Clinical Decision Support tools in EHRs provide real-time, evidence-based alerts and recommendations—such as drug interaction warnings—to help providers make safer and more informed clinical decisions.
When a medical practice transitions from paper records to an EHR system, which step is most critical before the system goes live?
Answer: Thoroughly training all staff on the new system prior to implementation
Comprehensive staff training before EHR go-live is essential to ensure accurate data entry, patient safety, workflow continuity, and compliance with documentation standards from day one.