CMM Healthcare Information Systems 2

Question 1

Which federal law primarily governs the privacy and security of electronic protected health information (ePHI) in the United States?

Accepted Answer

HIPAA

Answer

HIPAA (Health Insurance Portability and Accountability Act) establishes national standards for protecting PHI, including ePHI.

Question 2

In an EHR system, a 'problem list' is best described as:

Accepted Answer

An ongoing record of a patient's active and inactive diagnoses

Answer

A problem list is a core EHR component that tracks a patient's active, inactive, and resolved health conditions over time.

Question 3

What does the term 'interoperability' mean in the context of healthcare IT?

Accepted Answer

The capacity of different systems to exchange and use health information

Answer

Interoperability refers to the ability of different HIS platforms to share, interpret, and use electronic health data seamlessly.

Question 4

A medical practice wants to submit claims electronically to payers. Which standard transaction format is required under HIPAA?

Accepted Answer

X12 837

Answer

The X12 837 transaction set is the HIPAA-mandated standard for submitting electronic healthcare claims to insurance payers.

Question 5

Which of the following best describes a 'health information exchange' (HIE)?

Accepted Answer

An organization that enables sharing of patient health information across facilities

Answer

An HIE is an organization or platform that facilitates the electronic sharing of clinical data among healthcare providers, payers, and patients.

(CMM) Certified Medical Manager Practice Test