HAC Electronic Health Records & Financial Systems 3

Question 1

Which component of an EHR system directly feeds the Charge Description Master (CDM) to generate patient bills?

Accepted Answer

Order entry and charge capture

Answer

Order entry triggers charge capture events that pull billable items from the CDM to construct the patient bill.

Question 2

A healthcare accountant reviews an 835 transaction. What information does this EDI file contain?

Accepted Answer

Electronic remittance advice from a payer

Answer

The ASC X12 835 is the HIPAA-standard electronic remittance advice (ERA) file that details payer payment and adjustments.

Question 3

Which federal law mandated the adoption of certified EHR technology and introduced Meaningful Use incentive payments?

Accepted Answer

HITECH Act 2009

Answer

The HITECH Act established the EHR Incentive Programs (Meaningful Use) and tied financial incentives and penalties to certified EHR adoption.

Question 4

In value-based care contracts, which EHR data element is most critical for calculating shared savings for an ACO?

Accepted Answer

Attributed beneficiary cost and utilization data

Answer

ACO shared savings calculations depend on total cost of care and utilization patterns for attributed beneficiaries pulled from EHR and claims data.

Question 5

A claims scrubber rejects a claim before submission. What is the most likely reason?

Accepted Answer

Diagnosis code is missing or invalid for the billed procedure

Answer

Claims scrubbers check for coding edits such as missing or mismatched diagnosis codes relative to the billed CPT procedure.

(HAC) Healthcare Accounting Certification Practice Test