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NHA - Certified Electronic Health Record Specialist (CEHRS) Study Guide AVTEC
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NHA - Certified Electronic Health RecordSpecialist (CEHRS) Study Guide AVTEC
Accounts Receivable - correct answer✔✔ Patient bills for services that have already
been provided that legally are due to a facility.
Autopsy Rates - correct answer✔✔ The percent of autopsies performed on patients
who die in the hospital; reasons for not performing an autopsy in the hospital may
include legal inquiry or family preference.
Average Length of Stay (ALOS) - correct answer✔✔ The total number of patient days
in a period divided by the number of patients; for example, the ALOS for cardiology
services in February was 6.1 days.
Benchmarks - correct answer✔✔ Goals or metrics a facility wants to meet; for
example, if the industry standard is 90% of patients should have advance directives
entered into their patient record within 24 hour of admission, and a hospital was only
meeting this for 45% of the patients, they would use the external benchmark of 90% as
a goal and track performance toward that goal by month or quarter.
Centers for Disease and Control and Prevention (CDC) - correct answer✔✔ A
division of the Department of Health and Human Services.
Chief Executive Officer (CEO) - correct answer✔✔ Leader of a facility who reports to
the Board of Directors.
Chief Financial Officer (CFO) - correct answer✔✔ Leader who oversees all financial
and fiscal decisions and issues for a facility; generally reports to the CEO.
Commercial Insurers - correct answer✔✔ Private, non-government insurers; these
are often the insurance options available through employers.
Comorbidity - correct answer✔✔ Disease that exists at the same time as a primary
disease that a patient is being treated for at the time; for example, a patient who has
cancer is receiving cancer specific treatment and is also a diabetic - diabetes mellitus
would be considered the comorbid condition.
Complications - correct answer✔✔ Unexpected events or circumstances that happen
to a patient during the course of his care; hospital-acquired infections, such as those
involving MRSA, are considered to be complications, as are reactions to medications or
an adverse response to any treatment.
, Copayment - correct answer✔✔ Money the patient must pay toward the bill as
contracted between the insurer and provider; amounts range from $5 to $50, and $75
for emergency room and specialist visits; provider's office visits are often in the $10 to
$35 range.
Daily Census - correct answer✔✔ The count of how many patients are in beds by
patient care unit for an inpatient facility.
Department of Health and Human Services (HHS) - correct answer✔✔ Principle
agency for protecting Americans' Health
Institute of Medicine (IOM) - correct answer✔✔ Non-governmental, independent, and
nonprofit organization that provides unbiased, expert advice to governmental and
private decision-makers, as well as the public.
Morbidity - correct answer✔✔ Refers to disease
Mortality (death) Rate - correct answer✔✔ The percentage of all discharged patients
who are discharged due to death within a prescribed period; for example, if a hospital
has discharged 30 patients in a month, and of those 5 were deaths, the mortality rate for
the month would be expressed as 5/30 or 16.7%.
National Ambulatory Medical Care Survey (NAMCS) - correct answer✔✔ Collects
data on ambulatory medical care provided in the U.S.; the data is collected from visits to
office based providers who provide direct patient care.
National Center for Health Statistics (NCHS) - correct answer✔✔ Nation's primary
statistics organization; it works to compile, analyze, and disseminate information on the
nation's health to influence and guide health policy and practice in a manner that best
serves the population.
National Health Inpatient Quality Measures - correct answer✔✔ A set of specific data
that hospitals must collect and report to CMS and the Joint Commission to document
quality patient care.
Occupancy Rate - correct answer✔✔ The percentage of licensed beds in a hospital
that have a patient assigned to them, and thus are generating revenue.
Patient Care Unit (PCU) - correct answer✔✔ For the purpose of census data, a PCU
has a defined number of beds and is staff assigned; also called floors, units, or wards.
Prospective Payment System (PPS) - correct answer✔✔ System initially
implemented by Medicare in the early 1980's that replaced fee-for-service payments for
the provision of health services with predetermined payments based on the principal
diagnosis of the patient.
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