Jocelinn Pineda
06/17/2013
Chapter 6
Exercise 6-1
The EHR in this physicians practice contains many functions. Look at the functions above. What function(s) do you think a medical assistant would use and why?
Medical assistants might use the practice view icon to search for their email in case they are unable to contact a patient by phone. Patient view icon may be another function medical assistance may use for the administrative data of a patient.
Exercise 6-2
Why is it important to use more than one attribute when searching for a patient, especially in addition to a first and/or last name?
It’s important because the search using a first and/or last name can bring up two or more patient’s with the same names and if you use a birth date in the search a more accurate result of the patient that you are looking for can come up.
Exercise 6-3
Briefly describe administrative, clinical, and billing data and state whether the screen above contains any such data.
Administrative data is the information of the patient such as full name, date of birth, address, social security number, and telephone numbers. Clinical data is the patients health information. And billing data includes financial information about a patient; the screen above does contain administrative data.
Exercise 6-4
The EHRS has the ability to capture data using a drop-down menu. What are the advantages and disadvantages of using a drop-down menu?
An advantage of using a drop-down menu is that it makes it easier and faster to capture structured data, and a disadvantage is that it is also very easy to drop-down and enter a patient’s vital signs or notes incorrectly.
Exercise 6-5
What is the patient’s chief complaint on the first screen on p. 256?
An elderly person presents today for initial evaluation of chest pain.

Exercise 6-6
How might a SOAP note relate to the billing process in the EHRS?
If the clinical data is incorrect you might bill for services that were not rendered or services that were not performed at the level at which you billed which can be abuse.
Exercise 6-7
Why is this problem list so valuable? How is this list used in the physicians practice?
It is very valuable in the outpatient setting because it contains a patient’s diagnosis, condition, treatment, and allergies. This problem list should be recorded into the chart by the third visit and it includes a list of both acute and chronic conditions.
Exercise 6-8
What tools do you think the HER can provide regarding the problem list?
Perhaps the patient view icon in the clinical data can provide information regarding the problem list.
Exercise 6-9
What are the advantages and disadvantages of automated code assignment?
Advantages are that the software can calculate the correct code and assign the E&M code on the basis of the documentation already there, but if the document is incorrect you might bill incorrectly whichcan result in abuse to the patient.