Medical computers applications terms and definition
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| HIT (Health Information Technology) | techology used to perform clinical tasks such as record vitals; it also preforms admin tasks such as creating insurance claims.
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| PMP (practice management program) | software that automates admin tasks, mostly financial tasks
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| daily tasks of PMPs | create, transmit, and monitor claims. Receive and process payments
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| Monitoring claim status | Pmp can monitor and remind of payments; important for prompt payments
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| Electronic health records | Lifelong file of healthcare over time for a Pt
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| electronic prescribing | The use of computers and handheld devices to transmit prescriptions in digital format
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| patient support | offers Pt information to prepare them
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| factors that contribute to PT safety | -meds and dr errors minimal due to illegable hand writing eliminated
-dr get instant alerts for allergies & drug interactions
-dr get alerts when meds are pulled from market
-Records not lost in natural disasters
-info communicated in a timely manner
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| efficiency factors in EHR | -Easier to find info
-Quicker, save time for pt and DR
-multiple ppl can work on EHR at same time
-prescribing meds
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| Medical billing cycle | 10 stp process ensuring timely payments
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| preregistering Pts | cheif complaint, contact info and medical history obtained; process # 1 of medical billing cycle
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| Pt information form | a form that includes personal, employment, and medical insurance data needed to collect payments.
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| ICD 9 & 10 - Diagnosis codes | international classification of disease. turns diagnosis to #s so they may be processed and billed corectly
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| CPT- procedure codes | codes given for the procedures
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| encounter form / superbill | a list of everything that took place during visit.
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| claims information needed | what was done, what was used, and diagnosis of visit with documentation. must show medical nessecity
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| REMITTANCE ADVICE | list amnts that has been paid on claims and why
-details about pt id# services provided, and date services provided
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| OVERPAYMENT | when insurance overpays, the clinic is expects to refund the amount overpayed
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| HIPAA | health insurance portability and accountability act of 1996, ensures insurance when moving from job to job, decrease fraud and abuse in health care-mandates standards for health info- ensures security and privacy
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| REGIONAL EXTENSION CENTERS | Centers that offer information, guidance, training, and support services to providers transitioning to an EHR system
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| GOAL OF HIE | to facilitate access to clinical information for the purpose of providing quality care to pts
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| AFFORDABLE CARE ACT | increases access to health care, improves quality of healthcare, explores new models for delivery and payment.
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