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HIT Chapter 5 Vocabulary

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Question
Answer
Abstract   pull out information from the health record or the encounter form that is needed to complete the CMS-1500 claim form  
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ASCII   most common format used for text files in computers and on the internet  
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Assign benefits   authorizes the insurance company to send the payment directly to the healthcare professional  
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Beneficiary   individuals covered under Medicare  
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Claims clearinghouse   a company that receives claims from healthcare providers and specializes in consolidating the claims to send in one transmission to each third party payer containing batches of claims  
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Clean claims   Claims that can be processed for payment quickly without being returned or held for additional information  
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CMS-1500 form   standard insurance form used by all government and most commercial insurance payers  
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Demographic information   patient name, address, SSN, and employment date  
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Encounter Form   multipurpose billing form that can be customized to medical specialties and preprinted with common diagnoses and procedures for that particular specialty  
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Mono-spaced fonts   each character takes up exactly the same amount of space  
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OCR scannable   documents formatted and printed in a way that they can be read using the process of optical character recognition  
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OCR   recognition of printed or written text characters by a computer  
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Patient ledger card   used to manually track patient charges and payments  
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Release of information   used to assign benefits for Medicare patients; referred to as a “lifetime” release of information  
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Small provider   a provider of services with fewer than 25 full time employees or a physician. Practioner, facility, or supplier(other than the provider of services) with fewer than 10 full time employees  
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Waiver   when the Secretary formally tells a provider that he or she does not have to send Medicare claims electronically  
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