HIT Chap 16 terms Word Scramble
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Question | Answer |
Administrative Simplification and Compliance Act (ASCA) | an act under HIPAA that requires health plans and healthcare clearinghouses to use a certain standard transaction formats and code sets for the electronic transmission of health information |
Billing Services | companies that offer services to health care facilities that include billing processes and claims filing |
Direct Data Entry Claims (DDE) | claims that are submitted directly to the insurance carrier |
Electronic Claims Clearinghouse | a business entity that receives claims from several medical facilities and consolidates these claims so that one transmission containing multiple claims can be sent to each insurance carrier. |
Electronic Data Interchange (EDI) | the electronic transfer of information in a standard format between two entities |
Electronic Funds Transfer (EFT) | a system wherein money is moved electronically between accounts or organizations |
Electronic Medical Record (EMR) | an electronic file wherein patients’ heath information is stored in a computer system |
Electronic Remittance Advice (ERA) | electronic form sent by Medicare to the provider that explains how payment was determined for the claim. |
Enrollment process | process which medical offices usually must go through before they can submit claims to an insurance carrier. |
Identifiers | numbers used in the administration of health care to distinguish individual health care providers, health plans, employers, and patients |
Privacy Standards | define what are appropriate and inappropriate disclosures of individually identifiable health information |
Telecommunication | the transmission of claim information over phone line using a computer and a modem |
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