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MCA 100
Medical computers applications terms and definition
| Term | Definition |
|---|---|
| HIT (Health Information Technology) | techology used to perform clinical tasks such as record vitals; it also preforms admin tasks such as creating insurance claims. |
| PMP (practice management program) | software that automates admin tasks, mostly financial tasks |
| daily tasks of PMPs | create, transmit, and monitor claims. Receive and process payments |
| Monitoring claim status | Pmp can monitor and remind of payments; important for prompt payments |
| Electronic health records | Lifelong file of healthcare over time for a Pt |
| electronic prescribing | The use of computers and handheld devices to transmit prescriptions in digital format |
| patient support | offers Pt information to prepare them |
| 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 |
| 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 |
| Medical billing cycle | 10 stp process ensuring timely payments |
| preregistering Pts | cheif complaint, contact info and medical history obtained; process # 1 of medical billing cycle |
| Pt information form | a form that includes personal, employment, and medical insurance data needed to collect payments. |
| ICD 9 & 10 - Diagnosis codes | international classification of disease. turns diagnosis to #s so they may be processed and billed corectly |
| CPT- procedure codes | codes given for the procedures |
| encounter form / superbill | a list of everything that took place during visit. |
| claims information needed | what was done, what was used, and diagnosis of visit with documentation. must show medical nessecity |
| REMITTANCE ADVICE | list amnts that has been paid on claims and why -details about pt id# services provided, and date services provided |
| OVERPAYMENT | when insurance overpays, the clinic is expects to refund the amount overpayed |
| 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 |
| REGIONAL EXTENSION CENTERS | Centers that offer information, guidance, training, and support services to providers transitioning to an EHR system |
| GOAL OF HIE | to facilitate access to clinical information for the purpose of providing quality care to pts |
| AFFORDABLE CARE ACT | increases access to health care, improves quality of healthcare, explores new models for delivery and payment. |
Created by:
a.stonela89
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