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crystalhenckel
medisoft
| Question | Answer |
|---|---|
| What is the explanation of benefits | a paper document from a helath plan listing amount of benefit and explains how it was determined |
| private or government organization that insures or pays for health care | payer |
| what is a remittance advice | electronic document from a health plan listing amount of benefit and explains how it was determined |
| An HMO is a example of what | a managed care health plan |
| What is an EMR | electronic collection and management of health data |
| A report from a clearinghouse listing errors to be corrected before a claim can be submitted | audit/edit report |
| An automated process for entering information on a remittance advice into a computer | autoposting |
| What does HIPPA stand for | Health Insurance Portability and Accountability Act of 1996 |
| What is EDI | electronic data interchange where information is sent from computer to computer |
| It is a standard identifier for all health care providers consisting of 10 number | NPI |
| What is a collection of related bits of information called | database |
| What is a knowledge base | a collection of up to date technical information |
| A copy of date files made at a specific point in time that can be used to restore data to a system | backup data |
| A process that checks and verifies data and corrects any internal problems with the data | rebuilding indexes |
| The deletion of vacant slots from the database | packing data |
| Process of deleting files of patients who are no longer seen | purging data |
| Process of updating balances to reflect most recent changes | recalculating balances |
| Grouping of transactions for visits to a physcian's office | case |
| Insurance plan where payments are made to a practice by a managed care company for patients who selected practice as PCP, regardless of being seen or not | capitated plan |
| What is a sponsor | an active duty service member |
| Groups of procedure code entries that relate to a single activity | multilink codes |
| Navigator buttons help to do what | move from one entry to another |
| A condition that data must meet to be selected is called what | filter |
| An insurance plan in which policyholders are reimbursed for health care costs | fee for service |
Created by:
crystalhenckel
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