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HIT Chapter 5 Vocabulary
| Question | Answer |
|---|---|
| Abstract | pull out information from the health record or the encounter form that is needed to complete the CMS-1500 claim form |
| ASCII | most common format used for text files in computers and on the internet |
| Assign benefits | authorizes the insurance company to send the payment directly to the healthcare professional |
| Beneficiary | individuals covered under Medicare |
| 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 |
| Clean claims | Claims that can be processed for payment quickly without being returned or held for additional information |
| CMS-1500 form | standard insurance form used by all government and most commercial insurance payers |
| Demographic information | patient name, address, SSN, and employment date |
| Encounter Form | multipurpose billing form that can be customized to medical specialties and preprinted with common diagnoses and procedures for that particular specialty |
| Mono-spaced fonts | each character takes up exactly the same amount of space |
| OCR scannable | documents formatted and printed in a way that they can be read using the process of optical character recognition |
| OCR | recognition of printed or written text characters by a computer |
| Patient ledger card | used to manually track patient charges and payments |
| Release of information | used to assign benefits for Medicare patients; referred to as a “lifetime” release of information |
| 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 |
| Waiver | when the Secretary formally tells a provider that he or she does not have to send Medicare claims electronically |
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