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Module 6

Optum -- Chapter 1 (Test Review)

TermDefinition
Abstract Condense a record
Clearing House Private or public company that processes health information and executes electronic transactions
Electronic Health Record (EHR) Interoperability of electronic medical records or the ability to share medical records with other health care facilities
Electronic Medical Record (EMR) Patient info record in a digital format
Health Insurance Portability Accountability Act (HIPAA) Passed in 1996, providing new directives for protecting patient information and providing security measures as well as specific instructions for electronically transmitting patient data where required
Meaningful Use The set standards defined by the Center for Medicare and Medicaid Services (CMS) incentive programs that governs the use of electronic health records and allows eligible providers and hospitals to earn incentive payments by meeting specific criteria
Scrub To verify technical and coding accuracy before claims are filed by identifying potential problems that will cause claim rejection or reduction of payment
Sequelae An after-effect of disease, condition, or injury; secondary result
Sustainability Reasonable use of resources
Workflow How tasks are performed throughout the office usually in a specific order
Law that provides incentive payments to providers for converting from paper to HER American Reinvestment and Recovery Act (ARRA)
An unbilled claim can result from the following: Gender missing in demographic field and only the pt name fields being populated
Which is known as Level I of HCPCS? CPT
What is not a function of practice management (PM)? Recording a patient's vital signs
A Certified Electronic Health Record Specialist (CEHRS) would find employment opportunities in the following: Front and back medical assisting positions; coding; HIPAA compliance; abstracting
Universal code system for identifying laboratory and clinical observations is known as: Logical Observation Identifiers Names and Codes (LOINC)
The following would not be considered an advantage of an EMR: Patient privacy
Pt lifestyle such as smoking, drinking, relationship status and sexual history would all be considered: Social history
What would not be considered one of the five rights of the eMars (Electronic Medication Administration Record)? The right to inspect
Word analysis breaks down words into: Word roots, prefixes, suffixes and combining words and forms
Conditions when protected health information (PHI) can be released without consent from pt is known as: Treatment, Payment, and Operations (TPO)
Created by: monkmaroni
 

 



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