Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Health Info Tech
Med Term - health Info, health record, medical coding,
| Term | Definition |
|---|---|
| health information management (HIM) | the management of patient healthcare data of all types |
| information technology | the processes needed to assimilate, organize, maintain, and store patient healthcare data |
| health informatics | a branch of health information management that uses computer systems to gather, organize, maintain, and store patient healthcare data |
| traditional health record | a medical chart stored and maintained in paper format |
| electronic medical record (EMR) | digitally stored and accessed patient records that allow real-time communication, reporting, and recordkeeping through electronic transmission; also called electronic health records (EHRs) or computer-based patient records (CPRs) |
| hybrid health record | a medical record that incorporates elements of paper-based records and electronic records |
| alphabetical filing system | a method of organizing health records according to each patient’s surname |
| numerical filing system | a method of organizing health records according to a unique patient identification number |
| alphanumeric filing system | a method of organizing health records by combining the first two letters of the patient’s surname with a numerical identifier |
| out guide | a card placed in a collection of paper files to indicate that a file has been removed |
| requisition | a written request for a health record |
| quality management | the process of planning, controlling, and improving the quality of a product or system |
| deficiency slip | a report generated to notify staff that a medical record is missing required information |
| index | a database that contains pertinent healthcare information that can be used for research, healthcare quality control, or statistical purposes |
| master patient index | the primary index used for HIM recordkeeping, which includes a unique record for each patient within a healthcare organization |
| physician index | a database that records the physician associated with each patient, diagnosis made, and procedure performed at a healthcare organization |
| registry | a database of information concerning births, deaths, admissions, and discharges |
| Centers for Disease Control and Prevention (CDC) | a United States government organization that seeks to promote healthy behaviors and the prevention of disease, injury, and disability |
| World Health Organization (WHO) | a global organization, created by the United Nations, that provides global leadership on health, health research, and health policy |
| cancer and trauma registries | compilations of healthcare data on different types of cancers and traumatic events |
| Centers for Medicare and Medicaid Services (CMS) | a United States government organization that administers the Medicare and Medicaid health insurance programs |
| birth certificate completion | the process of fully completing an infant’s birth certificate |
| statistical and research services | data analysis services provided for health information professionals who are conducting medical studies or tracking diseases |
| medical transcription | the process of creating a text-based medical record from a voice recording |
| medical coding | the process of assigning standardized codes to patient data obtained by examining medical records |
| medical billing | the process of generating claim forms that list diagnosis and procedure codes, charges, and patient demographic information for reimbursement purposes |
| health data security | the process of ensuring that medical records are unaltered, readily accessible, and used legitimately |
| Health Insurance Portability and Accountability Act (HIPAA) | a law governing the portability of health insurance when workers change jobs, the standards for electronic healthcare transactions, and the security and privacy of health data |
| Privacy Rule | a part of HIPAA that outlines standards for maintaining patient confidentiality and safeguarding financial and administrative data during electronic transfer |
| patient confidentiality | the right to expect that healthcare information will not be disclosed without a patient’s authorization |
| breach of confidentiality | disclosure of patient information without prior written consent |
| compliance | the process of adhering to state and federal laws |
| protected health information (PHI) | any information about a person’s health, healthcare, or payment for health services that can be linked to a specific patient |
| Department of Health and Human Services (HHS) | a United States government organization that establishes guidelines for health information management compliance |
| Office of the Inspector General (OIG) | investigates abuse, fraud, waste, and mismanagement within a government organization |
| American Health Information Management Association (AHIMA) | a not-for-profit professional organization serving the educational, credentialing, networking, and advocacy needs of health information management (HIM) professionals |
Created by:
Vaishnavi.
Popular Medical sets