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Stack #433804
| Question | Answer |
|---|---|
| a clearinghouse report that list errors in a claim | audit /edit report |
| an organization that provides services (such as claims processing or billing services)to health care provider | business associate |
| an organization that receives claim from a provider, checks and prepares them for processing, and transmits them to insurance carriers in HIPA-compliant format | clearinghouse |
| a collection of related facts | database |
| the process of checking a claim to see that all required information is included | edit |
| the transfer of business transactions from one computer to another using communications protocols | electronic data interchange(EDI) |
| the movement of money via electronic systems | electronic funds transfer (EFT) |
| the electronic collection and management of health information | electronic medical records(EMR) |
| regulations outlining the minimum safeguards required to prevent unauthorized access to health care information | HIPAA Security Rule |
| regulations that require electronic transactions to use standardized formats | HIPAA Transaction and Code Sets Standards |
| computer hardware and software systems | information technology (IT) |
| A document listing charges and payments that is given to a patient after an office visit | walkout statement |
| an organization that receives claims from a provider,checks and prepares them for processing, and transmits them to insurance carriers in HIPAA-compliant format | X12-837 Health Care Claim(837P) |
| The HIPAA Transaction and Code Sets Standards specify standard medical code set such as | ICD-9 and CPT-4 |
| computer programs may use___to help ensure the privacy and confidentiality of patient health care information | audit trails |
| all medical offices, regardless of size, must use the HIPAA-standard X12-837 | false |
| The HIPAA standards require a practice that uses _____ to have a contract that states the procedures that must be followed to ensure HIPAA compliance | clearinghouse |
| _____are more efficient than manual filing sytems | computerized databases |
| information is easy to find; less storage space; save time; reduces errors; info stored can be used by more than one person at the same time | five advantages of using computers in medical practices |
| the HIPAA Security Rule specifies the __,technical, and physical safeguards required to prevent unauthorized access to health care information | administrative |
| electronic medical records are used to record data such as physicians' reports of examinations, surgical procedures, test results and | X-rays |
| many medical offices assign___ to individuals who have access to computer data, as a security measure | passwords |
| The HIPAA-standard electronic format for the exchange of payment and remittance advice is | X12-835 |
| _____reports are designed to provide payers with "clean" claims, thus reducing the number of claims rejections due to missing or incorrect data | audit/edit |
| one way to ensure the accuracy of medical data input into a computer is to create an | audit trail |
| electronic prescribing eliminates medication errors that result from | illegible handwriting on prescription forms |
| computerized billing programs | eliminate data entry errors |
| in an emergency, a computer can be a lifesaving device because it | can be powered by a back-up generator |
| a program that automates finacial and administrative tasks in a medical practice is called a(n) | practice management program |
| the capability to deposit insurance payments directly into a practice's account via computer is called | electronic funds transfer (EFT) |
| A(n)_____keeps track of data entry on a computer, and can be reviewed if a securtiy problem arises | audit trail |
| billing in medical offices depends on two types of information: patient data and ____data | administrative |
| the automated entry of information from a remittance advice into a practice management program is called | clearinghouse |
Created by:
ladyvicious