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Chap 2 CIMO
Computers in the Medical Office Chap 2 Sanderson
| Question | Answer |
|---|---|
| health information technology (HIT) | technology that is used to record, store and manage patient health care info |
| clearinghouse | a company that receives claims from a provider, prepares them for processing and transmits them to the payers in HIPAA compliant format |
| audit/edit report | a report from a clearinghouse that lists errors to be corrected before a claim can be submitted to the payer |
| walkout statement | a document listing charges and payments that is given to a patient after an office visit |
| autoposting | an automated process for entering info from a remittance advice (RA) into a practice management program |
| electronic medical records (EMR) | the computerized records of one physician's encounters with a patient over time |
| personal health records (PHR) | private, secure electronic files that are created, maintained and owned by the patient |
| electronic prescribing | the use of computers and handheld devices to transmit prescriptions in digital format |
| evidence-based medicine | medical care based on the latest and most accurate clinical research |
| Health Information Technology for Economic and Clinical Health Act | HITECH |
| HITECH | part of the American Recovery and Reinvestment Act of 2009 - provides financial incentives to physicians and hospitals to adopt EHR and strengthens HIPAA regulations |
| workflow | set of activities designed to produce a specific outcome |
| computer assisted coding | assigning preliminary diagnosis and procedure codes using computer software |
| HIPAA | Health Insurance Portability and Accountability Act of 1996 |
| definition of HIPAA | federal act setting guidelines for standardizing the electronic data interchange of administrative and financial transactions, exposing fraud and abuse in federal programs, protecting security and privacy of health information |
| HIPAA Electronic Transaction and Code Sets standards | regulations requiring electronic transactions such as claims transmission to use standardized formats |
| electronic data interchange (EDI) | the exchange of routine business transactions from one computer to another using publicly available communications protocols |
| electronic funds transfer (EFT) | the electronic routing of funds between banks |
| X12-837 Health Care Claim | (837P) HIPAA standard format for electronic transmission of a professional claims from a provider to a health plan |
| CMS-1500 | the mandated paper insurance claims form |
| National Provider identifier (NPI) | a standard identifier for health care providers consisting of ten numbers |
| HIPAA Privacy Rule | regulations for protecting individually identifiable information about a patient's health or payment for health care that is created or received by a health care provider |
| HIPAA Security Rule | regulations outlining the minimum administrative, technical and physical safeguards required to prevent unauthorized access to protected health care info |
| administrative safeguards | policies and procedures designed to protect electronic health information outlined by the HIPAA Security Rule |
| physicial safeguards | mechanisms required to protect electronic systems, equipment and data from threats, environmental hazards and unauthorized intrusion |
| technical safeguards | automated processes used to protect data and control access to data |
| audit trail | a report that traces who has accessed electronic information, when information was accessed and whether any information was changed |
| breach | the acquisiton, access, use or disclosure of unsecured PHI in a manner not permitted under the HIPAA Privacy Rule |
Created by:
erosok
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