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Chap 2 CIMO

Computers in the Medical Office Chap 2 Sanderson

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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