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Accredited Standards Committee X12 (ASC X12)
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Application service provider (ASP)
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IHMO Ch 8 Key Term

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Accredited Standards Committee X12 (ASC X12) The U.S. standards body formed by the American National Standards Institute (ANSI) for cross-industry development, maintenance, and publication of electronic data exchange standards.
Application service provider (ASP) A practice management system available over the Internet in which data are housed on the server of the ASP but the accounts are managed by the health care provider's staff.
Backup A duplicate data file: tape, CD-ROM, disk, or zip disk used to record data; it may be used to complete or redo the operation if the primary equipment fails.
Batch A group of claims for different patients from one office submitted in one computer transmission.
Business associate agreement Contract between the provider and a clearinghouse that submits the electronic claims on behalf of the provider.
Cable modem A modem used to connect a computer to a cable television system that offers online services.
Clearinghouse An independent organization that receives insurance claims from the physician's office, performs software edits, and redistributes the claims electronically to various insurance carriers.
Code set Any set of codes with their descriptions used to encode data elements such as tables of terms, medical concepts, medical diagnostic codes, or medical procedure codes.
Covered entity (CE) An entity that transmits health information in electronic form in connection with a transaction covered by HIPAA.
Data elements Medical code sets used uniformly to document why patients are seen (diagnosis, ICD-9-CM) and what is done to them during their encounter (procedure, CPT-4, HCPCS).
Direct data entry (DDE) Keying claim information directly into the payer system by accessing over modem dial-up or DSL. This is a technology to directly enter the information into the payer system via the access whether it is dial-up or DSL.
Digital subscriber line (DSL) A high-speed connection through a telephone line jack and usually a means of accessing the Internet.
Electronic data interchange (EDI) The process by which understandable data items are sent back and forth via computer linkages between two or more entities that function alternatively as sender and receiver.
Electronic funds transfer (EFT) A paperless computerized system enabling funds to be debited, credited, or transferred, eliminating the need for personal handling of checks.
Electronic remittance advice (ERA) An online transaction about the status of a claim.
Encoder An add-on software to practice management systems that can reduce the time it takes to build or review insurance claims before batch transmission to the carrier.
Encryption To assign a code to represent data. This is done for security purposes.
HIPAA Transaction and Code Set (TCS) rule This regulation defines the standardized methods for transmitting electronic health information. The TCS process includes any set of HIPAA-approved codes with their descriptions used to encode data elements.
National standard format (NSF) The name of the standardization of data to reduce paper and have more accurate information and efficient organization.
Password A combination of letters and numbers that each individual is assigned to access computer data.
Real time Online interactive communication between two computer systems allowing instant transfer of information.
Standard transactions The electronic files in which medical data are compiled to produce a specific format.
T-1 A T-carrier channel that can transmit voice or data channels quickly.
Taxonomy codes Numeric and alpha provider specialty codes that are assigned and classify each health care provider when transmitting electronic insurance claims.
ANSI American National Standards Institute
ASET administrative simplification enforcement tool
ASP application service provider
ASC X12 Accredited Standards Committee X12
ATM automatic teller machine
DDE direct data entry
DHHS U.S. Department of Health and Human Services
DSL digital subscriber liner
EDI electronic data interchange
EFT electronic funds transfer
EHR electronic health record
EMC electronic medical claim
EOMB explanation of Medicare benefits
ePHI electronic protected health information
ERA electronic remittance advice
HHS U.S. Department of Health and Human Services
IRS Internal Revenue Service
LMP last menstrual period
MTS Medicare Transaction System
NSF National Standard Format
PMS practice management software, practice management system
TCS HIPAA transaction and code set
UPS uninterruptible power supply
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