an independent organization that recieves insurance claims from physicians office, perfoms software edits and redistributes the claims electronically to various insurance carriers

any set of codes that their dicription usedt o encode data elements sucha s tables of terms, medical concept, medical diagnostic codes or medical procedures codes

an entity that transmits health information in electronic form in connective with a transaction covered by HIPPAA

medical codes sets used unifomly to document why patients are seen and what is done to them during the encounter

digital subscriber line

a high-speed connecdtion through a telephone line jack and usually mean of accessing the internt

keying claims information directly into the layer system by accessing over modem dial-up or DSL

electronic data intercharge

the process by which understandable data items are sent back and forth via computer linkages between two or more entities that funcion alternatively as sender and receiver

electrnoc funds transfer

a paper less computerized system enabling funds to be debited credited or transferred eliminating the need for personal handling of checks

electronic remittrance advide

an online transaction about the status of a claim

to assign a code to represent data

HIPAA transaction code set rule

this regulation under HIPAA defines the standerized methods for transmitting electronic health information

national standard format

the name of the standerization of data to reduce paper and have more accurate infomation and effecient organization

online interactive communication between two computer systems allowing instant tranfer of infomation

trading partner agreement

contract between the provider and a clearinghouse that submits theelectronic claims on behalf of the provder

the perfomance of services and procedures that are consitant with the diagnosis in accordance with standers of good medical practice

word used to look up the code correctly the first time for ICD-9 disease sign and symptoms

a medical condition persisting over a long perion of time

a medical contiion that runs a short but relatively severe corse

add on software to practive management systems that can reduce the time it takes to bill or review insurance claims before batch transmission to the carrier

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MOD4010 W2 1/2

TERMINOLOGY

Question	Answer
clearing house	an independent organization that recieves insurance claims from physicians office, perfoms software edits and redistributes the claims electronically to various insurance carriers
code set	any set of codes that their dicription usedt o encode data elements sucha s tables of terms, medical concept, medical diagnostic codes or medical procedures codes
covered entity	an entity that transmits health information in electronic form in connective with a transaction covered by HIPPAA
date elemtns	medical codes sets used unifomly to document why patients are seen and what is done to them during the encounter
digital subscriber line	a high-speed connecdtion through a telephone line jack and usually mean of accessing the internt
diract data entry	keying claims information directly into the layer system by accessing over modem dial-up or DSL
electronic data intercharge	the process by which understandable data items are sent back and forth via computer linkages between two or more entities that funcion alternatively as sender and receiver
electrnoc funds transfer	a paper less computerized system enabling funds to be debited credited or transferred eliminating the need for personal handling of checks
electronic remittrance advide	an online transaction about the status of a claim
encryption	to assign a code to represent data
HIPAA transaction code set rule	this regulation under HIPAA defines the standerized methods for transmitting electronic health information
national standard format	the name of the standerization of data to reduce paper and have more accurate infomation and effecient organization
real time	online interactive communication between two computer systems allowing instant tranfer of infomation
trading partner agreement	contract between the provider and a clearinghouse that submits theelectronic claims on behalf of the provder
medical necessity	the perfomance of services and procedures that are consitant with the diagnosis in accordance with standers of good medical practice
root word	word used to look up the code correctly the first time for ICD-9 disease sign and symptoms
chronic	a medical condition persisting over a long perion of time
acute	a medical contiion that runs a short but relatively severe corse
encoder	add on software to practive management systems that can reduce the time it takes to bill or review insurance claims before batch transmission to the carrier

Created by: elvira.ruiz

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