Term | Definition |
Abstract | To condense a record |
Clearinghouse | A company that processes health information - serves as a middleman between physicians and billing entities |
EHR | Electronic healthcare records - interoperability for EMR - ability to share medical records with other medical facilities |
EMR | Electronic medical record - a patients records in digital format |
HIPAA | Health insurance portability and accountability act (1996) - protects patient information and security for electronically transmitting pt data |
Meaningful use | Incentive program that governs use of EHR - ensures EMR are being used in a meaningful way |
Scrub | To verify technical and coding accuracy before claims are filed so that claims won't be rejected |
Squelae | An after effect of a disease, condition or injury - secondary result |
Sustainability | The responsible use of resources |
Workflow | How tasks are performed throughout the office. |
CHHIT | certification commission for health information technology - not-for-profit organization to certify electronic medical record software, certifies EHR |
classification systems | organize related terms into categories for retrieval |
CPOE | computer physician order entry - application used by physicians and other health care providers to enter pt care information |
ePHI | electronic protectedd health information - PHI that is created in electronic form |
ICD | international classification of diseases - 3-5 digit codes representing medical conditions, signs, symptoms - diagnosis codes |
LOINC | logical observation identifiers names and codes - universal code system for identifying laboratory and clinical observations |
NDC | national drug code - code that identifies all medications recognized by FDA |
PHI | protected health information - individually identifiable health information |
TPO | treatment, payment and operations - conditions under which PHI can be released without consent from pt |