HIT Chap 16 terms
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Administrative Simplification and Compliance Act (ASCA) | an act under HIPAA that requires health plans and healthcare clearinghouses to use a certain standard transaction formats and code sets for the electronic transmission of health information
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| Billing Services | companies that offer services to health care facilities that include billing processes and claims filing
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| Direct Data Entry Claims (DDE) | claims that are submitted directly to the insurance carrier
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| Electronic Claims Clearinghouse | a business entity that receives claims from several medical facilities and consolidates these claims so that one transmission containing multiple claims can be sent to each insurance carrier.
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| Electronic Data Interchange (EDI) | the electronic transfer of information in a standard format between two entities
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| Electronic Funds Transfer (EFT) | a system wherein money is moved electronically between accounts or organizations
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| Electronic Medical Record (EMR) | an electronic file wherein patients’ heath information is stored in a computer system
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| Electronic Remittance Advice (ERA) | electronic form sent by Medicare to the provider that explains how payment was determined for the claim.
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| Enrollment process | process which medical offices usually must go through before they can submit claims to an insurance carrier.
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| Identifiers | numbers used in the administration of health care to distinguish individual health care providers, health plans, employers, and patients
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| Privacy Standards | define what are appropriate and inappropriate disclosures of individually identifiable health information
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| Telecommunication | the transmission of claim information over phone line using a computer and a modem
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