Chapter 1

Question 1

Health information technology

Answer 1

the use of computers and electronic communications to manage medical information and its secure exchange

Question 2

practice management (PM) program

Answer 2

programs used to perform administrative and financial functions in a medical office

Question 3

Electronic health record (EHR)

Answer 3

A computerized lifelong health care record for an individual that incorporates data from all sources that provide treatment for the individual.

Question 4

Health informatics

Answer 4

Knowledge required to optimize acquisition, storage retrieval and use of information in health and biomedicine

Question 5

Health insurance portability and accountability act of 1996

Answer 5

legislation that protects patients’ private health information, ensures health care coverage when workers change or lose jobs.

Question 6

Standards

Answer 6

technical specifications for the electronic exchange of informations

Question 7

Electronic prescribing

Answer 7

a technology that enables a physician to transmit a prescription electronically to a patients pharmacy

Question 8

Physician quality reporting initiative (PQRI)

Answer 8

a medicare program that gives bonuses to physicians when they use treatment plans and clinical guidelines that are based on scientific evidence

Question 9

American recovery reinvestment act of 2009 (ARRA)

Answer 9

a 787 billion economic stimulus bill passed in 2009 that allocates 19.2billion to promote the use of HIT

Question 10

Meaningful use

Answer 10

the utilization of certified EHR technology to improve quality, efficiency, and patient safety in the health care system.

Question 11

regional extension centers (RECs)

Answer 11

centers that ofter information, guidance, training and support services to primary care providers who are in the process of making the transition to an EHR system.

Question 12

Health information exchange (HIE)

Answer 12

a network that enables the sharing of health-relating information among provider organizations according to nationally recognized standards.

Question 13

National Health information network (NHIN)

Answer 13

a common platform for health information exchange across the country

Question 14

Integrated PM/EHR programs

Answer 14

programs that share and exchange demographic information, appointment schedules and clinical data

Question 15

Encounter

Answer 15

that meeting of a patient with a physician of other medical professional for the purpose of providing health care

Question 16

Patient examination

Answer 16

examination of a persons body in order to determine his or her state of health.

Question 17

documentation

Answer 17

the record created when a physician provides treatment to a patient

Question 18

Medical record

Answer 18

a chronological health care record that includes information that the patients provides such as medical history, as well as the physicians assessment, diagnosis and treatment plan

Question 19

Continuity of care

Answer 19

coordination of care received by a patients over time and access multiple health care providers

Question 20

Medical malpractice

Answer 20

Provision of medical services at the less than an acceptable level of professional skill that results in injury or harm to a patient

Question 21

Pay for performance (P4P)

Answer 21

provision of financial incentive to physicians who provide evidence- based treatments to their patients

Question 22

Electronic medical record (EMR)

Answer 22

computerized record of one physician’s encounters with a patients over time

Question 23

Personal health records (PHRs)

Answer 23

private, secure electronic health care files that are created maintained an owned by the patient

Question 24

Cash flow

Answer 24

the movement of monies into and out of a business

Question 25

Medical documentation and billing cycle

Answer 25

a ten- step process that results in timely payment for medical services

Question 26

Diagnosis codes

Answer 26

a codes that represents the physicians determination of a patients primary illness

Question 27

Procedure codes

Answer 27

codes that represents the particular service treatment or test provided by a physician

Question 28

Medical necessity

Answer 28

treatment this is in accordance with generally accepted medical practice

Question 29

accounts receivable

Answer 29

monies that are coming into a practice

Question 30

Revenue cycle management (RCM)

Answer 30

management of the activities associated with a patient encounter to ensure that the provider receives full payment for services

Question 31

Data warehouse

Answer 31

a collection of data that includes all areas of an organization’s operations

Question 32

Data mining

Answer 32

process of analyzing large amount of data to discover patterns or knowledge

Question 33

Records retention schedule

Answer 33

plan for the management of records that lists management of records and indicates how long they should be kept

Question 34

Medical assistant (MA)

Answer 34

health care professional who performs both administrative and certain clinical tasks in physician offices.

Question 35

Medical biler

Answer 35

health care professional who performs administrative tasks throughout the medical billing cycle

Question 36

Medical coder

Answer 36

medical office staff member with specialized training who handles the diagnostic and procedural coding of medical records.

Question 37

Certification

Answer 37

a notionally recognized designation that acknowledges that an individual has mastered a standard body of knowledge and meets certain competencies.