Chapter 1 Flashcards
Health information technology
the use of computers and electronic communications to manage medical information and its secure exchange
practice management (PM) program
programs used to perform administrative and financial functions in a medical office
Electronic health record (EHR)
A computerized lifelong health care record for an individual that incorporates data from all sources that provide treatment for the individual.
Health informatics
Knowledge required to optimize acquisition, storage retrieval and use of information in health and biomedicine
Health insurance portability and accountability act of 1996
legislation that protects patients’ private health information, ensures health care coverage when workers change or lose jobs.
Standards
technical specifications for the electronic exchange of informations
Electronic prescribing
a technology that enables a physician to transmit a prescription electronically to a patients pharmacy
Physician quality reporting initiative (PQRI)
a medicare program that gives bonuses to physicians when they use treatment plans and clinical guidelines that are based on scientific evidence
American recovery reinvestment act of 2009 (ARRA)
a 787 billion economic stimulus bill passed in 2009 that allocates 19.2billion to promote the use of HIT
Meaningful use
the utilization of certified EHR technology to improve quality, efficiency, and patient safety in the health care system.
regional extension centers (RECs)
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.
Health information exchange (HIE)
a network that enables the sharing of health-relating information among provider organizations according to nationally recognized standards.
National Health information network (NHIN)
a common platform for health information exchange across the country
Integrated PM/EHR programs
programs that share and exchange demographic information, appointment schedules and clinical data
Encounter
that meeting of a patient with a physician of other medical professional for the purpose of providing health care
Patient examination
examination of a persons body in order to determine his or her state of health.
documentation
the record created when a physician provides treatment to a patient
Medical record
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
Continuity of care
coordination of care received by a patients over time and access multiple health care providers
Medical malpractice
Provision of medical services at the less than an acceptable level of professional skill that results in injury or harm to a patient
Pay for performance (P4P)
provision of financial incentive to physicians who provide evidence- based treatments to their patients
Electronic medical record (EMR)
computerized record of one physician’s encounters with a patients over time
Personal health records (PHRs)
private, secure electronic health care files that are created maintained an owned by the patient
Cash flow
the movement of monies into and out of a business
Medical documentation and billing cycle
a ten- step process that results in timely payment for medical services
Diagnosis codes
a codes that represents the physicians determination of a patients primary illness
Procedure codes
codes that represents the particular service treatment or test provided by a physician
Medical necessity
treatment this is in accordance with generally accepted medical practice
accounts receivable
monies that are coming into a practice
Revenue cycle management (RCM)
management of the activities associated with a patient encounter to ensure that the provider receives full payment for services
Data warehouse
a collection of data that includes all areas of an organization’s operations
Data mining
process of analyzing large amount of data to discover patterns or knowledge
Records retention schedule
plan for the management of records that lists management of records and indicates how long they should be kept
Medical assistant (MA)
health care professional who performs both administrative and certain clinical tasks in physician offices.
Medical biler
health care professional who performs administrative tasks throughout the medical billing cycle
Medical coder
medical office staff member with specialized training who handles the diagnostic and procedural coding of medical records.
Certification
a notionally recognized designation that acknowledges that an individual has mastered a standard body of knowledge and meets certain competencies.
