Chapter 6 Key Terms Flashcards

Learn the definitions of the Key Terms used within the Healthcare and IT world

1
Q

Billing and Coding Software

A

Software that receives data from a patient’s HER/EMR, converts the data into billable items, and submits the bill to the insurance company for reimbursement

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2
Q

Blood Pressure Cuff

A

A device used to measure blood pressure, also called BP cuffs, vitals cuffs or sphygmomanometer

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3
Q

Change Advisory Board (CAP)

A

The board within the IT Company that decides if a change management request is a benefit to the company or a liability, also called a governance board

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4
Q

Change Management

A

The board within the IT Company that decides if a change management request is a benefit to the company or a liability, also called a governance board

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5
Q

Code Blue

A

A code usually used to indicate a patient is in critical condition and requires immediate intervention

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6
Q

Consultation

A

When a doctor seeks the expertise of another doctor in a specialized field

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7
Q

Continuity of Care Document (CCD)

A

A version of a patient’s records for transferring relevant data. A CCD is easily read by either a person or an IS

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8
Q

Continuity of Care Record (CCR)

A

A collection of CCD’s

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9
Q

Controlled Substance

A

A drug or substance regulated by the government

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10
Q

Current Procedural Terminology (CPT)

A

Coding system maintained by the America Medical Association (AMA) to represent procedures or treatments offered by the healthcare provider

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11
Q

Digital Imaging and Communication in Medicine (DICOM)

A

The healthcare industry standard for medical digital imaging. DICOM is designed specifically for image handling, storing, printing, or transmitting. The file extension for this format is .dcm

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12
Q

e-Prescribing Software

A

Software used by physicians to electronically write prescriptions for patients

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13
Q

Electrocardiogram (EKG or ECG)

A

A test that indicates problems with the electrical activity of the heart

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14
Q

Electroencephalogram (EEG)

A

A test that measures the frequency of brain waves

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15
Q

Evaluation and Management (E/M) codes

A

Subcategory of CPT codes that used to describe the level of care provided to a patient

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16
Q

Examination

A

When a healthcare provider evaluates a patient and his medical conditions. This might include test for a complete understanding of the cause of symptoms, also called exam

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17
Q

Glucose Monitor

A

A device used to measure the amount of glucose in the blood sample

18
Q

Governance board

A

The board within an IT company that decides if a change management request is a benefit to the company or a liability, also called change control

19
Q

Graphics Interchange Format (GIF)

A

An image file format that supports data compression and animation. GIF supports 256 colors, so some quality is lost on colored images. The file extension for this format is .gif

20
Q

Joint Photographic Experts Group (JPEG)

A

An image file format that supports data compression. JPEG supports up to 16 million colors, but when compressed, the image loses clarity and sharpness. JPEG is generally used on the Internet. The file extension for this format is .jpg

21
Q

Metadata

A

Data about data. In imaging, metadata tags files with keywords to easily search for the file

22
Q

National Drug Code Identifier (NDCID)

A

A code assigned to each drug used by the FDA to maintain a list of drugs being produced

23
Q

Node

A

A connection point to an IS

24
Q

Nuclear Stress test

A

A test using both two PET scans and a vascular stress test to test how well the blood flows through the heart of a patient

25
Q

Optical Character Recognition (ORC)

A

A technology that translates printed lettering into pure text that can be searched and manipulated on a computer

26
Q

Picture Archiving and Communication System (PACS)

A

An information system designed to store and retrieve different formats of medical imaging in one location, as well as communicate PACS images to other information systems

27
Q

Portable Document Format (PDF)

A

A widely used file format developed by Adobe Systems used to present digital documents in a printable view on a monitor. PDF viewers or editors made by many software companies. The file extension for this format is .pdf

28
Q

Portable X-ray Machine

A

A mobile X-ray machine that is small enough to be rolled to a patient’s room or taken to a patient’s house

29
Q

Practice Management Software

A

Software used in small – to medium-sized medical offices for both clinical and business needs

30
Q

Primary Care Physician (PCP)

A

A doctor who has an ongoing relationship with a patient and provides primary care for the patient

31
Q

Radio Frequency Identification (RFID)

A

A technology that uses radio frequency to track or locate a transponder, or tag

32
Q

Rapid Response

A

A code used when a patient is about to go into code blue

33
Q

Referral

A

When a doctor refers a patient to go see a specialist

34
Q

Scheduling Software

A

Software used to schedule services offered that might include features that can reserve rooms, procedures, and personnel based on the type of procedure or service

35
Q

Superbill

A

An itemized form used by healthcare providers to indicate services rendered. The superbill is the primary source for creating a claim to be sunmitted to the payer

36
Q

Systemized Nomenclature of Medicine – clinical terms (SNOMED-CT)

A

A medical terminology standard used internationally to create consistency in keywords in medical documentation. SNOMED-CT technology translates several ways to describe the same medical term into a single code

37
Q

Tagged Image File Format (TIFF)

A

A widely supported image file format. TIFF images can be any reso;ution, color, or grayscale. The file extension for this format is .tif or .tiff

38
Q

Thread

A

The interface pipeline that connects two information systems

39
Q

Ultrasound

A

An imaging process that uses sound waves to create a picture of the soft tissues inside the body

40
Q

Vascular Stress Test

A

A physical test using a EKG that determines the capability of veins to return blood from lower limbs to the heart

41
Q

Vitals Cuff

A

A device used to measure blood pressure, also called a BP cuff, vitals cuff, or sphygmomanometer