Chapter 6 Key Terms Flashcards
Learn the definitions of the Key Terms used within the Healthcare and IT world
Billing and Coding Software
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
Blood Pressure Cuff
A device used to measure blood pressure, also called BP cuffs, vitals cuffs or sphygmomanometer
Change Advisory Board (CAP)
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
Change Management
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
Code Blue
A code usually used to indicate a patient is in critical condition and requires immediate intervention
Consultation
When a doctor seeks the expertise of another doctor in a specialized field
Continuity of Care Document (CCD)
A version of a patient’s records for transferring relevant data. A CCD is easily read by either a person or an IS
Continuity of Care Record (CCR)
A collection of CCD’s
Controlled Substance
A drug or substance regulated by the government
Current Procedural Terminology (CPT)
Coding system maintained by the America Medical Association (AMA) to represent procedures or treatments offered by the healthcare provider
Digital Imaging and Communication in Medicine (DICOM)
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
e-Prescribing Software
Software used by physicians to electronically write prescriptions for patients
Electrocardiogram (EKG or ECG)
A test that indicates problems with the electrical activity of the heart
Electroencephalogram (EEG)
A test that measures the frequency of brain waves
Evaluation and Management (E/M) codes
Subcategory of CPT codes that used to describe the level of care provided to a patient
Examination
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
Glucose Monitor
A device used to measure the amount of glucose in the blood sample
Governance board
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
Graphics Interchange Format (GIF)
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
Joint Photographic Experts Group (JPEG)
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
Metadata
Data about data. In imaging, metadata tags files with keywords to easily search for the file
National Drug Code Identifier (NDCID)
A code assigned to each drug used by the FDA to maintain a list of drugs being produced
Node
A connection point to an IS
Nuclear Stress test
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
Optical Character Recognition (ORC)
A technology that translates printed lettering into pure text that can be searched and manipulated on a computer
Picture Archiving and Communication System (PACS)
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
Portable Document Format (PDF)
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
Portable X-ray Machine
A mobile X-ray machine that is small enough to be rolled to a patient’s room or taken to a patient’s house
Practice Management Software
Software used in small – to medium-sized medical offices for both clinical and business needs
Primary Care Physician (PCP)
A doctor who has an ongoing relationship with a patient and provides primary care for the patient
Radio Frequency Identification (RFID)
A technology that uses radio frequency to track or locate a transponder, or tag
Rapid Response
A code used when a patient is about to go into code blue
Referral
When a doctor refers a patient to go see a specialist
Scheduling Software
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
Superbill
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
Systemized Nomenclature of Medicine – clinical terms (SNOMED-CT)
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
Tagged Image File Format (TIFF)
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
Thread
The interface pipeline that connects two information systems
Ultrasound
An imaging process that uses sound waves to create a picture of the soft tissues inside the body
Vascular Stress Test
A physical test using a EKG that determines the capability of veins to return blood from lower limbs to the heart
Vitals Cuff
A device used to measure blood pressure, also called a BP cuff, vitals cuff, or sphygmomanometer
