Unit 2 Flashcards
Third party payer
insurance carrier or company
What is a Healthcare Professional?
nurse, medical assistant, or other technician who directly cares for the patient
What is a Care Provider?
A physician, physician’s assistant, dentist, psychologist, nurse practitioner, or midwife; these individuals can diagnose and give orders for diagnostic or therapeutic services.
What is a Medical Transcriptionist?
A healthcare professional who converts recorded dictation into typed report form using word processing software.
What are outguides?
these are cardboard or plastic folders that take the place of health records that have been removed from file
What is Electronic health record (EHR)?
An EHR captures more information than an EMR and is designed to be exchanged and used at any point of care, following the patient. EHRs need to meet Meaningful Use standards
What is Electronic medical record (EMR)?
An EMR provides a digital record of the traditional chart used within one location. It does not meet the certification requirements of Meaningful Use because of its limited functionality.”
What are digitized health records?
health records kept in an electronic binary format
What are Physician Extenders and what can they do?
may also give orders, and these include physicians’ assistants (PAs), certified nurse practitioners (CNPs), certified registered nurse anesthetists (CRNAs) or nurse midwives, all of whom work under the supervision of a medical doctor (MD) or doctor of osteopathy (DO).
What are Allied Health Professionals?
nvolved with the delivery of health or related services pertaining to the identification, evaluation and prevention of diseases and disorders; dietary and nutrition services; rehabilitation and health systems management, among others.
Care coordinators do what?
coordinate care of the patient and are typically nurses or social workers
Case Managers do what?
are usually nurses, but some are health information professionals or social workers. A case manager’s role is to ensure that healthcare services are not being under- or overutilized.
quantitative analysis does what?
ensures that all of the required documents are present.
Delinquent records are what?
records that remain incomplete for more than 30 days
Authentication is what?
In a paper record, the signature of the person who wrote an entry in a health record, showing authorship; in a digital environment, the security process of verifying an individual’s right to access a system or portion of it
Unit Record is what?
system in which all records for one person are filed together under one medical record number in one location.
Document imaging/scanning is what?
process of digitizing images of documents into computer readable format.
Privacy officer is what?
deals with compliance with privacy laws, etc
Encoder software is what?
tech used to assign ICD or CPT codes based on the coder’s input of terms
grouper software is what?
tech used to categorize an inpatient admission or an outpatient encounter into a payment classification
Computer assisted coding is what ?
software that improves the efficiency and quality of coding
compliance officer?
responsible for monitoring for fraud
Revenue cycle managers?
responsible for the functions that lead to and efficient, effective revenue cycle from the time a patent is registered for care until the bill is paid in full
eHealth management
the processes and policies that govern the digital collection, maintenance, and archival of data
