IHMO chapter 8
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44 terms
Terms | Definitions |
|---|---|
 accredited standars committee x12 | the U.S. standards body formed by the American National Standards Institute for cross-industry development, maintenance, and publication of electronic data exchange standards |
| application service provider | a practice management system available over the internet in which data are housed on the server of the ASP but the accounts are managed by the health care providers staff |
| back up | a duplicate data file |
| business associate agreement | contract between the provider and a clearinghouse that submits the electronic claims on behalf of the provider |
| cable modem | a modem used to connect a computer to a cable television system that offers online services |
| clearinghouse | an independent organization that receives insurance claims from the physician's office, performs software edits, and redistributes the clams electronically to various insurance companies |
| code sets | any set of codes with their descriptions used to encode date elements such as tables of terms, medical concepts, medical diagnostic codes, or medical procedure codes |
| covered entity | an entity that transmits health information in electronic form in connection with a transaction covered by HIPAA |
| data elements | medical code sets used uniformly to document why patients are seen and what is done to them during their encounter procedure |
| digital subscriber line | a high-speed connection through a telephone line jack and usually a means of accessing the internet |
| direct data entry | keying claim information directly into the payer system by accessing over modem dial-up or DSL |
| electronic data interchange | the process by which understandable data items are sent back and forth via computer linkages between two or more entities that function alternatively as sender and receiver |
| electronic funds transfer | a paperless computerized system enabling funds to be debited, credited, or transferred, eliminating the need for personal handling of checks |
| electronic remittance advice | an online transaction about the status of a claim |
| encoder | an add-on software to practice management systems that can reduce the time it takes to build or review insurance claims before batch transmission to the carrier |
| encryption | to assign a code to represent data, this is done for security purposes |
| HIPAA transaction and code set rule | this regulation under HIPAA defines the standardized methods for transmitting electronic health information |
| national standard format | the name of the standardization of data to reduce paper and have more accurate information and efficient organization |
| password | a combination of letters and numbers that each individual is assigned to access computer data |
| real time | online interactive communication between two computer systems allowing instant transfer of information |
| standard transactions | the electronic files in which medical data are compiled to produce a specific format |
| T-1 | a T-carrier channel that can transmit voice or data channels quickly |
| taxonomy codes | numeric and alpha provider specialty codes that are assigned and classify each health care provider when transmitting electronic insurance claims |
| ANSI | American National Standards Institute |
| ASC x12 | Accredited Standards Committee x12 |
| ASET | administrative simplification enforcement tool |
| ASP | application service provider |
| ATM | automatic teller machine |
| DDE | direct data entry |
| DSL | digital subscriber liner |
| EDI | electronic data interchange |
| EFT | electronic funds transfer |
| EHR | electronic health record |
| EMC | electronic medical claim |
| EOMB | explanation of Medicare benefits |
| ePHI | electronic protected health information |
| ERA | electronic remittance advice |
| HHS | U.S. Department of Health and Human Services |
| IRS | internal revenue service |
| MTS | medicare transaction system |
| NSF | nonsufficient funds |
| PMS | practice management software, practice management system |
| TCS rule | HIPAA transaction and code set |
| UPS | uinterruptible power supply |
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