companies that offer services to health care facilities that include billing processes and claims filing.
data elements used to document uniformly the reasons why patients are seen, procedures and services are provided to them during their health care encounters.
Direct data entry claims
claims that are submitted directly to an insurance carrier.
Electronic claims clearinghouse
a business entity that receives claims from several medical facilities and consolidates these claims so that one transmission containing multiple claims can be sent to each insurance carrier.
Electronic Data interchange
the electronic transfer of information in a standard format between two entities. Allows business entities to exchange information and transact business in a rapid and cost effective way.
Electronic medical record
An electronic file wherein patient's health information is stored in a computer system.
The numbers used in the administration of health care to distinguish individual health care providers, health plans, employers, and patients.
Intended to define what are appropriate and inappropriate disclosures of individually indentifiable health information, and how patient rights are to be protected.
Small providers of services
A hospital, critical access hospital, skilled nursing facility, comprehensive outpatient rehabilitation, facility, home health agency, or hospice program with less that 25 full-time equivalent employees.
The transmission of claim information over phone lines using a computer and a modem. the most common form of electronic claim transmission.
is the basic concern of EMRs
one of the most significant activities of the healthcare industry
transmitting free-format textual electronic messages from one individual to another
hipaa compliant software
To send claims electronically, the medical practice needs
The acronym for the organization enacted by congress to improve the administration of Medicare by taking advantage of the efficiencies gained through electronic claims submission
electronic transmission began in the >?
The organization created to reform health insurance and simplify the healthcare administrative process is known as?
if a medical practice chooses to submit claims electronically to an insurance carrier, it must go through>