Computerized Billing Simulation
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Created by:
GarySmith83 on October 31, 2011
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11 terms
Terms | Definitions |
|---|---|
 Breach | the aquisition, access, use, or disclosure of unsecured PHI in a manner not permitted under HIPPA Privacy Rule |
| Clearinghouse | a company that recieves claims from a provider, prepares them for processing, and transmits them to the payers in HIPAA-compliant format |
| Electronic Prescribing | the use of computers and hand-held devices to transmit prescriptions in digital format |
| Computer-assisted coding | assigning preliminary diagnosis and procedure codes using computer software |
| CMS-1500 | the universal claim form used for all professional billing |
| Electronic Medical Records | the computerized records of one physician's encounter with a pt over time |
| Health Information Technology | technology that is used to record, store and manage patient health care information |
| Health Insurance Portability and Accountability Act of 1996 | Federal act that set forth guidelines for standardizing the electronic data interchange of administrative and financial transactions. exposing fraud and abuse in government programs, and protecting the security and privacy of health information |
| National Provider Identifier | under HIPAA, unique 10-digit identifier assigned to each provider by the National Provider System |
| Personal Health Record | private, secure electronic files that are created, maintained, and owned by the patient |
| Protected Health Information | info about a patient's past, present, or future physical or mental health or payment for health care that can be used to identify the person. |
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