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18 terms

Med. office Ch.2

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audit/ edit report
a report that lists errors in a claim
protected health information (PHI)
information 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
clearinghouse
an organization that receives claims from a provider, checks and prepares them for processing, and transmits them to insurance carriers in a standardized format
electronic prescribing
the use of computers and handheld devices to write and transmit prescriptions to a pharmacy in a secure digital format
national provider identifier (NPI)
a national standard identifier for all health care providers consisting of ten numbers
electronic data interchange (EDI)
the transfer of business transactions from one computer to another using communications protocols
practice management program (PMP)
a sfotware program that automates many of the administrative and financial tasks required to run a medical practice
electronic medical records (EMR)
the electronic collection and management of health information
HIPAA Security Rule
regulations outlining the minimum safeguards required to prevent unauthorized access to electronic health care information
HIPAA Electronic Transaction and Code Sets standards
regulations that require electronic transactions to use standardized formats
information technology (IT)
computer hardware and software system
walkout statement
a document listing charges and payments that is given to a patient after an office visit
X12-837 Health Care Claim (837P)
the electronic format of the claim used by physicians' offices to bill for services
information is easy to find, reduces errors, more than one person at one time can use, less storage space needed, database is more efficient
5 advantages of using computers in a medical practice
administrative
the HIPAA Security Rule specifies the ......... , technical, and physical safeguards required to prevent unauthorized access to health care information
X-rays
electronic medical records are used to record data such as physician's reports of examinations, surgical procedures, test results, and ...
passwords
many medical offices assign ..... to individuals who have access to computer data as a security measure
audit/edit
.......... reports are designed to provide payers with "clean" claims, thus reducing the number of claim rejections due to missing or incorrect data