HMP 511 Quiz 1
Terms in this set (25)
Electronic Medical Record (EMR)
An electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one healthcare organization.
Electronic Health Record (EHR)
Electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization.
Personal Health Record (PHR)
Electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual.
Balanced Score Cards
A method that examines multiple measures to evaluate the performance of a health care organization.
The process comparing one or more outcome measures against a standard.
The standardized claim form developed and overseen by NUCC.
Centers for Medicare and Medicaid Services
Government agency that covers Americans with medicare or medicaid.
Current Procedural Terminology (CPT)
Provides a uniform language for describing medical and surgical services.
Health Insurance Portability and Accountability Act (HIPAA)
The federal legislation that includes provisions to protect patient's health information.
Health Plan Employer Data and Information Set (HEDIS)
Provides quality measures for health plans
International Classification of Diseases (ICD-10)
A classification system used to capture disease data
National Provider Identifier (NPI)
A unique identification number for each HIPAA-covered health care provider
Protected Health Information (PHI)
Health information protected by HIPAA or another entity.
Uniform Ambulatory Care Data Set (ACDS)
A data set designed to improve the data collected in ambulatory and outpatient settings.
Uniform Hospital Discharge Data Set (UHDDS)
The oldest uniform data set used to provide definitions for common terms and data elements.
A standard billing form submitted for inpatient, hospital-based outpatient, home health care, and long-term care services.
Unique Patient Identifier
Information which identifies the patient and may consist of a set of personal characters by which that individual can be recognized.
Diagnosis coding errors resulting in poor handwriting or transcription errors.
Errors that can be attributed to a flaw or discrepancy in adherence to standard operating procedures or systems.
Requirement by laws and accreditation standards for health record entries, to ensure that the legal document identifies the person/persons responsible for care provided.
Gives an HCO the authority to participate in the federal Medicare and Medicaid programs.
The expectation that information shared with a health care provider during the course of treatment will be used only for its intended purpose and not disclosed otherwise.
HIPAA Privacy Rule
The first federal regulation that offers specific protection for private health information.
National Committee for Quality Assurance (NCQA)
One of the major accreditation organizations in the U.S. Developer and overseer of HEDIS.
How long to keep a patient's records. Usually decided by state law.