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44 terms

IHMO chapter 8

terms and abbreviations
STUDY
PLAY
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