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the use of health information technology in physician practices ch2

Terms in this set (27)

administrative safeguards
administrative policies and procedures designed to protect electronic health information outlined by the HIPAA security rule
audit/ edit reports
a report from a clearinghouse that lists errors to be corrected before a claim can be submitted to the payer
audit trail
a report that traces who has accessed electronic information, when information was accessed, and whether any information was changed
autoposting
an automated process for entering information from a remittance advice (RA) into a practice management program
breach
the acquisition, access, use, or disclosure of unsecured PHI in a manner not permitted under the HIPAA privacy rule
clearinghouse
a company that receives claims from a provider, prepares them for processing, and transmits them to the payers in HIPAA-compliant format
CMS-1500 (08/05)
the mandated paper insurance claim form
computer-assisted coding
assigning preliminary diagnosis and procedure codes using computer software
electronic data interchange (EDI)
the exchange of routine business transactions from one computer to another using publicly available communications protocols
electronic funds transfer (EFT)
the electronic routing of funds between banks
electronic medical records (EMRs)
the computerized records of one physician's encounters with a aptient over time
electronic prescribing
the use of computer and handheld devices to transmit prescriptions in digital format
evidence-based medicine
medical care based on the latest and most accurate clinical research
health information technology (HIT)
technology that is used to record, store, and manage patient health care information
health information technology for economic and clinical health act (HITECH)
part of the american recovery and reinvestment act of 2009 that provides financial incentives to physicians and hospital to adopt EHRs and strengthens HIPAA privacy and security regulations
health insurance portability and accountability act of 1996 (HIPAA)
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
HIPAA electronic transaction and codes sets standards
regulations requiering electronic transactions such as claim transmission to use standardized formats
HIPAA privacy rule
regulations for protecting individually identifiable information about a patient's health and payment for health care that is created or received by a health care provider
HIPAA security rule
regulations outlining the minimum administrative, technical, and physical safeguards required to prevent unauthorized access to protected health care information
national provider identifier (NPI)
a stadard identifier for health care providers consisting of ten numbers
personal health records (PHRs)
private, secure electronic files that are created, maintaned, and owned by the patient
physical safeguards
mechanisms required to protect electronic system, equipment, and data from threats, environmental hazards, and unauthorized intrusion
protected health information (PHI)
information about a patient's health or payment for health care that can be used to identify the person
technical safeguards
automated processes used to protect data and control access to data
walkout statement
a document listing chaarges and payments that is given to a patient after an office visit
workflow
a set of activities designed to produce a specific outcome
X12-837 Health care claim (837P)
HIPAA standard format for electronic transmission of a professional claim from a provider to a health plan
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