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13 terms

Medisoft chapter 2 terms

STUDY
PLAY
information technology
development, management, and support of computer-based hardware and software systems
database
a collection of related facts
electronic medical record
electronic collection and management of health data
HIPAA security rule
regulations outlining the minimum administrative, technical, and physical safeguards required to prevent unauthorized access to protected health care information
electronic data interchange
the exchange of routine business transactions from one computer to another using publicly available communications protocals
HIPAA transaction and code sets standards
regulations requiring electronic transactions such as claim transmission to use standardized formats
electronic funds transfer
a system that transfers money electronically
X12-837 health care claim
HIPAA standard format for electronic transmission of a professional claim from a provider to a helath plan
clearinghouse
a service company that recieves electronic or paper claims from the provider, checks and prepares them for processing, and transmits them in HIPAA-complaint format to the correct carriers
edit
a computer logic system that compares information on a claim for consistency
audit/edit report
a report from a clearinghouse that lists errors to be corrected before a claim can be submitted to the payer
business associate
an organization providing services to a health care provider that involve processing protected health information
walkout statement
a document listing charges and payments that is given to a patient after an office visit