A computerized lifelong health care record for an individual that incorporates data from ALL sources that provide treatment for the individual
What is electronic health record (EHR)?
100
The movement of monies into and out of a business.
What is cash flow?
100
The first step in the medical documentation and billing cycle that gathers necessary patient information at the time the patient's appointment is made over the phone or through the internet.
What is preregistration?
100
A document sent to the patient's health plan that shows the patient's medical diagnosis, procedures performed, and the date and location of the encounter. This is sent to the health plan for payment.
What is an insurance claim?
100
Legislation that protects patients' private health information, ensures health care coverage when workers change or lose jobs, and uncovers fraud and abuse in the health care system.
What is the Health Insurance Portability and Accountability Act of 1996 (HIPAA)?
200
A technology that enables a physician to transmit a prescription electronically to a patient's pharmacy
What is electronic prescribing?
200
Monies that are coming INTO a practice.
What is accounts receivable (A/R)?
200
Step in the medical billing and documentation cycle where the patient is asked to complete or update patient information forms, provide his or her photo ID and insurance card, and to collect any account balance or copayment.
What is check in?
200
A code that represents the particular service, treatment, or test provided by a physician that is selected from the Current Procedural Terminology.
What is a procedure code?
200
Program that provides financial incentives for practitioners who use electronic prescribing (e-prescribing).
What is the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA)?
300
The utilization of certified EHR technology to improve quality, efficiency, and patient safety in the health care system.
What is meaningful use?
300
A fixed fee, under the policy of the patient's health plan, that is always collected at the time of service.
What is a copayment?
300
The last step of the medical billing and documentation cycle that occurs while the patient is still in the office. This is where any follow up work is scheduled.
What is check out?
300
The patient's primary complaint is assigned one of these from the International Classification of Diseases, Ninth Revision, Clinical Modification, or ICD-9-CM.
What is diagnosis code?
300
In order for a provider to be eligible for financial incentives under the HITECH Act, they must demonstrate this of technology.
What is meaningful use?
400
The use of computers and electronic communications to manage medical information and its secure exchange.
What is health information technology (HIT)?
400
Medical office staff member with specialized training who handles the diagnostic and procedural coding of medical records.
What is a medical coder?
400
Step in the medical billing and documentation cycle where charges are billed to the patient after his or her insurance company sends a payment or denial to the provider.
What is generate patient statements?
400
When Jane's insurance company received the claim for her visit with Dr. Smith, they determined that her diagnosis and documented medical services were not logically connected, therefore the services billed did not meet...
What is medical necessity?
400
A Medicare program that gives bonuses to physicians when they use treatment plans and clinical guidelines that are based on scientific evidence.
What is the Physician Quality Reporting Initiative (PQRI)?
500
Programs that share and exchange demographic information, appointment schedules, and clinical data. These programs increase patient safety, improve the quality of patient care, and reduce operating costs.
What is integrated PM/EHR programs?
500
A partial payment of the office visit charges; a percentage determined by the insurance company.
What is co-insurance?
500
The last step in the medical billing and documentation cycle where the practice tracks A/R and produces financial reports.
What is follow up payments and collections?
500
A process that consists of a series of steps designed to determine whether the payer should pay in full, partially pay, or deny a claim.
What is adjudication?
500
An economic stimulus bill passed in 2009 that allocates $19.2 billion to promote the use of HIT (Health Information Technology).
What is the American Recovery and Reinvestment Act of 2009 (ARRA)?