Organizing Charts pt. 1
Direct Filing System
What is a system in which the only information needed for filing and retrieval is a patient's name
Numeric color coding
The terms EHR and EMR are established and defined by this group
What is the National Alliance for Health Information Technology or NAHIT
The amount the patient must pay before insurance pays anything.
What is a deductible
Model in which providers set the fees for procedures and services
What is a fee-for-service model
Cross Reference
Reference to corresponding information in a separate location
What is subject filing.
This is also known as the Privacy Rule
What is a HIPAA rule that establishes protections for the privacy of individual's health information.
Coinsurance is this
What is a form of cost-sharing that kicks in after the deductible has been met. A typical balance is 80% paid by the insurance company and 20% paid by the patient.
Resource-based relative value scale (RBRVS) is this
What is a system that provides national uniform payments after adjustments across all practices throughout the country
A numeric filing system allows unlimited expansion, provides additional confidentiality to the chart and saves time retrieving and refiling records.
What are advantages of a numeric filing system
An electronic record of health-related information about a patient is called this.
EHR or Electronic health record
Documents or bits of information that identify the person or give enough information to identify a specific individual
What is individually identifiable health information
A statement in the medical office is defined as this
What is request for payment
Fee Schedules for a provider are determined by this equation
What is Physician Work + Malpractice Expense + Medical Practice Expense X Conversion Factor
In this system, patients are given consecutive numbers as they join the practice
What is a straight or consecutive numeric system
EHR's must confirm to these standards when being created by an AMA at a provider's office
What is a nationally recognized interoperability standard. The EHR must be able to be read by more than one health care organization.
This term is part of the accountant's responsibilities, including recording, classifying and summarizing financial transactions
What is bookkeeping
EOB
What is an Explanation of Benefits. The EOB is a record of a patient's fees
The guarantor may be one in the same as the patient
What is the person or entity responsible for the remaining payment of services after insurance has paid
Terminal Digit system
What is a system in which patients are assigned consecutive numbers, but the digits in the number are usually separated into groups of twos or threes.
An EMR is this
What is an electronic medical record of health information that is created, added to, managed and reviewed by an authorized staff and provider within a SINGLE HEALTH CARE organization.
An encounter form is a document of this
Data about elements of a patient visit that can become part of a patient record or be used for management purposes.
The maximum limit that the insurance carrier will pay a provider
What is called an allowable charge or allowable amount.
This body of legislature who controls conversion factors
What is Congress. The Congress changes the conversion factors annually at the request of CMS