Charts
electronic RX's uses a computerized tool embedded in an EHR program to create and sign prescriptions
What is E-prescribing
abbreviation for electronic medical records
What is EMR
What is documentation
I can help you with the elderly and disabled
What is CMS (center for medicare and medicaid services)
What is reduces medication errors
Pictures of the inside of the body
What are radiographic images?
this is the process of converting a document from paper format to digital format
What is scanning?
the "language of medicine"
What is medical terminology
Federal mandates to protect patient information are incorporated into this
What is HIPPA
a button you click to bring down another box with options
What is drop down button/menu
The most common type of health information
What is clinical data
the ability of systems to share information in compatible formats
What is interoperability/interface.
document for share core patient health information across facilities and providers
What is continuity of care document/record?
an individuals right to control his or her personal health information
What is privacy
another way to bring up EHR site without typing the http address
What is tool bar/short cut
data elements such as temperature, pulse, and respiration would be charted as ____ data
What is clinical?
A pre-selected value or setting in an EHR that will be used unless a user specifies otherwise
What is a default
the traditional method used in the collection and storage of medical information is the ____format
What is paper based
if you are not sure that the bill will be paid you may have me sign this
What is ABN (advance beneficiary notice)
birthday and last name
What are 2 patient identifiers
it is something that should never be done to a patients documentation
What is whiteout of erase?
What is template
selecting the patient files that are least likely to be needed and storing them in another place or form
What is archiving
For insurance and quality care purposes, a procedure or service cannot be done with a valid medical reason this is know as__________________
What is medical necessity
the people who benefit from Electronic health Records
what are patients