Electronic Health Records Chapter 1

  1. Accounts Receivable
    moneys that are coming into a practice
  2. American Recovery and Reinvestment Act of 2009 (ARRA)
    a $787 billion economic stimulus passed in 2009 that allocates $19.2 billion to promote the use of health information technology
  3. Cash Flow
    the movement of money into and out of a business
  4. Certification
    a nationally recognized designation that acknowledge that an individual has mastered standard body of knowledge and meets certain competencies
  5. Continuity of Care
    coordination of care received by a patient overtime an across multiple health care providers
  6. Data mining
    the process of analyzing large amounts of data to discover patterns or knowledge
  7. Data Warehouse
    a collection of data that includes all areas of organization's operations
  8. Diagnosis Code
    a code that represent the physician's determination of a patient's primary illness
  9. Documentation
    The record created when physician provides treatment to a patient
  10. Electronic Health Records (EHR)
    A computerized liflong health care record for an individual that incorporates data from all sources that provides treatment for the individual
  11. Electronic Medical Record (EMR)
    Computerized record of one physician's encounters with a patient over time.
  12. Electronic Prescribing
    A technology that enables a physician to transmit a prescription electronically to a patient's pharmacy.
  13. Encounter
    The meeting of a patient with a physician or other medical professional for the purpose of providing health care (also known as a visit)
  14. Health Informatics
    Knowledge required to optimize the acquisition, storage, retrieval, and use of the information in health and biomedicine.
  15. Health Information Exhange (HIE)
    A network that enables the sharing of health-related information among provider organizations according to nationally recognized standards
  16. Health Insurance Portability and Accountability Act of 1996 (HIPAA)
    Legislation that protects patient's private health information, ensures health care coverage when workers change or lose jobs, and uncovers fraud and abuse in the health care
  17. Health Information Technology (HIT)
    The use of computers and electronic communications to manage medical information and its secure exchange
  18. Integrated PM/EHR programs
    Programs that share and exchange demographic information, appointment schedules, and clinical data
  19. Meaningful Use
    The utilization of certified EHR technology to improved quality, efficiency, and patient safety in the health care system
  20. Medical Assistant (MA)
    Health care professional who performs both administrative and certain clinical tasks in physician offices
  21. Medical Biller
    Health care professional who performs administrative tasks throughout the medical billing cycle
  22. Medical Coders
    Medical office staff member with specialized training who handles the diagnostic and procedural coding of medical records
  23. Medical Documentation and Billing Cycle
    A ten-step process that results in timely payment for medical services
  24. Medical Malpractice
    The provision of medical services at a less than acceptable level of professional skill those results in injury or harm to a patient
  25. Medical Necessity
    Treatment that is in accordance with generally accepted medical practice
  26. Medical Record
    a chronological health care record that includes information that the patient provides, such as medical history, as well as the physician's assessment, diagnosis, and treatment plan
  27. National Health Information Network (NHIN)
    A common platform for health information exchange across the country
  28. Patient Examination
    An examination of a person's body in order to determine his or her state of health
  29. Pay for Performance (P4p)
    Provision of financial incentives to physicians who provide evidence-based treatments to their patients.
  30. Personal Health Record (PHR)
    Private, secure electronic health care files that are created, maintained, and owned by the patient
  31. Physician Quality Reporting Initiative (PQRI)
    A medicare program that gives bonuses to physicians when they use treatment plans and clinical guidelines that are based on scientific evidence
  32. Practice Management (PM) programs
    Program used to perform administrative and financial functions in a medical office
  33. Procedure Code
    A code that represents the particular service, treatment, or test provided by a physician
  34. Records retention schedule
    A plan for the management of records that lists types of records and indicates how long they should be kept
  35. Regional Extension Centers (RECs)
    Centers that offer information, guidance, training, and support services to primary care providers who are in the process of making the transition to an EHR system
  36. Revenue Cycle Management(RCM)
    Management of the activities associated with a patient encounter to ensure that the provider receives full payment for services
  37. Standads
    Technical specifications for the electronic exchange of information
Card Set
Electronic Health Records Chapter 1