Computers in the Medical Office CIMO chapters 1-5

technology that is used to record, store, and manage patient healthcare information

software programs that automate many of the administrative and financial tasks in a medical practice

verify ins, organize pt and payer info, generate and transmit claims, monitor status of claims, record payments from pt and payer, generate statements - post payments - update accts, managing collections activities, create financial and productivity reports

a computerized life-long healthcare record for an individual that incorporates data from all providers who treat the individual

a record of healthcare encounters between the provider and the patient

the computerized records of one physician's encounters with a patient over time.

private, secure electronic files that arer created, maintained, and owned by the patient.

the use of computers and handheld devices to transmit prescriptions in digital format

Safety, Quality, Efficiency

a ten-step process that results in timely payment for medical services.

a form that includes a patient's personal, employment and insurance data needed to complete an insurance claim.

physician's opinion of the nature of the patient's illness or injury

medical treatment provided by a physician or other healthcare provider

the process of translating a description of a diagnosis or procedure into a standardized code.

a standardized value that represents a patient's illness, signs, and symptoms

abbreviated title of International Classification of Diseases, Ninth Revision, Clinical Modification, the source of codes used for reporting diagnoses until October 1, 2015

abbreviated tital of International Classification of Diseases, Tenth Reviwion, Clinical Modification, which will be used beginning on October 1, 2015

a code that identifies a medical service

the standardized classification system for reporting medical procedures and services

codes used for supplies, equipment, and services not included in the CPT codes

a list of the procedures and diagnoses for a patient's visit

a company that receives claims from a provider, prepares them for processing, and transmits them to the payers in the required format

the series of steps that determine whether a claim should be paid

a document that lists the amount that hsas been paid on each claim as well as the reasons for nonpayment or partial payment

paper document from a payer that shows how the amount of a benefit was determined

managing the activities associated with a patient encounter to ensure that the provider receives full payment for services

federal act that set forth guidlines for standardizing the electronic data interchange of administrative and financial transaactions, exposing fraud and abuse in government programs, and protecting the security and privacy of health information

the exchange of routine business transactions from one computer to another using publicly available communications protocols

a standard identifier for healthcare providers consisting of ten numbers

regulations for protecting individually identifiable information about a patient's health and payment for healthcare that is created or received by a healthcare provider

information about a patient's health or payment for healthcare that can be used to identify the person

regulations outlining the minimum administrative, technical, and physical safeguards required to prevent unauthorized access to protected information

a report that traces who has accessed electronic information, when information was accessed, and whether any information was changed

part of the American Recovery and Reinvestment Act of 2009 that provides financial incentives to physicians and hospitals to adopt EHRs adn strengthens HIPAA privacy and security regulations

the utilization of certified EHR technology to improve quality, efficiency, and patient safety in the healthcare system

centers that offer information, guidance, training, and support services to providers transitioning to an EHR system

a network that enables the sharing of health-related information among provider organizations according to nationally recognized standards

a comon platform for health information exchange across the country

federal legislation passed in 2100 that includes a number of provisions designed to increas access to healthcare, improve the quality of healthcare, and explore new models of delivering an dpaying for healthcare

a network of doctors and hospitals that shares responsibility for managing the quality and cost of care provided to a group of patients

a model of primary care that provides comprehensive and timely care to patients, while emphasizing teamwork adn patient involvement

a collection of related bits of information

date the program uses to record when a transaction occurred

the way dates must be keyed in Medisoft. MM - month, DD - day, CC - century, YY - year

a copy of data files made at a specific point in time that can be used to restore data

the process of retrieving data from backup storage devices

a process that checks and verifies data and corrects any internal problems with the data

the deletion of vacant slots from the database

the process of deleting files of patients sho are no longer seen by a provider in a practice

the process of updating balances to reflect the most recent changes made to the data

security option that determinesthe areas of the program a user can access and whether the user has rights to enter or edit data

feature of Medisoft that automatically logs a user out of the program after a period of inactivity

a selection box that determines which provider's schedule is displayed in the provider's daily schedule

a listing of time slots for a particular day for a specific provider that corresponds to the date selected in the calendar

an interactive calendar that is used to select or change dates in Office Hours

the area of the Office Hours window that displays information about the patient who is selected in the provider's daily schedule

a unique number that identifies a patient

a list of patients who need to be contacted for future appointments

a block of time when a physician is unavailable for appointments with patients

a patient who has not received services from the same provider or a provider of the same specialty or subspecialty within the same practice for a period of three years

a patient who has been seen by a provider in the same specialty or subspecialty within three years

an individual who may not be a patient of the practice but who is financially responsible for a patient account

a grouping of transactions that share a common element

a physician's notes abouta patient's condition and diagnosis

a physician who recommends that a patient see a specific other physician

the first carrier to whom claims are submitted

an insurance plan in which prepayments made to a physician cover the physician's services to a plan member for a specified period of time.

claims that are processed by Medicare and then transferred to Medicaid, or to a payer that provides supplemental insurance benefits to Medicare beneficiaries.

in Tricare, the active-duty service member

amounts a provider bills for the services performed

monies received from patients and insurance carriers

changes to patients' accounts that alter the amounts charged or paid

groups of procedure code entries that relate to a single activity

a receipt givin to the patient after a payment is made that lists the procedures, diagnosis, charges, and payment

a check that is not honored by a bank because the account it was written on does not have sufficient funds to cover it.