Computers in Healthcare Unit 1

Credentials

login information to access software, such as a username and password

practice management

software used administrative and billing task, such as scheduling appointments, generating reports, and billing insurance providers and patients

electronic heath record

a platform that can be accessed, managed, and consulted across more than one health care organization; refers to the shared information from all clinicians involved in a patient’s care

electronic medical record

used to record patient health information in a digital format that allows the provider(s) to track a patient’s health over time, improving the quality of care

patient education

application within an electronic health record that provides access to a comprehensive list of patient’s education material that is proved to educate or instruct a patient based on the patient’s condition and treatment options

HIPAA

abbreviation for Health Insurance Portability and Accountability Act of 1996; United States legislation that assures patient privacy and security provisions for medical information

meaningful use

refers to a set of specified objectives that medical providers must meet in order to prove that they are using their EHR as an effective tool in their practice. Those effective tools are further defined as: (1) Using certified electronic health record technology to improve quality, safety, efficiency, and reduce health disparities; (2) Engaging patients and families; (3) Improving care coordination, and population and public health; (4) Maintaining privacy and security of patient health information. Meaningdul use Stage 1 includes both a core set and a menu set of objectives that are specific to eligible professionals or eligible hospitals and CAHs.

reference sheet

shows all patients scheduled for an office visit for a specified time period

secondary insurance

when a patient has more than one insurance coverage, the secondary is the one that pays after the primary has paid its portion, according to the benefits available under the secondary plan

patient portal

a secure online website that provides patients with 24-hour access to their medical information; details on office visits, procedures, or medications; communication with staff and providers; methods to request or schedule appointments online; or other types of patient interaction with the clinic through an internet connection

encounter form

also known as superbill, a charge ticket, or visit/ fee slip; contains all of the information insurance companies require in order to consider a claim for payment

remittance advice (RA)

also known as an Explanation of Benefits (EOB). A document that provides details on claims billed to the insurance, and how the claims were paid, including information on allowables, deductibles, adjustments, and he net payment. The RA or EOB may be accompanied by a payment in the form of a check or may refer to an electronic funds transfer (EFT).