Term
| Ambulatory Patient Classifications (APCs) |
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Definition
| classification system of patients based on International Classification of Diseases, 9th edition, Clinical Modification codes for diagnoses, current procedural terminology evaluation and management codes, and procedure codes, age, sex, and visit disposition; used for reimbursement for health care provided in the hospital outpatient setting |
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Term
| Current Procedural Terminology, 4th Edition (CPT-4) |
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Definition
| comprehensive listing of medical terms and codes for the uniform designation of diagnostic and therapeutic procedures; used in the United States for coding for physician reimbursement |
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Term
| Diagnosis-Related Groups (DRGs) |
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Definition
| system that categorizes into payment groups patients who are medically related with respect to diagnosis and treatment and statistically similar with regard to length of stay |
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Term
| Electronic Health Record (EHR) |
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Definition
| the portal through which clinicians access a patient's health record, order treatments or therapy, and document care delivered to patients; allows providers to gather multiple types of data about a patient (clinical, financial, administrative, and research) |
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Term
| Healthcare Facilities Accreditation Program (HFAP) |
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Definition
| accreditation program of the American Osteopathic Association that accredits health care facilities in the United States |
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Term
| Health Information Management Practitioners |
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Definition
| term used to encompass both registered health information administrators and registered health information technicians as individuals with either of these credentials who hold a variety of positions within the health information management profession |
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Term
| Health Insurance Portability and Accountability Act of 1996 (HIPAA) |
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Definition
| federal legislation passed to improve the efficiency and effectiveness of the health care system; components that affect health information include privacy, security, and the establishment of standards and requirements for the electronic transmission of certain health information |
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Term
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Definition
| permanent or long-lasting documentation of all patient care information that applies to individual patients |
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Term
| International Classification of Diseases, 9th edition, Clinical Modification (ICD-9-CM) |
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Definition
| universal statistical classification system used throughout the Unites States and the world for coding and reporting diagnoses and procedures |
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Term
| Joint Commission (formerly The Joint Commission) on the Accreditation of Healthcare Organizations |
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Definition
| organization that accredits hospitals and other health care institutions in the United States |
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Term
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Definition
| process by which the quality of the care and services provided to patients within a health care facility is monitored and evaluated |
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Term
| Prospective Payment System (PPS) |
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Definition
| system for Medicare patients by which a predetermined level of reimbursement is established before the services are provided |
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Term
| Registered Health Information Administrators (RHIAs) |
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Definition
| professionals who possesses the expertise to develop, implement, and/or manage individual, aggregate, and public health care data in support of patient safety and privacy, as well as the confidentiality and security of health information |
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Term
| Registered health Information Technicians (RHITs) |
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Definition
| professionals who are technical experts in health data collection, analysis, monitoring, maintenance, and reporting activities in accordance with established data-quality principles, legal and regulatory standards, and professional best practice guidelines |
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Term
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Definition
| the process that monitors and evaluates the quality of care and services to patients within a health care facility |
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Term
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Definition
| an all encompassing management program used to ensure excellence in health care through the systematic selection and evaluation of data |
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Term
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Definition
| the aspect of QM that monitors technical elements of the equipment that affect image quality |
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Term
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Definition
| the measurement of the level of quality at some point in time with no effort to change or improve the level of care. |
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