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The practice or behavior that results from errors or inconsistencies in billing practices. I.e. A billing error causes an overpayment or cost to the insurance company. |
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Allows multiple users to view the records from different locations. |
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- Administrative Use of EHR |
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i.e. Tracking of an appointment. |
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- American Health Information Management Association
- AHIAAssociation |
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Primary professional associations working towards the advancement of EHRS. |
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- American Medical Informatics Association
AMIA |
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Primary professional associations working towards the advancement of EHRS. |
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criminal offense to accept bribes or payment for services rendered |
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Data on the type of care and treatment |
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- Clinical Decision Support System |
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Tools/offer assistance to caregivers who make complex decisions and can gather data & information from a variety of computer systems. i.e Alert healthcare providers of a drug interaction. |
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Tools that offer assistance with clinical information when caregivers make complex decisions and can gather data & information from a variety of computer systems. |
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AKA Electronic Health Records. |
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- Electronic Medical Record |
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Differs from the paper-based record by including alerts & reminder, decision support, and links to medical knowledge. |
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Protection that occurs while information is being transmitted. |
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Federal law that prohibits fraudulent claims to the government. |
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An intentional act, deception, for the purpose of gaining insurance benefits. |
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- Functional Model Standard |
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An industry standard that explains what should, shall, & must be included in the electronic health record. |
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- Health Insurance Portability Act & Accountability Act of 1996 |
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Federal mandates to protect patient information. |
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Established national standards that address confidentiality, privacy, & security. |
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Develops transaction standards for electronic data interchange in health care. |
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A combination of both electronic and paper or Bridge |
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Published 2 major reports/outlined the functionality of the computerized patient record. One of the primary professional associations working towards the advancement of EHRS. |
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The ability of systems to work together through common standards. This is a major challenge in developing computer-based patient records. |
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Security levels established by HIPAA allowing users access to only those portions of the record that are necessary for their job. |
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The traditional method used in the collection of medical information |
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Patient Health Information |
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To protect the systems, equipment, and data from threats, intrusions, or even environmental hazards. I.e. alarms system fire extinguishers, smoke detectors, etc. |
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- Potential for Fraud & Abuse in the Electronic Environment |
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Practices that borrow information from other patient records, practices that copy information from another entry in the same record, & practices that cut & paste functions. |
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An individual’s right to control his or her personal health information, with the understanding that the information will not be disseminated without his/her permission. |
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States that an individual has a right to control his/her personal health information whether it be oral, written, or electronic PHI. |
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A whistleblower protection |
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Mechanism with the protections or safeguards (administrative, technical, or physical) put in place to protect health information. Covers only electronic PHI. |
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States that physician practices that transmit electronic data must provide backup procedures for data, risk analysis, & security plans. |
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AKA Anti-Referral Statutes. |
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Software applications available that commonly interfaces with the electronic health record. |
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