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Details

MOD C Unit 4
MOD C Unit 4 Theory Study Guide
34
Medical
Not Applicable
12/10/2012

Additional Medical Flashcards

 


 

Cards

Term
- Abuse
Definition
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.
Term
- Accessibility
Definition
Allows multiple users to view the records from different locations. 
Term
- Administrative Use of EHR
Definition
i.e. Tracking of an appointment.
Term

- American Health Information Management Association

- AHIAAssociation

Definition
Primary professional associations working towards the advancement of EHRS.
Term

- American Medical Informatics Association

AMIA

Definition
Primary professional associations working towards the advancement of EHRS.
Term
- Anti-Kickback Statute
Definition
criminal offense to accept bribes or payment for services rendered 
Term
- Billing Data
Definition
Financial data
Term
- Clinical Data
Definition
Data on the type of care and treatment 
Term
- Clinical Decision Support System
Definition
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.
Term
- Decision Support
Definition
Tools that offer assistance with clinical information when caregivers make complex decisions and can gather data & information from a variety of computer systems.
Term
- EHR
Definition
AKA Electronic Health Records. 
Term
- Electronic Medical Record
Definition
Differs from the paper-based record by including alerts & reminder, decision support, and links to medical knowledge.
Term
- Encryption
Definition
Protection that occurs while information is being transmitted.
Term
- False Claims Act
Definition
Federal law that prohibits fraudulent claims to the government.
Term
- Fraud
Definition
An intentional act, deception, for the purpose of gaining insurance benefits.
Term
- Functional Model Standard
Definition
An industry standard that explains what should, shall, & must be included in the electronic health record.
Term
- Health Insurance Portability Act & Accountability Act of 1996
Definition
Federal mandates to protect patient information.
Term
- HIPAA
Definition
Established national standards that address confidentiality, privacy, & security.
Term
- HL-7
Definition
Develops transaction standards for electronic data interchange in health care.
Term
- Hybrid Record
Definition
A combination of both electronic and paper or Bridge
Term
- Institute of Medicine
Definition
Published 2 major reports/outlined the functionality of the computerized patient record. One of the primary professional associations working towards the advancement of EHRS.
Term
- Interoperability
Definition
The ability of systems to work together through common standards. This is a major challenge in developing computer-based patient records.
Term
- Need-To-Know Principle
Definition
Security levels established by HIPAA allowing users access to only those portions of the record that are necessary for their job. 
Term
- Paper-Based Record
Definition
The traditional method used in the collection of medical information 
Term
- PHI
Definition
Patient Health Information
Term
- Physical Safeguards
Definition
To protect the systems, equipment, and data from threats, intrusions, or even environmental hazards. I.e. alarms system fire extinguishers, smoke detectors, etc.
Term
- Potential for Fraud & Abuse in the Electronic Environment
Definition
Practices that borrow information from other patient records, practices that copy information from another entry in the same record, & practices that cut & paste functions.
Term
- Privacy
Definition
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.
Term
- Privacy Rule
Definition
States that an individual has a right to control his/her personal health information whether it be oral, written, or electronic PHI.
Term
- Qui Tam Statute
Definition
A whistleblower protection 
Term
- Security
Definition
Mechanism with the protections or safeguards (administrative, technical, or physical) put in place to protect health information. Covers only electronic PHI.
Term
- Security Rule
Definition
States that physician practices that transmit electronic data must provide backup procedures for data, risk analysis, & security plans.
Term
- Stark Statutes
Definition
AKA Anti-Referral Statutes. 
Term
- Transcription
Definition
Software applications available that commonly interfaces with the electronic health record.
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