Ch 1 – 3 – Flashcard
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health information technology (HIT)
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electronic management (software) of medical information & secure exchange
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practice management program (PM)
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programs (software) used for administrative & financial functions
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electronic health record (EHR)
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computerized lifelong health care record, data from all sources
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HIPAA Health Insurance Portability and Accountability Act 1996
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1.protects private health info 2.ensure health care coverage when change / loose jobs 3.uncovers fraud
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EHR intents:
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to replace paper records, capability beyond paper equivalent
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electronic prescribing
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transmit prescripts electronically to pharm
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meaningful use
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use EHR to improve quality, efficiency,& safety in health care system. providers are eligible for financial incentives
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electronic medical record (EMR)
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electronic record of one physician's encounter with patient, over time
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ASC X12 Version 5010
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updated version; electronic data standards for transmitting HIPAA documents
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National Provider Identifier (NPI)
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10-digits, HIPAA system of identifying health care providers; (9-numbers & a check digit)
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threats to info security
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power outages, natural disasters, probs with computer system, malware, identity theft, bad employees & contractors, hackers
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Health Care Fraud and Abuse Control Program
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HIPAA created ; uncover & prosecute fraud & abuse; find misuse of funds
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HIPAA Security Rule
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requires entities to conduct 4 types of audits
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American National Standards Institute (ANSI)
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electronic data interchange on a national level, organization that sets standards
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HIPAA Privacy Rule
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regulates use and disclosure of patients' PHI - law
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HIPAA Security Rule
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establish safeguard - law that requires covered entities; administrative, physical, technical; & protects confidentiality, integrity, availability of health info
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documentation
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organizing a patient health record in chronological order; systematic, logical
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Rx / Medications folder
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orders for new medications or renewals of existing prescriptions are entered into
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Transaction Entry Dialog Box
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patient payments are entered
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Policy Tabs
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contains information about the patient's health plan coverage
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Patient / Guarantor dialog box
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demographic information, which is accessed via the List menu
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New Patient button
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Basic Info, assigned provider; enter preregistration information about a new patient
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scheduling and billing
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computers were first used for:
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Main window in Medisoft Network Professional
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contains Title Bar, Menu Bar, Toolbar
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Medisoft Network Professional
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is the Practice Management component, used for accounting
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Medisoft Clinical Patients Records (MCPR)
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electronic health record applications within Medisoft Clinical
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Medisoft Network Professional (MNP)
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practice management application within Medisoft Clinical
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audit function
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used to track changes made in program & who made em
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Patient / Guarantor dialog box
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Name, address; other info; payment plan
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park
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user can leave a workstation for a brief time
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Auto Log Off
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after period of inactivity
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database
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a collection of related bits of information
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access level
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who can view what
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back up menu
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is in file menu
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disaster recovery plan
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resume normal ops after a disaster
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Revenue Management feature
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claims are transmitted to health plans
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real-time eligibility requirement feature
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policy tabs contain a button that is used to make this type of inquiry about a patient
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assigned provider feature
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after clicking the New Patient button and basic demographic info is entered in
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dashboard
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a panel in Medisoft Clincial patient Records that offers providers a convenient view of important information
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transaction entry dialog box
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patient payments are entered in this dialog box
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claim management dialog box
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this dialog box list current claims
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demographic
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this info is entered in the patient / guarantor dialog box (accessed via the list menu) during preregistration
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Lab Review area
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this section on the dashboard shows lab results that the current provider needs to review
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login / password management
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this dialog box assists in the management of passwords and log-in attempts
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Rx medications folder
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where orders for new medications or renewals of existing prescripts are entered
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messages
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is where the medical assistant can enter and electronic message for the provider
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Activities menu
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claim functions are located on this menu
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Problem List
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where the chief complaint / reason for visit is recorded
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reports menu
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to create a collections letter
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Medisoft Network Professional (MNP)
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physician practices use this app to complete various tasks, scheduling, charges, create statements
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patient chart
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practices can customize this to include the folders that are relevant to their particular practice
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enter Deposits/Payments
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select on the Activities menu to enter health plan payments
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Policy tabs
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contains info about the patients health plan coverage
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Office Hour
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the scheduling program the is included in Medisoft
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restoring
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process of retrieving data from a backup storage device
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quick balances
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are located in Office Hours
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appointment; to make
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1. provider, 2. date, 3. time, 4. click
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to print
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activities, transactions, print reciept
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appointment; info needed
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provider to be seen & basic information
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MNP is used for patient accounting
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schedule apt, register patients, enter charges, create ins claims, post payments, create statements, follow up on accounts, create reports
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dashboard main areas
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Schedule, Messages, Lab review, Note review
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documentation for HIPAA
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documentation is a primary requirement for demonstrating HIPAA compliance
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billing rules
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risks of fraud and abuse liability, all rules followed by all staff members
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compliance plan
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according to Office of Inspector General, OIG, should contain 7 elements . . . . . .
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audit
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formal review
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fraud
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intentional deception for financial gain
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abuse
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improperly use another person's resources
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protected health information (PHI)
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health info transmitted or maintained by electronic media or any other form
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Health Information Technology for Economic and Clinical Health (HITECH)
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provisions in ARRA that reinforce HIPAA
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American Recovery and Reinvestment Act of 2009 (ARRA)
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economic stimulus to create HITECH, to mandate electronic health records
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electronic date interchange (EDI)
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computer to computer routine business exchange, sharing info
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Centers for Medicare and Medicaid Services (CMS)
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fed agency in Dept of Health and Human Services that runs Medicare, Medicaid, labs, and other govt stuff
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Acknowledgment of Receipt of Notice of Privacy Practices
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covered entities make patients sign it
