Medical Billing-EMR Glossary

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We thought it would be a great idea to give you a list of words and definitions used and
associated with medical IT and practice management. We hope you will call us with any explanations that need more clarity. We are here to help you!


Medical Billing and EMR Glossary
A
ARRA for Healthcare The American Recovery and Reinvestment Act for Healthcare gives physicians incentives of up to $44,000 for Medicare or $64,000 for Medicaid for using EHR technology meaningfull. Physicians can qualify under either a Medicare or Medicaid provision. Payments are made over 5-6 years depending on which provision and when you qualify.

ASP Application Service Provider. ASP modeled software can be accessed over a network. ASP is sometimes referred to as SAS (software as service).

B
BillFlashis a service that handles all of your mailed bills. You upload your electronic statement to BillFlash online, and then BillFlash handles the printing, folding and mailing of your statement.

Bright Note Technology
A feature that allows you to enter information into a patient’s note and have it automatically populate the patient’s chart, eliminating double entry. This is offered in Medisoft Clinical, Lytec, and Practice Partner EMRs. Bright Note Technology conforms to you preferred method of entry. You can enter information by keying it in manually or through voice dictation with Dragon Naturally Speaking software.
C
CCHIT CCHIT stands for Certification Commission for Health Information Technology. CCHIT is an organization that provides standards for EMR software. An EMR is considered CCHIT certified if it is deemed to meet those standards by a board of CCHIT members.

Chart Scanning Chart scanning is the act of physically scanning your paper charts and integrating or attaching them to the electronic charts in your EMR software.

Clearinghouse A clearinghouse handles your electronic claim submission to insurance carriers. A good clearinghouse will scrub the claims prior to submission to check for errors and increase your claim acceptance rate.

Clinical Decision SupportClinical decision support (CDS) is designed to help practitioners make decisions. It connects observations made by physicians with a knowledge database of healthcare to remind the provider about additional information related to a patient’s symptoms. Of course, the provider still calls the shots. CDS is only a tool for physicians.

CMSCenters for Medicaid and Medicare Services.

Computerized Physician Order Entry (CPOE) Computerized Physician Order Entry (CPOE) refers to the act of electronically prescribing medications, lab tests and radiology. By submitting this information electronically, the provider reduces the risk of errors due to misread handwriting, and also helps check for duplicate tests and prescriptions. CPOE is also a requirement of theCPT Code
CPT codes are 5 digit codes that represent medical procedures. CPT codes have corresponding ICD-9 codes.

D
Disease ManagementDisease Management refers to a healthcare system in which patients with a specific condition that requires self-care efforts can communicate with nurses or providers to ensure better care.
The 6 components of Disease Management are:
Population identification process
Evidence-based practice guidelines
Collaborative practice models to include physician and support-service providers
Patient self-management education (may include primary prevention, behavior modification programs, and compliance/surveillance)
Process and outcomes measurement, evaluation, and management
Routine reporting/feedback loop (may include communication with patient, physician, health plan and ancillary providers, and practice profiling

Dragon Naturally Speaking
Dragon software transcribes voice dictation into text in our EMR software. Dragon also allows you to navigate your EMR software with your voice and works great with Bright Note Technology.
E
Electronic Claims refer to medical claims submitted electronically to private insurance providers as well as Medicare, Medicaid, and to individual patients.

Electronic Medical Records / Electronic Health Records (EMR/EHR)used interchangeably to refer to computerized patient charts within software that allows for electronic patient charting, eprescribing, health maintenance and more.

EOB
Explanation of Benefits
. EOB’s are sent to patients to explain their payment responsibility.
ePrescribingmeans prescribing electronically. ePrescribing is a key component of meaningful use and is also referred to as eRX.

ERAElectronic Remittance Advice. An ERA explains details about claim payment and includes information regarding claim statuses and denials.
EMR Stimulus
gives qualifying providers up to $64,000 for using EMR technology meaniningfully.
Fee Schedule
a listing of fees used by Medicare to pay providers.

H
Health MaintenanceA system of tests that help with disease prevention. For example, health maintenance can include sending reminders for follow up appointments. Health Maintenance is a requirements of meaningful use. HIPPA is set of patient security and privacy standards for healthcare professionals.
HITHealth Information Technology.
HITECHThe Health Information Technology for Economic and Clinical Health Act (HITECH) Act is the name given to the American Recovery and Reinvestment Act (ARRA) for healthcare providers. I
Kiosk
A kiosk is a computer workstation in which a patient can input information at a medical practice. This is usually located in the waiting room of a medical practice.

L

LAN
Local area Network A LAN connects all the computers in your office so that you can share files, resources and internet connection.

Lytec a state-of-the-art medical billing software, made by McKesson, that handles patient appointment scheduling, electronic claim submission and medical billing. Lytec comes complete with key medical billing features and easy appointment scheduling, as well as inventory tracking and revenue management.
Lytec MD
a fully integrated EMR and medical billing software, made by McKesson, that combines the billing and scheduling features of Lytec with electronic medical records.

M
Meaningful Use
refers to the quality standards that must be met in order to qualify for the stimulus.

Medisoft America’s most popular medical billing software that handles all of your billing, appointment scheduling and electronic claim submission. Medisoft, made by McKesson comes complete with medical billing, scheduling and revenue management.

Medisoft Clinicalcombines Medisoft’s medical billing, scheduling and electronic claim submission with electronic medical records.

Medical TranscriptionThe conversion of voice or handwritten dictation into electronic text form.
N
NPI National Provider Identification Number. It is a 10-digit intelligence free number. Intelligence free means that the numbers do not carry information about health care providers, such as the state in which they practice or their provider type or specialization.
O
OCR Optical Character Recognition. The process by which scanned patients charts can be converted to searchable, editable text when converting paper charts to electronic.
P
Portal
A portal is a feature in EMR’s that allows the provider to electronically give patients access to health information and patient education via the internet.

PM or PMS Practice Management System. Software that handles office needs such as medical billing and appointment scheduling. Practice Management can com standalone or it can be bundled with electronic medical records (EMR).

PQRI Physician Quality Reporting Initiative.

Practice Partner
Practice Partner is a fully integrated EMR/practice management system that allows large practice and hospitals to use an EMR efficiently

R

Revenue Manager
Part of a practice management system that allows you to electronically send, edit and error-check claims, as well as post ERA.

ROI Return on Investment
S
StimulusIn regards to healthcare, the stimulus is the government act that gives medical professionals incentives to improve their information technology.

T
Tablet PC A Tablet PC is a hand-held computer that allows you to have use your computer and relevant software at point-of-care with your patients.

Thin Client A think client environment is one in which software is installed on one network computer and can be accessed from other computers or workstations.
W

WAN Wide Area Network.

Iron Comet Consulting is a Platinum certified Mckesson reseller based in Stockbridge, Georgia.  We are a full service medical IT and billing company.
Phone – (770) 506-4383
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