Ehr Study Guide Review Test.

EHR STUDY GUIDE REVIEW TEST. application - correct answer software that has a special purpose, such as word processing , spreadsheet, or for a particular industry such as practice management or electronic health record software care provider - correct answer term used for physicians, physicians assistants, dentists, psychologist , nurse, practitioner, or midwife clearinghouse - correct answer a service that process data into a standardized billing format and checks for inconsistencies or other errors in the data current Procedural terminology CPT - correct answer coding system used to convert narrative procedure and services into numeric. used to code procedure and service in a physician office in a hospital setting it is used in out patient diagnostic testing , or ambulatory surgery Demographic Information - correct answer administrative data that identifies the patient ; consist of name date and birth, sex, and social security number electronic Health Record - correct answer comprehensive record of all health records for a patient which is able to be share electronically with other health providers as necessary; Electronic Medical Record - correct answer the legal patient record that is created within any healthcare facility Encounter Form aka Super Bill - correct answer a list of the procedures and charges for a patients visit; its paper or electronic , that is used in medical offices to capture the diagnoses and services or procedures performed and from which the CMS-1500 billing form is complected Interoperability - correct answer The ability to electronically send data from one electronic system to a different electronic system and still retain its meaning Master Patient (Person) Index - correct answer A permanent listing of all patient who have received care in a hospital Patient List - correct answer ...each patient seen whether in a physician office or a hospital is only entered once Point of Care - correct answer Point of care is the time and place of care being given to the patient from the healthcare provider Practice Management - correct answer a software program that automates many of the administrative and financial tasks required to run a medical practice Speech Recognition - correct answer The field of computer science that deals with designing computer systems that can recognize spoken words. Note that voice recognition implies only that the computer can take dictation, not that it understands what is being said.