MOD C UNIT 4 VOCAB

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Author:
jmejamison
ID:
83734
Filename:
MOD C UNIT 4 VOCAB
Updated:
2011-05-04 12:04:58
Tags:
ELECTRONIC HEALTH RECORD SYSTEM
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Description:
ELECTRONIC HEALTH RECORD SYSTEM
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  1. A more computerized version of health records being referred to as a system?
    Electronic Health Record System (EHRS)
  2. Allows structure and format in exchanging data, formatted in such a way that the sender and receiver both understand?
    Messaging standard
  3. Messaging standards are used by commonly used devices such as what?
    PDA's, computers, notebooks, etc
  4. The ability of different systems to work together through common standards, major challenge in computer based records?
    Interoperability
  5. A protection that occurs while information is being transmitted?
    Encryption
  6. The process of identifying the author of a document that can prove authorship by using a unique identifier such as a PIN, password, or digital signature?
    Authentication
  7. Security levels establish users, allowing users to access only those portions of the record that are necessary for their job, the access is based on what?
    Need-to-know-principle
  8. What offers assistance when clinicians make complex decisions in an EHR system?
    Decision-support
  9. An automatic message that reminds a physician of a possible drug interaction is known as what?
    Alert
  10. Drug interaction alerts are typical functions of an EHR for which part of the office?
    Clinical
  11. Traditional method used in the collection of medical information and relies on a strictly paper format?
    Paper-based format
  12. Type of data that involves patient's name, address, SS#, and phone numbers?
    Administrative data
  13. A health record provides info of a patient including the type of care and treatment that they received, this is known as what type of data?
    Clinical data
  14. Allowing or permitting only authorized individuals to access medical information?
    Confidentiality
  15. An individual's right to control his or her personal health information?
    Privacy
  16. A mechanism with the protections or safeguards put in place to protect health info, applies to EPHI?
    Security
  17. Health care providers, plans, and clearing houses are protected and known as what?
    Covered entities
  18. Company that performs billing functions, such as translating nonstandard data formats received and puts it in an acceptable format to send to another entity?
    Health care clearinghouse
  19. Actions, and policies & procedures to manage the selection, development, implementation, and maintenance of security measures to protect electronic protected health information and to manage the conduct of the covered entity's workforce in relation to the protection of that information?
    Administrative safeguards
  20. Used to protect access to data and control entry into the system, including using authentication controls to verify persons accessing the system, and encrypting and decrypting data?
    Technical safeguards
  21. A practice of behavior that results from errors or inconsistencies in billing practices?
    Abuse
  22. Federal law that prohibits fraudulent claims tot he government, including those who knowingly submit a false claim are in violation of this law?
    False Claims Act
  23. Any individual with evidence of fraud against the government may file a claim, this is known more commonly as a whistleblower lawsuit, allows for individuals to file a claim without retaliation from an employer?
    Qui Tam Statute
  24. Drop-down boxes facilitate fast and easy capturing of what?
    Uniform (structured) data
  25. Standardized form that has a predesigned format and a limited selection of choices for editing?
    Templates
  26. One of the most widely used aspects of EHRS is the physician's ability to do what?
    Order medications that can be directly linked to an insurance formulary and the pharmacy

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