Glossary

Glossary of Health Care and Medical Terms

In many cases,
You can click on the healthcare related term below to get a more in-depth description of that glossary term. On the extended definition page, you will be shown the longer description, plus a list of articles related to that term or topic.

A|B|C|D|E|F|G|H|I|J|K|L|M|N|O|P|Q|R|S|T|U|V|W|X|Y|Z


see HIPAA 5010
Also see: HIPAA 5010

see HIPAA Transaction 835
Also see: HIPAA Transaction 835, HIPAA 835

Adopt, Implement or Upgrade Medicaid requirement. In year one, the HITECH Act Medicaid incentive payments will be paid for A/I/U or Adopt, Implement or Upgrade of an electronic health record system. In year two and beyond, Medicaid health care providers will have to meet meaningful use criteria in order to qualify for incentive payments.

American Academy of Allergy Asthma & Immunology

American Association of Healthcare Administrative Management

Association of American Medical Colleges (AAMC)

ABN

The Advanced Beneficiary Notice (ABN) is a report given to Medicare beneficiaries to let the patient know Medicare is not likely to pay for certain services.

Abortion is the termination of pregnancy. The abortion can be induced as a result of deliberate action by patient or spontaneous which is a natural loss or termination of pregnancy.

ACA

Patient Protection and Affordable Care Act (PPACA) or Affordable Care Act (ACA) for short.
Also see: Patient Protection and Affordable Care Act, PPACA

Accessioning is an ordered test or group of tests to be performed on a specimen. Or to log or document receiving a specimen in the lab.

Accountable care refers to structures, processes, and incentives aimed at improving the quality of care and the overall health of populations, and reducing per capita costs of healthcare.

On March 31, 2011, the Department of Health and Human Services (HHS) released proposed new rules to help doctors, hospitals, and other providers better coordinate care for Medicare patients through Accountable Care Organizations (ACOs). ACOs create incentives for health care providers to work together to treat an individual patient across care settings – including doctor’s offices, hospitals, and long-term care facilities.

Accountable Care Organization (ACO) must meet certain legal requirements. Member physicians and hospitals will share in savings if their Medicare charges are sufficiently below some benchmark. See Patient Protection Act.Formalized by Dr. Elliott Fisher in 2006. CMS definition: An organization of health care providers that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it
Also see: ACO

Accredited Standards Committee (ASC) - see ASC X12

see Accountable Care Organization (ACO)
Also see: Accountable Care Organization

Physician, medical doctors, medical practitioner or health care provider in an Accountable Care Organization

American college of Obstetricians and Gynecologists (ACOG)

ACOG AR is the American college of Obstetricians and Gynecologists Antepartum Record

Association of Clinical Research Organizations

Active Medication List

Dental Content Committee of the American Dental Association.

Adjudication is the legal process by which an arbiter or judge reviews evidence and argumentation including legal reasoning set forth by opposing parties or litigants to come to a decision which determines rights and obligations between the parties involved

ADR

Additional Development Request (ADR) is a request for medical records for claims with status S B6001 and error code 39700 error code in Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE). If a claim is suspended for medical review, an ADR may be issued to obtain information needed to make a determination. Providers, physicians, and suppliers are responsible for providing the information needed to adjudicate their claims. If no response is received to the ADR within the specified timeframes, money will be withheld or claim denied.

Admissions-Discharge-Transfer (& usually Hospital Billing) System

Patient Protection and Affordable Care Act (PPACA) also know as Affordable Care Act (ACA)
Also see: Health Care Reform Bill, Patient Protection and Affordable Care Act, PPACA, ACA

see AHRQ

American Hospital Association

Association for Healthcare Documentation Integrity

American Health Information Community

American Health Information Management Association

Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. AHRQ provides funding for quality improvement, outcomes and comparative effectiveness and healthcare IT research. The agency charged with improving the quality, safety, efficiency, and effectiveness of health care for all Americans. Formerly known as formerly the Agency for Health Care Policy and Research.
Also see: Agency for Healthcare Research and Quality

AHRQ's National Resource Center (NRC) for Health IT supports the AHRQ's mission of developing and disseminating evidence and evidence-based tools on how health IT can improve health care quality, safety, and efficiency. The NRC supports the Office of the National Coordinator's (ONC's) "HealthIT.hhs.gov" site.
Also see: AHRQ, HITRC , NRC

AIU

Adopt, Implement or Upgrade (AIU or A/I/U)
Also see: A/I/U

Alert Fatigue occurs whe medical / clinical decision support systems overwhelm the doctor or clinician with too many alerts and reminders. Excessive alerts and reminders tend to be ignored.

Allergy: An exaggerated immune response or reaction to substances that are generally not harmful.

Average length of stay

Outpatient and other non-hospital care

Ambulatory Patient Classifications (APC) - A system used to classify outpatient and non-admission services and procedures for billing and reimbursements. Call the Centers for Medicare and Medicaid Services (CMS) at 1-800-633-4227 and request a free brochure.

Association of Medical Directors of Information Systems

The American Heart Association (AHA) is an organization dedicated to reducing death caused by heart disease and stroke

see ARRA
Also see: HITECH Act

American Medical Informatics Association

The Association of Medical Secretaries,Administrators and Receptionists

Alliance for Nursing Informatics

American National Standards Institute - a non-profit organization that administers and coordinates the U.S. voluntary standardization activities

ANSI Claim Adjustment Codes convey reasons for adjustments on Electronic Remittance Advices (ERA)

Antepartum Record Profile (APR) is a set of documents or documentation related to Antepartum care. It includes ongoing Medical Diagnoses, the Estimated Due Date, outcomes of any prior pregnancies, serial visit data on the appropriate growth of the uterus and assessments of fetal well being, authorizations, laboratory and imaging studies

see Antepartum Record Profile

See Ambulatory Patient Classifications.

APD

Advance Planning Document (APD): A document that a state presents to obtain
federal approval of the state

The Apgar score technique for assessing the health of newborn children using five simple criteria Appearance, Pulse, Grimace, Activity, Respiration. Technique was developed by Dr. Virginia Apgar

All Patient Refined Diagnosis Related Group System (APR-DRG ). The All Patient DRGs (AP-DRGs) are an expansion of the basic DRGs to be more representative of non-Medicare populations such as pediatric patients. The All Patient Refined DRGs (APR-DRG) incorporate severity of illness subclasses into the AP-DRGs. Since the APR-DRGs include both the CMS DRGs and the AP-DRGs
Also see: DRG

The American Recovery and Reinvestment Act (ARRA) of 2009, also known as the Stimulus Bill or the Recovery Act. It spawned the Health Information Technology for Economic and Clinical Health (HITECH) Act. See http://www.recovery.gov/About/Pages/The_Act.aspx
Also see: HITECH Act

ASC

Ambulatory Surgical Center (ASC)

ASC X12, chartered by the American National Standards Institute (ANSI), develops and maintains EDI, CICA and XML standards and schemas

American Society for Healthcare Human Resources Administration

Application Service Provider (ASP) model provides application hosting service to multiple customer, who have secured their own licenses to the applications. Similar to SaaS model

Assistant Secretary for Planning and Evaluation

Association of State and Territorial Health Officials

ASTM International - originally known as the American Society for Testing and Materials

Authorized Testing and Certification Body

Audit Trail and Node Authentication

Attestation is the process of applying for payment from the Centers for Medicare and Medicaid Services (CMS) incentive program. Eligible professionals and eligible hospitals must use CMS' Web-based system to attest that you have met meaningful use criteria using Certified Electronic Health Record Software. See https://www.cms.gov/ehrincentiveprograms/32_Attestation.asp for more info.

AWV

Annual Wellness Visit (AWV)

The Balanced Budget Act (BBA) of 1997 authorized states to establish State Medicare Rural Hospital Flexibility Programs (Flex Program)

Beacon Communities are selected communities throughout the United States that have already made inroads in the development of secure

Bi-directional Health Information Exchange

Bioengineering is the application of engineering principles to the fields of biology and medicine, as in the development of aids or replacements for defective or missing body organ

Bioinformatics is the study of how information is represented and transmitted in biological systems, starting at the molecular level.

See Health informatics
Also see: Health Informatics

Biomedical Science is the application of information technology to the fields of biomedical research and health care.

Bio-surveillance is the technique of tracking communicable diseases such as STDs (Sexually Transmitted Diseases), salmonellosis, and streptococcal infections. Bio-surveillance use special software to collect disease reports from doctors, hospitals, clinics and emergency rooms.

Blood pressure (BP) is the pressure exerted by circulating blood upon the walls of blood vessels, and is one of the principal vital signs. A person's blood pressure is usually expressed in terms of the systolic pressure over diastolic pressure and is measured in millimetres of mercury (mmHg), for example 140/90

BPM

Business Process Model

BSV

See Bio-surveillance
Also see: Biosurveillance

Business Rules: Rules that determine how computer systems will process information


Also see: Heart Bypass Surgery

See Critical Access Hospital
Also see: Critical Access Hospital

Cahaba Government Benefit Administrators®, LLC (Cahaba GBA) administers Medicare health insurance for the Centers for Medicare and Medicaid Services (CMS). They are J10 A/B Medicare Administrative Contractor (MAC) for the states of Alabama, Georgia and Tennessee and one of the Part B Carriers for Mississippi.

The Canadian Cardiovascular Society Angina Classification scale ranks angina into five classes. From Class 0 which is Asymptomatic to Class 4, the most severe, which designates Angina at any level of physical exertion

CAP

The College of American Pathologists (CAP) created SNOMED CT

Capitation is a health care reimbursement model in which the provider is paid a fixed amount per person regardless of the number or type of services the person requires. Capitation motivates doctors to keep patients healthy. But it also incents health care providers to limit patient access to treatment and testing.

Cardiovascular Disease or Heart and Blood Vessel Disease is often referred to as heart disease.
Also see: Heart Disease

The Continuity Assessment Record and Evaluation (CARE) tool, will measure the health and functional status of Medicare acute discharges and measure changes in severity and other outcomes for Medicare PAC patients

Community-Based Organization

CC

Chief Complaint (CC)

CCD

CCD stands for Common Client Directory or Continuity of Care Document
Also see: CCR, COC, Continuity of Care

A MLHIM  CCD is a Concept Constraint Definition.  It is an XML schema.
Also see: MLHIM

Certification Commission for Health Information Technology - private, non-profit organization established to develop an efficient, credible, and sustainable mechanism for certifying health care information technology products. CCHIT was formed by three bodies representing some of the key HIT professional and industry groups.AHIMA represented health information management professionals, HIMSS represented health IT professionals, and NAHIT, the National Alliance for Health Information Technology, represented a variety of vendor and industry stakeholders

CCN

The Centers for Medicare and Medicaid Services (CMS) Certification Number

CCR

Continuity of Care Record (CCR) - A standard specification being developed jointly by ASTM International (an SDO), the Massachusetts Medical Society, the Health Information Management and Systems Society (HIMSS), and the American Academy of Family Physicians (AAFP). It is intended to foster and improve continuity of patient care, to reduce medical errors, and to assure at least a minimum standard of health information transportability when a patient is referred or transferred to, or is otherwise seen by, another provider
Also see: CCD, COC, Continuity of Care

Clinical Document Architecture

Centers for Disease Control and Prevention (CDC), U.S. Department of Health and Human Services
Also see: Centers for Disease Control and Prevention

Clinical Data Interchange Standards Consortium

Care delivery organization

Clinical Data Repository

See Center for Devices and Radiological Health (CDRH)
Also see: Center for Devices and Radiological Health

CDS

Clinical Decision Support (CDS) is the intent of modern electronic health records (EHR) systems. See CDSS.
Also see: Clinical Decision Support

Clinical Decision Support System (CDSS): Stores patient and disease specific protocols and drug interactions. Provides alerts and reminders at the point of care
Also see: CDS

CDT

Code on Dental Procedures and Nomenclature.

CE

Consumer Empowerment

The Center for Devices and Radiological Health (CDRH) is a part of the FDA that was formed in the 1970
Also see: CDRH

See CDC
Also see: CDC

Centers for Medicare and Medicaid Services (CMS)
Also see: Centers for Medicare and Medicaid Services

Also known as: Centers for Medicare Medicaid Services

see CMS
Also see: CMS , Centers for Medicare Medicaid Services

Central nervous system (CNS) is that part of the nervous system that consists of the brain and spinal cord.
Also see: CNS

Certificate of Coverage (COC) is a description of the benefits included in a carrier's plan. The certificate of coverage is required by state laws and represents the coverage provided under the contract issued to the employer.
Also see: COC

See CHIP

Certified Electronic Health Record Software or System is one that has been tested and certified under the Temporary Certification Program maintained by the Office of the National Coordinator for Health IT (ONC). The Certified HIT Product List (CHPL) includes the specific product version that has actually been certified. For the ONC certified product list, visit http://www.cchit.org/products/onc-atcb/all/1000
Also see: Electronic Health Record System, Electronic Health Record Software, EHR Software

see Certified Electronic Health Record Software
Also see: Electronic Health Record System

Code of Federal Regulations

CHC

CHC stands for multiple things:


  • Community Health Centers

  • Connected Healthcare Community (CHC)

  • Certified in Healthcare Compliance (CHC)

CHF

Congestive Heart Failure

Consolidated Health Informatics Initiative - Initiative to establish federal health information interoperability standards as the basis for electronic health data transfer in all activities and projects and among all agencies and departments (ONCHIT Initiative)

College of Healthcare Information Management Executives

Certified Children's Health Insurance Program (CHIP) - A federal program jointly funded by states and the federal government, which provides medical insurance coverage for children not covered by state Medicaid-funded programs

Children's Health Insurance Program Reauthorization Act of 2009
Also see: CHIP

Certified Health IT Product List

Certified in Healthcare Privacy and Security (CHPS)

Community Health Records

Chief Information Officer

Chief Information Security Officer

Civil Money Penalty (CMP)
Also see: CMP

Claims adjudication in health insurance refers to the determination of the insurer's payment or financial responsibility, after the member's insurance benefits are applied to a medical claim. Also referred to as medical billing advocacy

Clinical Laboratory Improvement Amendments

See CDS.
Also see: CDS

Clinical Informatics is an application area of Biomedical Informatics which addresses the patient care domain.Clinical informatics is often further broken down into specific fields or subareas such as health informatics, medical informatics, nursing informatics, dentistry informatics, and pharmacy informatics. When the applications of informatics technologies focus on patients or healthy individuals as the primary users, this is considered to be consumer health informatics.

Clinical Science is the practical study of medical principles or investigations using controlled procedures to evaluate results.

Clinical trials are scientific studies that determine if a possible new medical advance can help people and whether it has harmful side effects. They are biomedical or health-related research studies of human beings that follow a pre-defined protocol. Clinical trials are conducted to allow safety (or more specifically, information about adverse drug reactions and adverse effects of other treatments) and efficacy data to be collected for health interventions (e.g., drugs, diagnostics, devices, therapy protocols).

Continuing Medical Education

Chief Medical Information/Informatics Officer

CMP

There is a Civil Money Penalty (CMP) for HIPAA privacy rule violations. The Health Information Technology for Economic and Clinical Health / HITECH Act increased the CMP dollar amounts. The first HIPAA Civil Money Penalty (CMP) of $4.3 million was imposed in February 2011
Also see: HIPAA

Centers for Medicare and Medicaid Services (CMS). CMS is a major payer for health care for people over 65,for the poor and the handicapped

Form submitted by hospitals to CMS for reimbursement. Developed by NUBC. Also called UB-04
Also see: UB-04

CMS Health Insurance Claim Form submitted by physicians to CMS for reimbursement.

Controlled Medical Vocabulary

CNM

Certified Nurse Midwife

CNS

Central Nervous System

Consolidated Omnibus Reconciliation Act (COBRA) of 1985, 99

COC

Continuity of Care (COC). Or Certificate of Coverage (COC)
Also see: Continuity of Care, Certificate of Coverage

Cognitive Science is the study of the nature of various mental tasks and the processes that enable them to be performed.

Computer Science is the study of computation and computer technology, hardware, and software.

see NHIN Gateway
Also see: NHIN Gateway

Connecting for Health is a public-private collaboration whose goal is to improve people's health and advance the quality of health care in the United States through innovations in information technology. The world Health Organization (WHO) view of Connecting to Health is that information and communication technologies are key to connecting people, information and research to improve health in countries.

Concept of Operations

Continuity of Care (COC) is the process by which the patient and the physician are cooperatively involved in ongoing health care management toward the goal of high quality, cost-effective medical care.
Also see: COC

The Conversion Factor used to calculate the Medicare Physician Fee Schedule. The conversion factor formula includes relative value units (RVU) and Geographic Practice Cost Index (GPCI)

Cost allocation principles: Rules for apportioning among multiple programs costs that benefit more than one program.

COSTAR is an early outpatient electronic health record system developed in 1960. COSTAR stands for Computer Stored Ambulatory Record

Commercial Off-the-Shelf (COTS) software system/application. Computer systems that is bought as pre developed software packag. Software that is not custom developed by and for the organization.

CPOE is one of the core meaningful use criteria for qualifying for electronic health record (EHR) incentive money. It stands for Computerized Physician Order Entry or Computerized Provider Order Entry or Computerized Prescriber Order Entry. For most private practice physicians, meeting the CPOE meaningful use criteria is merely the entry of prescription data into the electronic health record (EHR) system.

CPR

Computerized / Computer-Based Patient Record. A patient centric health record system concept proposed for by the Institute of Medicine in 1991.

CPT

Current Procedure Terminology, code set maintained by the American Medical Association to describe medical, surgical, and diagnostic services. Used by physicians for reimbursement.
Also see: CPT-4

Current Procedural Terminology (CPT) code set is a medical code set maintained by the American Medical Association through the CPT Editorial Panel.
If you are a physician practice or submit claims for outpatient hospital services, you will still use CPT codes to report procedures and E&M after the transition to ICD-10 codes.

Physicians will use ICD-10-CM for diagnosis coding and CPT / HCPCS for procedure coding.
Also see: CPT, CPT-4, HCPCS, ICD-10-PCS

Common Procedure Terminology, Fourth Revision.
Also see: CPT

CQM

Clinical Quality Measures (CQM). Eligible Professionals, eligible hospitals and CAHs seeking to demonstrate Meaningful Use are required to submit aggregate CQM numerator, denominator, and exclusion data to CMS or the States

A Critical Access Hospital (CAH) is a rural limited service hospital that has been converted to a special designation as a Critical Access Hospital under the Medicare Rural Hospital Flexibility Grant Program. A Critical Access Hospital is a rural acute care hospital consisting of no more than fifteen (15) acute beds and ten (10) swing beds. The majority of CAHs are in Health Professional Shortage Areas and/or Medically Underserved Areas.
Also see: CAH

Customer Relationship Management

Unified Medical Language System (UMLS) Concept Unique Identifier

Data sharing agreement: An agreement between government agencies about the terms and conditions for exchanging data.

Documenting by exception

DCH

Department of Community Health (DCH) is the State of Ga's lead agency for health care planning and procurement

DDE

Direct Data Entry (DDE) access is needed to view these claims in FISS and to view the 201 report, which is only available electronically

Drug Enforcement Administration. Controlled Substances Act (CSA) mandates that the DEA establish a closed system of control for manufacturing, distributing, and dispensing controlled substances.

There are two types of denominators relative to the HITECH Act meaningful use reporting. a) denominator is based on patients seen or admitted during the EHR reporting period, whether or not their records are maintained using certified EHR technology and b) denominator is based on actions related to patients whose records are maintained using certified EHR technology,when the meaningful use measure is not relevant to all patients either due to limitations (e.g., recording tobacco use for all patients 13 and older) or because the action related to the meaningful use criteria is not relevant (e.g., transmitting prescriptions electronically)

For MIPPA e-prescribing program, denominator billing codes(s) represent the eligible encounter

Digital Imaging and Communications in Medicine (DICOM). Standards for medical image exchange (similar to HL7).

DICOM Modality Work List

Doc-In-A-Box refers to free standing clinics that will see walk in patients.

DPP

Disproportionate patient percentage

Dr. House, from the TV show

Dragon Naturally Speaking is a set of voice recognition and speech recognition software products offered by Nuance.
Also see: Speech Recognition, Voice Recognition

Diagnosis Related Group. Diagnoses generally related to same part of body. See MS-DRG

Drug-drug and drug-allergy interaction checks. This meaningful use measure is met if the eligible provider, hospital or CAH (critical access hospital) has enabled this functionality for the entire EHR reporting period

Digital Subscriber Line

Dynamic forms or dynamic web sites: An approach that varies the form presented to the end-user based on information already provided by the end-user or other data.

E Prescribing, electronic prescribing, electronic prescription or e-prescribing is the electronic transmission of prescription information to and from the prescriber's computer and a pharmacy computer. It replaces a paper prescription that the patient would otherwise carry or fax to the pharmacy.
Also see: Electronic Prescribing, Electronic Prescription, E-Prescribing , eRx

E&M

Evaluation and Management Coding, commonly known as E/M Coding or E&M Coding, is a medical billing process that practicing doctors in the United States must use to be reimbursed by Medicare, Medicaid programs, or private insurance for patient encounters. E&M codes are based on the Current Procedural Terminology / CPT codes established by the American Medical Association (AMA)
Also see: Evaluation and Management

E-Government

Electronic Prescribing or e-prescribing is an electronic prescription and medication system. It is the secure real-time electronic delivery to providers and pharmacists of patient specific information. The HITECH Act of 2009 included e-prescribing in its definition of meaningful use criteria to qualify for incentive money. E-prescribing systems can include some or all of the following: electronic order entry for medications; clinical decision support such as guidelines on appropriate choice of drugs and alerts for drug interactions; formularies, and transmission to the patient
Also see: Electronic Prescribing, Electronic Prescription

Enterprise Architecture

ECP

External Counter Pulsation (ECP)
Also see: External Counter Pulsation, External Counterpulsation

ECRI Institute is an independent nonprofit doing scientific research into the best approaches (medical procedures, devices, drugs, and processes) for improving patient care.

Number of ectopic pregnancies by patient. An ectopic pregnancy is the development of a fertilized ovum outside the uterus, as in a Fallopian tube.

EDB

Medicare Enrollment Database (EDB)

Estimated Date of Delivery(EDD)/Estimated Date of Confinement(EDC)

Enhanced External Counterpulsation (EECP)
Also see: ECP, External Counter Pulsation

EHR

Electronic Health Record (EHR)
Also see: EMR , Electronic Health Record, Electronic Medical Record

The Medicare and Medicaid EHR Incentive Programs provide a financial incentive for the "meaningful use" of certified EHR technology to achieve health and efficiency goals. Medicare providers can receive up to $44,000 and Medicaid providers can receive up to $63,750.

Electronic Health Record software as mandated by the HITECH Act
Also see: Electronic Health Record System, Electronic Health Record Software

Electronic Health Record Vendors Association

An Electronic Health Record is a patient centric record of clinical patient encounters over time that can be shared between health care providers.
Also see: EHR, EMR , Electronic Medical Record, Electronic Medical Records

See electronic health record system
Also see: Electronic Health Record System

An electronic health record system is health information technology software that allows the creation of electronic health records. The installation of a certified electronic health record system will allow a health care provider to meet all meaningful use criteria under the HITECH Act. Meeting meaningful use criteria allows providers to qualify for CMS incentive payments for electronic health record adoption. To find ONC Certified EHR Application visit http://www.cchit.org/products/onc-atcb/all/1000
Also see: Electronic Health Record Software, EHR Software

see Electronic Health Record and Electronic Medical Records
Also see: Electronic Health Record

Electronic Health Records
Also see: Electronic Health Record, Electronic Health Records, Electronic Medical Records

Electronic medical records are components of an electronic health record system.
Also see: EHR, EMR , Electronic Health Record, Electronic Medical Records

Electronic Health Record Software
Also see: Electronic Health Record System, Electronic Health Record Software, Electronic Health Records, Electronic Medical Record Systems, Electronic Medical Records Software

Electronic Health Record System
Also see: Electronic Health Record System, Electronic Health Record Software, Electronic Health Records, Electronic Medical Records Software

Electronic medical records (EMR) are documentation of patient encounters.
Also see: EMR , Electronic Health Record, Electronic Medical Record, Electronic Medical Records Software

Electronic Medical Records (EMR) Companies or EMR Software Vendors that provide electronic health record / electronic medical records software systems and service.

Electronic Health Record Software
Also see: Electronic Health Record System, Electronic Health Record Software, Electronic Health Records, Electronic Medical Health Records, Electronic Medical Record Software

See E-Prescribing
Also see: E-Prescribing

An electronic prescription is medication information that has been electronically transmitted between provider and pharmacy, without the use of paper. See E-Prescribing

Eligible Hospital is a hospital that qualifies for the HITECH Act EHR incentive program. Either Eligible Hospital - Medicaid or Eligible Hospital - Medicare
Also see: Eligible Hospital - Medicaid, Eligible Hospital - Medicare

Eligible Hospital (Medicaid) is a hospital that qualifies for the HITECH Act Medicaid EHR incentive program.
Also see: Eligible Professional

Eligible Hospital (Medicare) is a hospital that qualifies for the HITECH Act Medicare EHR incentive program.
Also see: Eligible Provider

Eligible professional (EP) is a physician that qualifies for the HITECH Act EHR incentive program. (click title for more info).
Also see: Eligible Provider, EP

Eligible providers are physicians and hospitals that qualify HITECH Act incentive payments for implementing Electronic Health Records (EHRs). Detailed eligibility criteria can be found at the Centers for Medicare & Medicaid Services (CMS) site https://www.cms.gov/EHRIncentivePrograms/15_Eligibility.asp
Also see: Eligible Professional, EP

Electronic Medication Administration Record

Electronic Medical Record
Also see: Electronic Medical Record

Electronic Medical Records (EMR) Software.
Also see: Electronic Health Record Software, EHR Software, Electronic Medical Record Systems, Electronic Medical Records Software

EOB

Explanation of Benefits (EOB) is a statement sent by health insurer individual after they or a covered family member has received healthcare services. Explanation of Medicare Benefits is sometimes referred to as EOMB.

Explanation of Medicare Benefits
Also see: EOB

Eligible Professional
Also see: Eligible Professional

Electronic Protected Health Information (ePHI). HIPAA Laws govern any protected health information (PHI) which is stored, accessed, transmitted or received electronically.
Also see: PHI, Protected Health Information , HIPAA 5010

Epidemiology & Statistics is the branch of medical science dealing with the transmission and control of disease & The mathematics of the collection, organization, and interpretation of numerical data, especially the analysis of population characteristics by inference from sampling.

Electronic Remittance Advice (ERA) is an electronic version of a payment explanation which provides details about providers' claims payment, and if the claims are denied, it would then contain the required explanations. ERA are provided by plans to Providers. The industry standard for sending ERA data is the HIPAA X12N 835 standard. ERA is an electronic version of the Standard Paper Remittance (SPR), or Explanation of Medicare Benefits (EOBs).

eRx

E-Prescribing
Also see: Electronic Prescribing, Electronic Prescription, E-Prescribing

Evaluation and Management rules for medical documentation. See E&M.
Also see: E&M

Evidence-Based Medicine involves physician use of the results ofa compilation of scientific studies in the medical literature. It is "the integration of best research evidence with clinical expertise and patient values".

Exchanges: Health insurance exchanges, which operate in each state and perform multiple functions, including determining eligibility for insurance affordability programs, certifying participating health plans for compliance with federal requirements, and providing consumers with

H.R. 3668, the Extension Act of 2007, Public Law 110-90) extended TMA [Transitional Medical Assistance], Abstinence Education, and QI [Qualifying Individuals], Medicare Physician Assistance and Quality Initiative Fund, Supplemental Security Income (SSI) extension to Medicaid

External Counter Pulsation (ECP)
Also see: ECP, External Counterpulsation

External Counterpulsation or External Counter Pulsation (ECP)  is a noninvasive, outpatient treatment for coronary artery disease with angina refractory to medical and/or surgical therapy.
Also see: ECP, External Counter Pulsation

Federal Advisory Committee Act

Federal Adoption of Standards for Health IT

Food and Drug Administration

Federal data hub: A federally administered service that will provide insurance affordability programs with information from multiple federal sources.

Under the healthcare reform act a Medicare fee-for-service beneficiary

FFS

Fee-For-Service

Federal Health Information Sharing Environment

Medicare Fiscal Intermediary Standard System (FISS) is usd to check for Additional Development Requests (ADRs). If you are set up to submit claim attachments electronically, you must use the online system to identify claims and view the ADRs.

Funding Opportunity Announcement

Food Stamps is a federal food assistance program.
Also see: SNAP

Foundation of Research and Education (part of AHMA; works for ONC)

Formularies are lists of the preferred and allowed drugs for a given patients

Free and Open Source/Solutions Software

Federally Qualified Health Center (FQHC). Providers who predominantly practiced in a FQHC who seved needly patients can may qualify for the Medicaid electronic health record incentive payments.

Federal Security Strategy

Federal Security Work Group - obsolete

Federal Transition Framework

For MIPPA Medicare eRx incentive program, G-code G8553 is the requireded numerator billing codes

Georgia Health Information Technology Regional Extension Center (GA_HITREC) is a federally funded program, at the National Center for Primary Care, designed to assist Georgia
Also see: REC

General Equivalence Mappings (GEMs) were designed as a general purpose translation tool that can be used by anyone who wants to convert coded data.

GEMs were developed by CMS and CDC, with input from Cooperating Parties:


  • American Hospital Association (AHA)

  • American Health Information Management Association (AHIMA) and

  • the team that developed and maintains ICD-10-PCS.


The GEMs are a tool to assist with converting larger ICD-9-CM databases to ICD-10-CM and ICD-10-PCS. For example, GEMs are used to:

  • Convert Medicare Severity-Diagnosis Related Groups (MS-DRGs) from an ICD-9-CM-based application to an ICD-10-CM/PCS-based application;

  • Convert the Medicare Code Editor to a native ICD-10-CM/PCS-based application; and

  • Produce a purpose-built ICD-10-CM/PCS to ICD-9-CM crosswalk for reimbursement called the “ICD-10 Reimbursement Mappings."


Also see: ICD-10-CM, ICD-10-PCS

Glasgow Coma Scale(GCS) is a neurological scale for recording the conscious state of an individual in a reliable, objective way

A Goniometer is device used to measure angles. Goniometers are most frequently used in medicine to determine range of motion in a patient's joint. For instance, an injured person may lose some flexibility because of an accident. Goniometers aid in chiropractic practices, physical therapy and the military, as well as to rotate objects in space.

Some electronic medical records (EMR) / electronic health record (EHR) systems come equipped with an interface to Electronic Goniometers that have graphical displays and documentation features.

The Geographic Practice Cost Index (GPCI) was implemented by the Centers for Medicare and Medicaid Services (CMS) as part of the Medicare physician fee schedule in 1992 and federal statute requires CMS to update the GPCI at least every three years. Locality GPCIs for CY 2012 will be calculated using 2006-based Medicare Economic Index (MEI) cost share weights and using American Community Survey (ACS) data to calculate the office rent index.

Graphical User Interface

HAC

Hospital-acquired condition
Also see: Iatrogenic Diseases

Health Architect's Forum

Healthcare Billing and Management Association

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

HCFA is the Centers for Medicare and Medicaid Services (CMS) Health Care Financing Administration which oversees Evaluation and Management (E&M) coding rules for documentation.

HCFA, an agency of the U.S. Department of Health & Human Services (HHS) that administers Medicare, the federal part of Medicaid and oversees Medicare's health financing
Also see: CMS

The Health Care Common Procedure Coding System (HCPCS) is a code set established and maintained by the Centers for Medicare & Medicaid Services (CMS), primarily to represent items and supplies and non physician services not covered by the American Medical Association (AMA) CPT-4 codes.
Also see: CPT, CPT-4, CPT Codes

The Health Care and Education Reconciliation Act of 2010 (H.R. 4872) amended the Patient Protection and Affordable Care Act (PPACA).

Health Care News is information for and about physicians and other health care providers.

Health Care Providers are physicians, medical doctors, clinicians, hospitals and everyone who provides medical care in an inpatient or ambulatory care setting.

The Health Care Reform Act or Health Care Reform Bill is officially called Patient Protection and Affordable Care Act (PPACA).
Also see: Health Care Reform Bill, Patient Protection and Affordable Care Act, ACA, Affordable Care Act

Health Care Reform Bill of 2010. See Patient Protection and Affordable Care Act (PPACA)
Also see: Patient Protection and Affordable Care Act, PPACA

Health informatics (also called health care informatics, healthcare informatics, medical informatics, nursing informatics, or biomedical informatics) deals with the resources, devices, and methods required to optimize the acquisition, storage, retrieval, and use of information in health and biomedicine.
Also see: Biomedical Informatics, Healthcare Informatics, Medical Informatics, Nursing Informatics

Health Information Exchange (HIE) is the process of sharing patient-level electronic health information, such as lab results, or medication lists, between different organizations, such as hospitals, or physician offices, or pharmacies. Use of the HL7 standard enables the exchange of health data.

The Health Information Technology Extension Program, authorized by the HITECH Act, consists of Health Information Technology Regional Extension Centers (RECs) and a national Health Information Technology Research Center (HITRC).
Also see: HITRC , REC

Health Information Technology for Economic and Clinical Health Act (HITECH Act)
Also see: HITECH Act

Health Insurance Portability and Accountability Act of 1996. See HIPAA.
Also see: HIPAA

Health Maintenance Organization (HMO) - An entity that provides, offers or arranges for coverage of designated health services needed by plan members for a fixed, prepaid premium.
Also see: HMO

See Health informatics
Also see: Biomedical Informatics, Health Informatics, Medical Informatics, Nursing Informatics

ypass surgery is used to treat heart disease when your coronary arteries are blocked. It is one of the most commonly performed surgeries in the United States. Bypass surgery can be a type of open heart surgery. But heart bypass surgery is not always performed in an open heart manner.
Also see: Open Heart Surgery, Bypass Surgery

Heart Disease or Cardiovascular Disease refers to diseases and irregularities of the heart, the heart valves and / or blood vessel disease.
Also see: Cardiovascular Disease

The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service. Alternately, the Healthplan Employer Data and Information Set

The Human Genome Project (HGP)
Also see: Human Genome Project

The U.S. Department of Health & Human Services. The HITECH Act requires medical providers to send medical info to HHS.

Health Information. Defined as information relative to the past, present, or future physical or mental health or condition of an individual that is created or received by a health care provider, health plan, public health authority, employer, life insurer, school or university, or health care clearinghouse

High Income Countries is a statistical grouping used by World Health Organizations (WHO)

HIE

Health Information Exchange (HIE)
Also see: Health Information Exchange

Health Information Management

Healthcare Information Management Systems Society

HIMSS Analytics collects and analyzes healthcare data relating to IT processes and environments, products, IS department composition, costs and management metrics, healthcare trends and purchasing decisions. Database was originally derived from the Dorenfest IHDS+ Database http://www.himssanalytics.org/

Health Information Organization

Health Insurance Portability and Accountability Act of 1996. Healthcare organizations were required to follow the privacy rule by 2003. The Health Reform act 2010 added fines and penalties for non-compliance. The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of standard unique identifiers for health care providers and health plans. See NPI and NPPES. The purpose of the administrative provisions is to improve the efficiency and effectiveness of the electronic transmission of health information. HIPPA is also known as the Kennedy Kassebaum Act, K2, and is officially known as Public Law 104-191
Also see: Health Insurance Portability and accountability Act

HIPAA 5010 is the latest version of proposed HIPAA’s transaction standards from the ASC X12 standards development organization. All physicians, other health care professionals, payers, and clearinghouses that submit HIPAA transactions will be required to use only the 5010 transactions as of the January 2012 deadline. This includes physicians who electronically submit administrative transactions, such as checking a patient’s eligibility, filing a claim, or receiving a remittance advice, either directly to a health insurance payer or through a clearinghouse.

The Administrative Simplification Compliance Act of 2001 (ASCA) required the use of electronic claims for providers to receive Medicare reimbursement. The current version of the standard current is Version 5010

HIPAA 835 Transaction is the edi standard transaction for Health Care Claim Payment /Electronic Remittance Advice (ERA)
Also see: HIPAA Transaction 835

HIPAA transaction 835 or HIPAA X12N 835 is the standard EDI transaction for Health Care Claim Payment Electronic Remittance Advice (ERA) transmissions to providers.
Also see: ERA , 835 Transaction, HIPAA 835

The Health Insurance Portability and Accountability Act–Administration Simplification (HIPAA–AS) requires covered entities to comply with the electronic data interchange standards for health care as established by the Secretary of Health and Human Services.

Health Information Policy Council (HIPC)

Healthcare Informatics Standards Board

Health Information Sharing Environment

Health Information Security and Privacy

Health Information Technology

The Health Information Technology for Economic and Clinical Health / HITECH Act. a sub provision of ARRA, the American Recovery and Reinvestment Act mandates electronic health record adoption by 2014.

Health Information Technology Policy Council

Health Information Technology Resource Center also known as the AHRQ National Resource Center for Health Information Technology (the National Resource Center), U.S. Department of Health and Human Services. HITRC is part of the Health Information Technology Extension Program authorized by the HITECH Act. HITRC will gather information on effective practices and help the RECs work with one another and with relevant stakeholders to identify and share best practices in EHR adoption, meaningful use, and provider support. RECs providing outreach and education and technical asistance.
Also see: AHRQ National Resource Center for Health Information Technology, Health Information Technology Extension Program

Health Information Technology Standards Panel

HL7

Health Level Seven (HL7) is the interoperability standard that allows electronic health record data to be shared and exchanged between health care providers. Sharing medical records is a requirement to qualify for the HITECH Act meaningful use EHR incentive program. It is the basis for Health Information Exchange (HIE)

See Health Maintenance Organization (HMO)
Also see: Health Maintenance Organization

Horizontal integration: Connecting different programs that serve a common or overlapping population

A professional is a hospital-based provider / physician if 90% or more of his or her services are performed in a hospital inpatient or emergency room setting. These providers are not eligible for HITECH incentive payments from CMS.
Also see: Hospitalist

A physician who practices most ofhis or her time in hospitals and specializes in medical care to hospitalized patients. Hospital-based providers are not eligible for CMS incentive payments.
Also see: Hospital-Based Providers

History of Present Illness

Health Professional Shortage Areas (HPSAs) are designated by Health Resources and Services Administration (HRSA) as having shortages of primary medical care, dental or mental health providers. HPSA providers can get a 10% increase on their Medicare electronic health record incentive payment. To find HPSAs, click http://bhpr.hrsa.gov/shortage/

Health Resources and Services Administration

HPSA Surgical Incentive Payment (HSIP) program is a Medicare incentive payment program for major surgical procedures provided by general surgeons in Health Professional Shortage Areas (HPSAs). HSIP applies an additional 10 percent of the payment for physicians

Health Information Service Provider

The Human Genome Project (HGP) is an international scientific research project with goals to understand DNA and the genetic makeup of the human species and genetic underpinnings of disease.
Also see: HGP

Hypertension is the term used to describe high blood pressure.
Also see: Blood Pressure

Iatrogenic Diseases are adverse conditions caused by interacting with the health care system, such as hospital-acquired infections
Also see: HAC

ICD

International Classification of Diseases. Codes disease maintained by the World Health Organization. These codes describe a disease or condition. ICD codes are used to classify diagnoses and causes of death. As many as four ICD-9 codes can be linked to one CPT code on a standard HCFA-1500 insurance claim form.

ICD-10 codes are currently used by most of the world. The Centers for Medicare and Medicaid Services (CMS) requires the use or this coding starting in 2014. Some CPT codes will be included. International Classification of Diseases, Tenth Revision.

ICD-10 codes are alphanumeric and contain 3 to 7 characters, whereas, ICD-9 codes are mostly numeric and have 3 to 5 digits.

Health care providers covered by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) will be required to document health care transactions using ICD-10 codes. This includes providers and payers who do not deal with Medicare claims.

Claims for all services and hospital inpatient procedures performed on or after the ICD-10 compliance deadline must use ICD-10 diagnosis and inpatient procedure codes.

ICD-10-CM is a clinical modification of the World Health Organization’s ICD-10. ICD-10-CM is a diagnostics classification system. ICD-10-CM includes the level of detail needed for morbidity classification and diagnostics specificity in the United States. It also provides code titles and language that compliment accepted clinical practice in the US. The system consist of more than 68,000 diagnosis codes
Also see: ICD, ICD-10, ICD-9-CM

ICD-10-PCS is a procedure code capture system, which is much more detailed and specific than the short volume of procedure code included in ICD-9-CM.  ICD-10-PCS is used for hospital inpatient procedures only
Also see: ICD-10, ICD-9-CM, ICD-10-CM

ICD-9 is International Classification of Diseases, Ninth Revision. It is a procedure and diagnosis coding system.

Claims for all services and hospital inpatient procedures provided before the ICD-10 compliance date must use ICD-9 / ICD-9-CM codes.
Also see: ICD, ICD-10, ICD-9-CM

International Classification of Diseases, Ninth Revision, Clinical Modification.

The International Classification of Primary Care (ICPC) is a classification method for primary care encounters

ICPC-2 classifies patient data and clinical activity in the domains of General/Family Practice and primary care, taking into account the frequency distribution of problems seen in these domains.

and analysis. ICPC-2 PLUS takes into account the frequency distribution of problems seen in primary health care

ICR

Information Collection Request (ICR) is a set of documents that describe reporting, record keeping, survey, or other information collection requirements imposed on the public by the Environmental Protection Agency or any other federal agency.

IDN

Integrated Delivery Network

Iowa Foundation for Medical Informatics

Interim Final Rule

Institute of Healthcare Improvement

Imaging Informatics is concerned with the common issues that arise in all image modalities, relating to the acquisition of image in or conversion to digital form, and the analysis, manipulation, and use of those images once they are in digital form

Infertility primarily refers to the biological inability of a man or a woman to contribute to conception. Infertility may also refer to the state of a woman who is unable to carry a pregnancy to full term.

An informatician is one who is skilled in informatics and computer science. They focus on a variety of clinical applications including decision support systems, electronic health records, and the development of clinical repositories and data warehouses. See Health Informatics

Institute of Medicine (IOM) is a non-profit national advisory group on health matters.Introduced the term Computer Based Patient Record (CPR) in 1991.
Also see: IOM

Insurance affordability programs: Medicaid, CHIP, and new federal subsidies to help low-and moderate-income people purchase coverage in the exchange.

Interoperability is the ability of systems to transmit and receive information from other systems. The definition of Electronic Health Records (EHR) includes the concept of interoperability.

see
Also see: Institute of Medicine

Independent Practice Association.Physicians in their individuals offices form an IPA which contracts with the HMO and manages the capitation payment (the lump sum paid by the payers to care for a group of subscribers)

The Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2009 Final Rule determined payment implications for each of the different POA Indicator reporting options

IQR

Hospital Inpatient Quality Reporting (IQR) Program

Inter-SNO Bridge (ISB) - is a term used by Connecting for Health to refer to the interface or point of contact between SNOs. From the publication, The Connecting for Health Common Framework: Technical Issues and Requirements for Implementation. for Health is a public-private collaborative of more than 100 organizations representing a diverse array of private, public, and not-for-profit groups.

International Organization for Standardization is a worldwide federation of national standards bodies from some 130 countries, one from each country.

ISO created a layered model, called the OSI (Open Systems Interconnect) model, to describe defined layers in a network operating system. The purpose of the layers is to provide clearly defined functions that can improve Internetwork connectivity between "computer" manufacturing companies. Each layer has a different function. The HL7 standard refers to the 7th level which is the Application function.

Information Technology

Joint Commission on Accreditation of Healthcare Organizations

Local Area Network

Leadership Council - FHA

The Leapfrog Group, a coalition of Fortune 500 companies which advocates increased use of technology to prevent errors.

Local Health Information Infrastructure

Line of Business

Logical Observation Identifiers Names and Codes (LOINC) is a database and universal standard for identifying medical laboratory observations.

LOS

Length of stay

Long-term care diagnosis-related group (LTC-DRG)
Also see: DRG

see Medicare Advantage
Also see: Medicare Advantage

MAC

Medicare Administrative Contractors

MAGI: Modified adjusted gross income, which is used to determine eligibility for insurance affordability programs under the ACA. With MAGI, federal individual income tax rules determine net income and household composition.

Management Science: The school of management emphasizing the use of mathematics and statistics as an aid in resolving production and operations problems

Medical Assistance Provider Incentive Repository (MAPIR) is the state-level information system for the Medicaid Electronic Health Record (EHR) Incentive Program. MAPIR will track information regarding registration, attestation and payments and provide program oversight. As of June 26, 2012, Eligible professionals (EPs) and Eligible hospitals (EHs) must use MAPIR system to register and attest to the Meaningful Use measures for a 90-day period in the second year of participation.

MAR

A Medication Administration Record (MAR or eMAR for electronic versions) is the report that serves as a legal record of the drugs administered to a patient at a facility by a health care professional. Also called a Drug chart.
Also see: Medication Administration Record

Major Complications and Comorbidities

Medicare Care Management Performance Demonstration

MDM

Medical Decision-Making (MDM) is one of the three key components of E&M. It involves making a diagnosis and selecting an appropriate treatment.

MDS

Minumum Data Set (Used for long term care)

Meaningful Use are criteria for use of HITECH Act electronic health record technology set by the Center for Medicare & Medicaid Services / CMS.
Also see: MU

Medicaid - 1) A state/federal benefit program for the poor who are aged, blind, disabled, or members of families with dependent children. Each state sets its own eligibility standards. Only 40 percent of individuals with income below the poverty level currently are covered.

see Claims Adjudication
Also see: Claims Adjudication

Patient-Centered Medical Home
Also see: Patient-Centered Medical Home

See Health informatics
Also see: Biomedical Informatics, Health Informatics, Healthcare Informatics, Nursing Informatics

Medical Loss Ratio (or MLR) is the amount of health insurance premiums that an insurer spends on health care and activities to improve health care quality. Under the Medical Loss Ratio provision of the Affordable Care Act, insurance companies are required to spend 80 percent (individual and small group markets) or 85 percent (large group markets) of premium dollars on medical care and health care quality improvement, rather than on administrative costs.
Also see: MLR

Medicare - A federal health benefit program for people over 65 and disabled and disabled that covers 35 million Americans - or about 14 percent of the population - for an annual cost of over $120 billion. Medicare pays for 25 percent of all hospital care and 23 percent of all physician services.

Medicare Advantage Plans, sometimes called "Medicare+Choice",
Also see: Medicare, Medicare Part C

In 2003, Congress amended the federal Medicare Act, confirming that when a personal injury plaintiff receives Medicare benefits for treatment of his or her injuries, Medicare’s right to recover those payments trumps everybody else’s rights. Thus, under the amendments, Medicare can get its money from either the plaintiff or the settling defendants, even when those defendants have already paid the plaintiff.

Part A Medicare - Medical Hospital Insurance (HI) under Part A of Title XVIII of Social Security Act, which covers patients for inpatient hospital, home health, hospice, and limited skilled nursing facility services. Beneficiaries are responsible for deductibles and co-payments.
Also see: Medicare

Part B Medicare - Medicare Supplement Medical Insurance (SMI) under Part B of Title XVII of the Social ecurity Act, which covers Medicare beneficiaries for physician services, medical supplies, and other outpatient treatment. Beneficiaries are responsible for monthly premiums, co-payments, deductibles, and balance billing.
Also see: Medicare

see Medicare Advantage
Also see: Medicare

Medicare Physician Fee Schedule (MPFS) is a system whereby Medicare pays for covered physicians. It provides more than 10,000 physician services, the associated relative value units, a fee schedule status indicator and various payment policy indicators needed for payment adjustment.
Also see: MPFS

A Medicare Private Fee-for-Service Plan is a Medicare Advantage Plan offered by a private insurance company. In a Medicare Private Fee-for-Service Plan, Medicare pays a set amount of money every month to the private insurance company to provide health care coverage. Medicare Private Fee-for-Service Plans must cover all medically-necessary services covered by Medicare Part A and Part B. It is not the same as a Medigap (Medicare Supplement Insurance) policy, Medicare SELECT, or Medicare Prescription Drug Plan.
Also see: Medicare, Medicare Advantage, FFS

see Medicare Advantage
Also see: Medicare

Drug Chart
Also see: MAR

Active Medication Allergy List

Medication Reconciliation -- The process of identifying the most accurate list of all medications that the patient is taking, including name, dosage, frequency and route by comparing the medical record to an external list of medications obtained from a patient, hospital or or other provider

Medigap Insurance is privately purchased individual or group health insurance policies designed to supplement Medicare coverage. Benefits may include payment of Medicare deductibles, co-insurance and balance bills, as well as payment for services not covered by Medicare.

Medicare Provider Analysis and Review File. The MedPAR File contains inpatient hospital and skilled nursing facility (SNF) final action stay records. Each MedPAR record represents a stay in an inpatient hospital or SNF.

MEI

Medicare Economic Indes (MEI)

Medicare Geographic Classification Review Board (MGCRB)

Medical Group Management Association

Medicare Improvements and Extension Act, Division B of the Tax Relief and Health Care Act (MIEA-TRHCA) of 2006, Public Law 109-432

Million Hearts

Medicare Information Patient Provider Act (MIPPA) of 2008 established incentives for eligible providers who are successfully e-prescribing (i.e. electronic e-prescribers)

Multi-Level Healthcare Information Modelling (MLHIM) brings semantic interoperability to Healthcare IT.

The Multi-Level Healthcare Information Modeling  specifications are partially derived from ISO Healthcare Information Standards and the openEHR 1.0.2 specifications. The version 2.3.0 of the MLHIM specifications introduces modernization through the use of XML technologies.

Managing Lead Partner Council - FHA

MLR

Medical Loss Ratio (MLR)

 

Medicare Modernization Act (MMA) passed in 2003 began encouraging doctors to e-prescribe

Medicare, Medicaid and SCHIP Extension Act of 2007 (MMSEA) is a federal law. Section 111 requires reporting of liability insurance (including self-insurance), no-fault insurance and workers’ compensation in situations where the injured person is Medicare-entitled. This mandatory quarterly electronic claims reporting (for non-group health claims)

MOC

Maintenance of Certification (MOC) program
Also see: MOCP

Maintenance of Certification Program (MOCP) qualifies PQRS eligible providers to receive an additional 0.5% incentive payment.

Medicare Physician Fee Schedule (MPFS)
Also see: Medicare Physician Fee Schedule

Multiple Procedure Payment Reduction (MPPR)

Medicare Severity Diagnosis Related Group (MS-DRG). Medicare reimbursement code assigned at admission that allows hospital to get paid for related ailments after patient is discharge.It excludes hospital acquired condictions. The DRG system classifies payments into groups based on the principal diagnosis, type of surgical procedure, presences or absence of complications, and other relevant indicators.
Also see: DRG

Medicare severity long-term care diagnosis-related group (MS-LTC-DRG)
Also see: DRG

Medical Service Organization

Medical Transcription Industry Association

Medical Transcription Service Organization

MU

Meaningful Use
Also see: Meaningful Use

Medically Underserved Areas. See HPSA
Also see: HPSA, MUP

Massachusetts General Hospital Utility Multiprogramming System (MUMPS) developed in 1960 is a programming language used by medical systems such as Costar and Veterans Administration Hospital System (VISTA).

MUP

Medically Underserved Populations. See HPSA
Also see: HPSA, MUA

National Association of Healthcare Access Management

National Alliance for Health Information Technology; "The Alliance" (Ceasing operation on 9/30/09). NAHIT made distinctions among electronic medical records (EMR), electronic health records (EHR), and personal health records (PHR.

National Association of State Chief Information Officers

National Health Information Network (NHIN) is envisioned to be a collection of standards, protocols, legal agreements, specifications, and services that enables the secure exchange of health information over the Internet.
Also see: NHIN

National Information Exchange Model (NIEM): A model for exchanging information between different, even incompatible computer systems, through which they communicate using a common definition and structure for key data elements, such as name and date of birth.

See NPPES.
Also see: NPPES

See NPI
Also see: NPI

National Cancer Institute

The National Center for Primary Care (NCPC) is a non-profit entity established by theMorehouse School of Medicine in Atlanta, GA. NCPC was awarded the HITECH Act grant money and serves as the Georgia Health Information Technology Regional Extension Center (GA-HITREC)
Also see: GA-HITREC, REC

National Council for Prescription Drug Programs. HIPAA Regulations require electronic health, administrative and financial data to be transmitted in the ANSI X12 and NCPDP formats

The HIPAA Electronic Transaction Standards Final Rule adopted a new standard for Medicaid subrogation for pharmacy claims known as NCPDP 3.0. Before this rule was adopted, no standard existed that allowed State Medicaid agencies to recoup funds for payments made for pharmacy services for Medicaid recipients when a third party payer had primary financial responsibility.
Also see: NCPDP

the National Council for Prescription Drug Programs [NCPDP] Version 5.1 for pharmacy transactions) used in EDI transactions lack certain functionality required by the health care industry. Therefore, it is necessary for providers to prepare for new standards in order to continue submitting claims electronically. January 2012 the standard changes from NCPDP 5.1 to NCPDP D.0.
Also see: NCPDP 3.0

National Center for Quality Assurance (NCQA)

National Conference of State Legislatures (NCSL)

National Committee on Vital and Health Statistics (NCVHS) - Public advisory body to the Secretary of the U.S. Department of Health and Human Services

National Electronic Disease Surveillance System (NEDSS) - CDC initiative to advance the development of efficient, integrated, and interoperable surveillance systems at federal, state, and local levels

National eHealth Collaborative (NeHC)

There are two major divisions of the nervous system: The central nervous system (CNS) consisting of the brain and spinal cord, and the peripheral nervous system (PNS) which is outside the brain and spinal cord.

The New England Journal of Medicine provides research and other key information to keep practicing physicians informed on developments that are important to their patients and keeps them connected to both clinical science and best practices for health care providers

National Governors Association (NGA)

NHIN Health Information Exchange (NHIN)
Also see: HIE

National Health Information Infrastructure (NHIE) - ASPE initiative to improve the effectiveness, efficiency, and overall quality of health and health care through a comprehensive network of interoperable systems of clinical, public health, and personal health information. (Now incorporated into ONCHIT)

Nationwide Health Information Network (NHIN): A network that would link disparate health care information systems together to allow patients, physicians, hospitals, public health agencies and other authorized users across the nation to share clinical information in real-time under stringent security, privacy and other protections. Described in the Framework for Strategic Action: "The Decade of Health Information Technology: Delivering Consumer-centric and Information-rich Health Care." As used by Connecting for Health, "(t)he NHIN is the sum of all SNOs. It is a network of networks whose participants agree to the Common Framework
Also see: National Health Information Network

The NHIN gateway will initially connect health care providers at the Defense Department, Veterans Affairs Department, Indian Health Service and Social Security Administration. They will be able to exchange information about their patients and deliver electronic medical records (EMRs) to SSA for disability determinations. Second phase it will be expanded to the public domain. The gateway will reuse technology developed for the National Cancer Institute and the Bidirectional Health Information Exchange and now used by the Military Health System and Veterans Health Administration to exchange medical records.
Also see: CONNECT

National Health Information Technology (NHIT) Collaborative for the Underserved has a goal eliminate health disparities and attainm optimal health through the effective use of health information technology (HIT). http://www.nhitunderserved.org/

National Hispanic Medical Association (NHMA)

The National Healthcare Safety Network (NHSN) is a secure, internet-based surveillance system that integrates patient and healthcare personnel safety surveillance systems managed by the Division of Healthcare Quality Promotion (DHQP) at CDC. One of The purposes of NHSN is to collect data from a sample of healthcare facilities in the United States to permit valid estimation of the magnitude of adverse events among patients and healthcare personnel.

National Institutes of Healt (NIH), U.S. Department of Health and Human Services

National Institute of Standards and Technology (NIST)

National Library of Medicine (NLM)

Natural Language Processing (NLP)

Process of removing redundancies and anomalies in database design.

Nurse Practitioner

The National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI satisfies the Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

National Plan and Provider Enumeration System (NPPES) was developed by The Centers for Medicare & Medicaid Services (CMS) to assign these unique identifiers to providers. Assignment of NPI numbers is a HIPPA provision.

A Notice of Proposed Rule-Making (NPRM) is a public notice issued by law when one of the independent agencies of the United States government wishes to add, remove, or change a rule or regulation.

NQF

National Quality Forum (NQF). The NQF endorsed national quality measures include safety (e.g., patient falls) and infection control (e.g., central line catheter-associated infection). Meaningful Use Clinical Quality Measures (CQM) include NQF codes.
Also see: CQM

NRC

AHRQ's National Resource Center (NRC)
Also see: HITRC

The National Surgical Quality Improvement Program (NSQIP) oversees the systematic collection, analysis and feedback of risk-adjusted surgical data to accomplish improved patient outcomes.

National Uniform Billing Committee (NUBC) of th AMA.

National Uniform Claim Committee (NUCC).

For HITECH Act meaningful use reporting, the numerator is generally the number of unique patients that meet the meaningful use measure criteria in the denominator.

G8553 is required for the MIPPA Medicare eRx incentive program

See Health informatics
Also see: Biomedical Informatics, Health Informatics, Healthcare Informatics, Medical Informatics

National Voluntary Hospital Reporting Initiative (NVHRI). NVHRI like Leapfrog Group deals with hospital quality. NVHRI includes the American Hospital Association, the
Association of American Medical Colleges, the Federation of American Hospitals, and
now many supporting organizations and 90 percent participation among the 3,000
hospitals. CMS made NVHRI mandatory.

O&E

see Outreach and Education
Also see: Outreach and Education

Obamacare refers to the Health Care Reform Act. Health Care Reform Bill, Patient Protection and Affordable Care Act (PPACA), or Affordable Care Act (ACA).

This historic piece of legislation was passed during President Barack Obama's first term of office. Though hotly contested, the US Supreme Court decisions was that Obamacare was constitutional.
Also see: Health Care Reform Bill, Patient Protection and Affordable Care Act, ACA, Affordable Care Act, Health Care Reform Act

Office for Civil Rights (OCR),. Dept of Health and Human Services
Also see: Office for Civil Rights

Office of Clinical Standards and Quality (PCSQ), an office in Centers for Medicare & Medicaid Services (CMS)

Open Data Base Connectivity (ODBC)

The Centers for Medicare & Medicaid Services (CMS) Office of E-Health Standards and Services (OESS) (OESS) is an agency of the Department of Health and Human Services. OESS is enforcer of HIPAA 5010 EDI transaction requirements.

The Office for Civil Rights (OCR) is the government agency charged with the enforcement of HIPAA rules and regulations.
Also see: OCR

Office of Health Information Technology Adoption (OHITA)

Office of Interoperability & Standards (OIS)

Office of Management & Budget (OMB)

ONC

Office of the National Coordinator for Health Information Technology (ONC). ONC has been tasked with coordinating the implementation and use of health information technology under the HITECH Act electronic health record (EHR) incentive plan. ONC is the preferred abbreviation for ONCHIT.
Also see: ONCHIT

ONC Authorized Testing and Certification Body
Also see: ONC

see ONC. Office of the National Coordinator for Health Information Technology
Also see: ONC

Office of Programs & Coordination (OPC)

Open Heart Surgery refers to surgery requiring an opening of the chest. Open heart surgery may or may not include an opening up of the heart. It may involve surgeries on other parts of the chest for instance, the arteries of the heart, valves or the muscles of the heart.

Also see: Heart Bypass Surgery

Office of Policy & Research (OPR)

Operating room (OR) or surgery center

Outreach and Education (O&E) are services / functions provided by Regional Extension Centers (REC) established under the HITECH Act
Also see: O&E

Pay For Performance (P4P). Physician is reimbursed for and is responsible for all outcomes.

Physician Assistant

Picture Archiving and Communication Systems (PACS). Provides a digital workflow platform for viewing, storage, retrieval and distribution of digital images. In addition to radiology, pathology, gastroenterology, and cardiology may also involve medical imaging.
Picture - digital diagnostic image, typically radiological
Archiving - electronic storage and retrieval, so no lost films
Communication - computer network with multiple access and IS integration
System - control of the processes with integrated technology
PACS stores images from the various digital acquisition devices, such as ultrasound (US), computed tomography (CT), mammography (mammo), as different modalities.

Post Anesthesia Care Unit (PACU) or surgery recovery room

Professional Association of Health Care Office Management (PAHCOM)

Pandemic surveillance is much like Bio-surveillance in the technological aspects. Details about the victims are stored to allow tracking of the transmission and extent of contagion over time.
Also see: Biosurveillance

Under the healthcare reform act 2010, an ACO is at financial risk for some, but not all, of the items and services covered under parts A and B, such as at risk

The name for IFMC's system for collecting data from everyone who reports data in to OCSQ

Pathology: 1) The science of the causes and effects of diseases, esp. the branch of medicine that deals with the laboratory examination of samples of body tissue for diagnostic or forensic purposes. Or 2) Pathological features considered collectively; the typical behavior of a disease

The Health Care Reform Act of 2010 / Patient Protection and Affordable Care Act (PPACA), along with the Health Care and Education Reconciliation Act, was passed in 2010 to reform the private health insurance industry and public health insurance programs. PPACA objectives are to improve coverage for those with pre-existing conditions, expand access to care for over 30 million Americans, and reduce the long term costs of the United States health care system.
Also see: PPACA

Patient-Centered Medical Home (PCMH) 2011 is an innovative program for improving primary care developed by the National Committee for Quality Assurance (NCQA). The Patient Centered Medical Home is a health care setting that facilitates partnerships between individual patients, and their personal physicians, and when appropriate, the patient’s family.

Healthcare Pay for Performance (P4P) programs reward hospitals, physician practices and other providers with both financial and non-financial incentives based on performance on select measures. These performance measures can cover various aspects of healthcare delivery: clinical quality and safety, efficiency, patient experience and health information technology adoption.
Also see: P4P

PBM

Pharmacy Benefit Manager (PBM) is a third party administrator of prescription drug programs. They are primarily responsible for processing and paying prescription drug claims.

The Medicare Primary Care Incentive Program (PCIP) provides a 10 percent incentive payment for primary care services furnished on or after January 1, 2011 and before January 1, 2016. PCIP was establiched by Section 5501(a)(3) of the Patient Protection and Affordable Care Act (PPACA)

Patient-Centered Medical Home . Unlike ACO, PCMH does not offer explicit incentives for providers to work collaboratively to reduce costs and improve quality

PCP

See Primary Care Physician (PCP)
Also see: Primary Care Physician

Provider Enrollment, Chain, and Ownership System (PECOS). A provider must be registered in this system to be eligible to receive HITECH Act Medicare EHR incentives

Personal Health Record (PHR) is also referred to as personally controlled health records
Also see: PHR

Past, Family and Social History (PFSH)data from a medical encounter

Personalized Health Care (PHC)

Population Health & Clinical Care Connections (PHCCC)

Public Health Data Standards Consortium (PHDSC)

PHI

1) Protected Health Information (PHI) or Personal Health Information.

2) Public Health Informatics (PHI) is the use of computers and technology to serve the specialized needs of public health to promote public health practice, research and training
Also see: Protected Health Information

Public Health Information Network (PHIN)

Physician Hospital Organization (PHO)

Personal Health Record (PHR) is also referred to as personally controlled health records

Physician Incentive Programs are programs that provide government, hospital and insurance payer rewards to health care providers for quality and performance. Examples are the HITECH Act / CMS meaningful use EHR incentive program and MIPPA e-prescribing incentives.

see PQRI
Also see: PQRI , PQRS

see PQRS
Also see: PQRI , PQRS

President's Information Technology Advisory Committee (PITAC)

Program Management (PM)

Project Management Office (PMO)

Practice Management System (PMS)

POA

The Center for Medicare and Medicaid Services (CMS) uses Present on admission (POA) indicator to group diagnoses into the proper DRG

Point-of-Service Plan (POS) - A health benefit plan allowing the covered person to choose to receive a service from a participating or non-participating provider, with different benefit levels associated with the use of participating providers.
Also see: POS

POS

See Point-of-Service (POS).
Also see: Point-of-Service

See Patient Protection and Affordable Care Act (PPACA)
Also see: Patient Protection and Affordable Care Act, ACA

See Preferred Provider Organization (PPO)
Also see: Preferred Provider Organization

Prospective Payment System (Medicare Part A)

Physician Quality Reporting Initiative (PQRI) which requires ACO reporting on such requirements and such payments related to electronic prescribing, electronic health records, and other similar initiatives under section 1848 of he healthcare reform bill. In 2011, the program name was changed to Physician Quality Reporting System (PQRS).
Also see: Physician Quality Reporting Initiative, PQRS

Physician Quality Reporting System (PQRS) is the new name for Physician Quality Reporting Initiative (PQRI). PQRS includes incentive payments for eligible professionals who satisfactorily report data on quality measures for covered professional services furnished to Medicare beneficiaries
Also see: Physician Quality Reporting System, PQRI

Pre-populating forms: A government agency

Preferred Provider Organization (PPO) - A program that establishes contracts with providers of medical care. Providers under such contracts are referred to as preferred providers. Usually, the benefit contract provides significantly better benefits and lower member costs for services received from preferred providers, thus encouraging covered persons to use these providers.
Also see: PPO

Primary Care Physician (PCP) - A physician, the majority of whose practice is devoted to internal medicine, family/general, and pediatrics. An obstetrician/gynecologist sometimes is considered a primary care physician, depending on coverage.
Also see: PCP

PRN means "as needed," usually followed by something along the lines of "Not to exceed 30 mg in 24 hours."

Protected Health Information (PHI) is a concept introduced by the HIPAA. PHI is health information that includes data to uniquely identify the person.
Also see: PHI

Percutaneous Transluminal Coronary Angioplasty (PTCA)

Post-Traumatic Stress Disorder (PTSD)

Programs in the United States designed to promote physical and mental health and prevent disease injury and disability.

Public Health Informatics is an application area of Biomedical Informatics in which the field

Physician Voluntary Reporting Program (PVRP) - U.S. Department of Human Services, Centers for Medicare and Medical Services sponsored quality of care reporting program.

Quality Improvement Group

Quality Improvement Organization

Quality

RAC

Recovery Audit Contractors (RAC). The purpose of the RAC program is identify and correct Medicare overpayments and underpayments in the Medicare Fee-For-Service (FFS) Program

Redundant Array of Independent (or Inexpensive) Disks (RAID) is a category of disk drives that employ two or more drives in combination. RAID allows you to store the same data redundantly (in multiple paces) in a balanced ay to improve overall performance.

Resource-Based Relative Value Scale (RBRVS )

Regional Extension Center (REC). RECs will support and serve health care providers to help them quickly become adept and meaningful users of electronic health records (EHRs). RECs are designed to make sure that primary care clinicians get the help they need to use EHRs.
Also see: GA-HITREC

The American Recovery and Reinvestment Act of 2009
Also see: American Recovery and Reinvestment Act, ARRA, HITECH Act, Stimulus Bill

see RMRS

The primary goal of the Regional Extension Centers is to help primary care physicians with the transition to electronic health record software.
Also see: GA-HITREC, REC

Regional Health Information Organizations (RHIO) were local, neutral organizations bringing providers in a community together for the purposes of health information exchange (HIE) in order to improve quality
Also see: RHIO

Review of Systems / Symptoms. See ROS.

Rural Health Clinic (RHC). Providers who predominantly practiced in a RHC who seved needly patients can may qualify for the Medicaid electronic health record incentive payments.

Regional Health Information Exchanges

Regional Health Information Organization (RHIO)
Also see: Regional Health Information Organization

Reporting Hospital Quality Data for Annual Payment Update (RHQDAPU)

Record Locator Service - An index that lets clinicians find out where the patient information they seek is stored so that they can request it directly from its source. From the publication, The Connecting for Health Common Framework: Overview and Principles. for Health is a public-private collaborative of more than 100 organizations representing a diverse array of private, public, and not-for-profit groups.

The Regenstrief Medical Record System (RMRS) was developed in the 1970s. It was initially an outpatient system used in the diabetic clinic. Probably the first medical record system to include decision support functionality.

ROS

Review of Systems (or Symptoms) is a list of questions, arranged by organ system, designed to uncover dysfunction and disease. Review of Systems is a technique used by health-care providers for eliciting a history from a patient. Review of Systems is also called a Systems Enquiry or Systems Review

RPL

Rehabilitation psychiatric long-term care (hospital)

Resource and Patient Management System (RPMS)

Radiological Society of North America (RSNA)

Review Task Force (RTF)

RUC

The American Medical Association (AMA) Specialty Society Relative Value Scale Update Committee (RUC) makes annual recommendations regarding new and revised physician services to the Centers for Medicare and Medicaid Services (CMS) and performs broad reviews of the RBRVS every five years.

Rules engine: A repository of business rules that drives the operation of a computer system.

When an ADR is generated, the claim will be found in status/location S B6001 in the Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE). You will not receive hardcopy ADRs for claims pending in this location.
Also see: ADR

With the Software-as-a-Service (SaaS) model, an application with a single code base is hosted and provided as a service to multiple customer, securely over the internet. Similar to ASP model
Also see: ASP

SAF

The Standard Analytical Files (SAFs) contain information collected by Medicare to pay for health care services provided to a Medicare beneficiary. SAFs are available for each institutional (inpatient, outpatient, skilled nursing facility, hospice, or home health agency) and non-institutional (physician and durable medical equipment providers) claim type. The record unit of SAFs is the claim (some episodes of care may have more than one claim).

Substance Abuse and Mental Health Services Administration (SAMHSA)

SAS 70 (Statement on Auditing Standards No. 70) is an auditing guideline for assessing the internal controls of a service organization. Organizations with SAS 70 certificates have processes for protecting data entrusted to them. SAS 70 certificate holders meet HIPAA compliance standards.

SCOTUS, the acronym for the Supreme Court of the United States. The Health Care Reform Act or Patient Protection and Affordable Care Act (PPACA or ACA) was under review by SCOTUS. The U.S. Supreme court decides if Obamacare unconstitutional.SCOTUS, the acronym for the Supreme Court of the United States.

Standards Development Lifecycle (SDLC)

Secure Data Network (SDN)

U.S. Standards Development Organizations

Section 179 Deduction or Section 179 Depreciation Deduction helps small businesses by allowing them to take a depreciation deduction for certain assets (capital expenditures) in one year, rather than depreciating them over a longer period of time. Expenses related to electronic health record software adoption may qualify for Section 179 deduction

SGR

The Medicare Sustainable Growth Rate (SGR) is a method currently used by the Centers for Medicare and Medicaid Services (CMS) in the United States to control spending by Medicare on physician services

Shared eligibility service or

Summit Health Institute for Research and Education (SHIRE), Inc.

State Level Health Information Exchange (SLHIE) Consensus Project

SNAP: The Supplemental Nutrition Assistance Program, the program formerly known as
Also see: Food Stamps

SNF

Skilled nursing facility

NCPDP Strategic National Implementation Process (SNIP) deals with HIPAA telecommunication and transaction standards.

Subnetwork organization (SNO) - As used by Connecting for Health, "(a) SNO is any group of entities (regionally or non-regionally defined) that agree to communicate clinical data with one another using a single Record Locator Service (RLS), using shared policies and technological standards, and operating together under a single SNO-wide set of policies and contractual agreements. A SNO has two sets of interfaces, one internal, which binds its member entities together, and one external, which is where traffic to and from other SNOs and outside entities come from." From the publication, The Connecting for Health Common Framework: Technical Issues and Requirements for Implementation. for Health is a public-private collaborative of more than 100 organizations representing a diverse array of private, public, and not-for-profit groups.

Systematized Nomenclature of Medicine (SNOMED)

Systematized Nomenclature of Medicine - Clinical Terms (SNOMED-CT). is a comprehensive clinical terminology, originally created by the College of American Pathologists (CAP). SNOMED-CT is now owned, maintained, and distributed by the International Health Terminology Standards Development Organisation (IHTSDO).

Service Oriented Architecture SOA)

SOAP: Subjective, Objectiv, Assessment, Plan


  • Subjective: Information patient reports

  • Objective: Doctor's / health care provider's observation including results of tests ordered, vital signs and observations from examination.

  • Assessment: Diagnosis.

  • Plan: Steps that will be taken to treat the patient, including laboratory, radiological or diagnostic tests ordered, medication, therapies, surgeries and referrals to other specialist. It may also list long-term treatment plans and recommended changes to lifestyle.

Supply Processing and Distribution (SPD) uses CPT codes to create the specific case carts needed for surgeries

Speech Recognition software performs a transcription function. You talk and it types.

Speech recognition is a technology that converts spoken word to computer readable data. The terms “speech recognition” and “voice recognition” are often used interchangeably.
Also see: Dragon Naturally Speaking, Voice Recognition

Structured Query Language (SQL)

State and Regional Demonstration (SRD) contracts (AHRQ funded)

Secure Sockets Layer (SSL) is a commonly-used protocol for managing the security of a message transmission on the Internet. SSL has recently been succeeded by Transport Layer Security (TLS).

see ARRA
Also see: ARRA, HITECH Act

A stroke happens when blood flow to a part of the brain stops

Sub-Acute Care - Usually described as a comprehensive inpatient program for those who have experienced a serious illness, injury, or disease, but who do not require intensive hospital services. The range of services considered sub-acute can include infusion therapy, respiratory care, cardiac services, wound care, rehabilitation services, post-operative recovery programs for knee and hip replacements, cancer, stroke, and AIDS care.

A superbill is a form used by medical practitioners and clinicians that can be quickly completed and submitted to an insurance company or employer for reimbursement. Superbills are normally customized for the medical practice. It contains patient information, the most common CPT codes / procedure codes and ICD codes / diagnostic codes used by the health care providers at that office.

Certifies e-Prescribing Systems

Syndromic Surveillance is the technique for identifying illness and unusual disease clusters early in order to mobilize a rapid response, thereby reducing morbidity and mortality. Transmission of syndromic surveillance data to public health agencies provides ability to track and monitor emerging outbreaks of illnesses such as influenza, SARS, HIV, and even bioterrorism.

Eligible providers may choose at least one of two public health objectives and measures from a menu set to meet the meaningful use requirements in Stage 1. Electronic transmission of syndromic surveillance data to public health agencies is one of the two mandatory menu HITECH Act meaningful use criteria.

Instead of the term syndromic surveillance,, there has been a movement towards other terms such as biosurveillance or disease surveillance.
Also see: Biosurveillance, Pandemic Surveillance

see Technical Assistance

TANF: Temporary Assistance for Needy Families, which replaced Aid to Families with Dependent Children (AFDC). TANF provides a range of services to needy families. However, as used in this paper, the term primarily refers to cash assistance.

TAT

Turn Around Time or TAT is a term relative to the time of delivery of transcription data

Jerome Osheroff developed quality measures calle the taxonomy of clinical decision support (CDS) interventions. The taxonomy is a method of organizing the info to make it more useful, including forms and templates.The taxonomy is composed of four functional categories: 1) triggers, 2) input data, 3) interventions, and 4) action steps

Traumatic brain injury

The Center for Business Innovation

Technical Assistance (TA) are services / functions provided by Regional Extension Centers (REC) established under the HITECH Act
Also see: TA

Person who actually performs a procedure such as an xray. This is not performed b the radiologist.

Tax Equity and Fiscal Responsibility Act of 1982, 97

Telehealth applies to both clinical and non-clinical settings such as remote monitoring of patients in their home. Telehealth encompasses preventive, promotive and curative aspects of medicine. It includes clinical care, health education, public health and health administration.

Telemedicine focuses on the curative aspect of medicine, especially treating acutely sick patients by a doctor / provider who is remote. Telemedicine must provide audio and video capable of two-way, real-time interactive communication between the patient and provider
Also see: Telehealth

ExcerptEmbed Code

Transforming Healthcare Quality Through Health Information Technology (THQIT)grants - AHRQ funded

Thrombolytic Therapy is the use of drugs to break up or dissolve blood clots, which are the main cause of both heart attacks and stroke. The most commonly used drug for thrombolytic therapy is tissue plasminogen activator (tPA)

Heart Attack
According to the American Heart Association, you have a better chance of surviving and recovering from a heart attack if you receive a thrombolytic drug within 12 hours after the heart attack starts. But ideally, you should receive thrombolytic medications within the first 90 minutes after arriving at the hospital for treatment.

Strokes
Giving thrombolytics within 3 hours of the first stroke symptoms can help limit stroke damage and disability.

Taxpayer Identification Number (TIN)

The IPA Association of America (TIPAAA)

Transport Layer Security (TLS) is the upgraded communications protocol from SSL

TMR stands for The Medical Record. TMR is an electronic medical record system developed in the 1970s initially for recording obstetric history info

TPO stands for treatment, payment, and health care operations. One of the newer HIPAA disclosure requirements relates to TPO

Triage is the process of determining the priority of patients' treatments based on the severity of their condition.

Form submitted by hospitals to CMS for reimbursement. Also called CMS1450
Also see: CMS 1450

Uniform Hospital Discharge Data Set

Unified Medical Language System (UMLS) is one of the standardized medical vocabularies. Provides a translation for different medical terms, including different medical coding systems

Unique Patient

A urinary tract infection (UTI) is a bacterial infection that affects any part of the urinary tract.
Also see: UTI

Uniform Resource Locator

UTI

see Urinary Tract Infection
Also see: Urinary Tract Infection

The Centers for Medicare and Medicaid Services (CMS) requires hospital staff by-laws to include an Utilization Plan, which assures high quality, accurate and complete clinical documentation is produced

Hospital Value-Based Purchasing (VBP) Program is similar to the pay per performance concepts. Hospitals pay for and reward physicians and vendors providing quality and the best value.
Also see: Pay for Performance

VBP

Value-Based Purchasing (VBP)
Also see: Value-Based Purchasing

Vertical integration: Connecting programs that provide a similar benefit to populations with different income levels

VHA

The Veterans Health Administration (VHA) is the component of the United States Department of Veterans Affairs (VA) that implements the medical assistance program of the VA through the administration and operation of numerous VA outpatient clinics, hospitals, medical centers and long-term healthcare facilities (i.e., nursing homes)
Veterans Health Administration

Veterans Health Information Systems and Technology Architecture (VistA): an enterprise-wide information EHR system used throughout the United States Department of Veterans Affairs (VA) medical system

Vital Signs are measures of various physiological statistics, often taken by health professionals, in order to assess the most basic body functions. The HITECH Act requires documentation of vital signs as one of the core CMS meaningful use criteria to qualify for the electronic health record (EHR) Incentive Program.

Vista Office HER (VOE)

Voice Recognition software is a type of artificial intelligence software.

Voice recognition is a technology that interprets spoken words in order to identify the person and take appropriate action.  The terms “speech recognition” and “voice recognition” are often used interchangeably.
Also see: Dragon Naturally Speaking, Speech Recognition

Workgroup for Electronic Data Interchange (WEDI)

Work Group (WG)

World Health Organization (WHO) is the United Nations public health arm. Monitors disease outbreaks, assesses the performance of health systems around the globe. See ICD

World Health Organizations (WHO). See ICD

Wounded Warrior (WW)

XML

Extensible Markup Language (XML) is a markup language that defines a set of rules for encoding documents in a format that is both human-readable and machine-readable.

Many application programming interfaces (APIs) have been developed to aid software developers with processing XML data, and several schema systems exist to aid in the definition of XML-based languages.
Also see: MLHIM, CCD (MLHIM)

Powered by MyInstantGlossary WordPress Plugin