In today’s health care environment patient safety has become one of the most important objectives in all health care institutions. One of the main issues when it comes to safety of patients is errors that can occur when abbreviations are not used properly when dealing with health information technology. It is important for health care employees to have knowledge and a clear understanding of what the abbreviations stand for, as well as the purpose of them. When dealing with a patient’s personal information that concerns their medical history, there must be the use of accurate written or computerized documentation at all times. This paper will define the following abbreviations: AMR, CMR, CMS, CMS 1500, CPT, DRG, EPR, HL7, ICD-9, UB-2, and
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The system “helped form the basis for the PROMIS project at the University of Vermont, which was a collaborate effort between physicians and information technology experts to develop an automated electronic medical records system” (Pinkerton, 2006). The CMR system since its development has provided physicians, hospitals, and other health care facilities detailed medical information on their patients care. As technology continues to advance, CMRs will continue to improve and enhance the care patients receive.
The Center of Medicare and Medicaid Services (CMS), a federal government agency that is an entity of the United States Department of Health and Human Services (DHHS). The agency works closely with “state governments to administer Medicaid, the State Children’s Health Insurance program (SCHIP), as well as health insurance portability standards” (CMS, 2009). CMS has an active responsibility in the administration simplification standards of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and quality care in long-term care facilities (HCFA, 2010).The Center of Medicare and Medicaid Services is the largest health care service provider in the United States, and Americans continue to rely on CMS to provide them with affordable health care services.
The CMS-1500 form also known as the American Medical Association form, that is used by providers or suppliers to bill