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23 Cards in this Set
- Front
- Back
Major safeguard to help secure access to the EHR information is |
Each user should be given PASSWORDS that are confidential to protect health information. |
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E-Prescribing |
A way of routing prescriptions directly to a pharmacy (it's a function within the EHR system, not a safeguard) |
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Hacking |
An activity that can give users illegal access to a system and is a federal crime |
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Special note documentation |
Possibly phone calls, messages, legal correspondence, surgical notes, etc. |
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SOAP |
S:Subjective = statements about symptoms, social history, how the patient feels O:Objective = actual data from examination, x-rays, laboratory reports, etc. A: Assessment = diagnosis from the physicians analysis of the subjective and objective P:Plan = the treatment plan and course of follow up action |
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CHEDDAR |
C:Chief Complain H:History of presence illness E:Examination D: Details D:Drugs and dosage A:Assessment R:Return Visit info/ referral |
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Search engines and operating system |
Search engines are used to look up information on the internet (Google, Yahoo, Bing) operating system is the program that actually runs the computer |
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Scanner, printer & copy machine, mouse |
Scanner will capture images and convert them to digital forms that can be stored or otherwise maniplulated on a computer. Printer and copy machine produce a hard copy of a document Mouse is used to move the cursor and navigate through computer screen |
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In-network and Non-Network |
Prenegotiated rates are the amounts paid by the patient for any health care services provided by the In-Network provider. More out of pocket expenses can be expected if non network providers have not contracted with the insurance company for a fee schedule. |
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For-Profit and Not for profit |
Most insurance companies operates as for profits (employers sponsored or individual plans) as opposed to not for profit (SCHIP, TRICARE, state and federal problem) |
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Managed care |
Used in reference to describe a variety of techniques intended to reduce the cost of providing health benefits and improve the quality of care. It includes incentives for physicians and patients to select less costly forms of care. There is a review of medical necessity for some services. This results in determination to provide the best care at the least cost to the insurer by requiring pre-authorization and or precertification |
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Rider |
A provision on an insurance policy that can be purchased separately from a basic policy that provides additional benefits at additional cost but can also limit coverage. |
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Referral |
Occurs when the insureds primary care physician determines that the patient needs to see a specialist or requires a procedure that they can not perform |
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Deductible |
The amount the patient owes for covered health care service before the insurance plan begins to pay |
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Precertification |
Authorization by an insurance company before a specific medical procedure is done |
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Exposure control plan |
An OSHA (blood borne pathogens standard) that must meet certain criteria and must be reviewed and updated at least yearly and be readily available to all medical staff |
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Drug enforcement administration (DEA) |
Tasked with combatting drug smuggling and use of illegal drugs within the United States and has sole responsibility for coordinating and pursuing US drug investigations abroad. DEA registration certificates must be renewed every 3 years. |
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FDA food and drug administration |
Responsible for protecting and promoting public health through regulating and supervision of prescription and over the counter pharmaceutical drugs, vaccines, biopharmaceutical, blood transfusion, medical devices |
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DHHS |
Goal to protect the health of all Americans and providing essential human services |
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Needlestick safety and prevention act |
In 2000, the act was signed into law to help eliminate or minimize exposure risk due to accidental needlesticks |
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Clinical laboratory improvement Amendments (CLIA) |
Laws put in place to ensure quality aussurance standards for medical laboratories |
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HIPAA (Health insurance portablility and accountability act) |
A set of regulations put in place to ensure confidentiality of health insurance also making it easier for a person to keep their health insurance if they lose or change jobs |
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Narcotics license |
A physician must have one to give them the legal right to dispense controlled substances. |