What is the difference between an electronic health record and an electronic medical record quizlet?

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  1. Science
  2. Medicine
  3. Health Computing

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Electronic medical records (EMRs/Electronic health records (EHRs)

Terms in this set (18)

What is the definition of an Electronic Health Record (EHR)?

An EHR contains patient information from all providers involved in a patient's care. EHR data can be created, managed, and shared by authorized providers and staff from across more than one health care organization.

What is the definition of an Electronic Medical Record (EMR)?

An EMR is a digital version of a paper chart that contains all of a patient's medical history from one practice.

List the types of insurance companies that need to be provided with a billing claim form: Commercial insurance (BCBS,etc.);

Medicare; Medicaid; Workers' Compensation; TRICARE. Commercial insurance carriers, as well as government-sponsored plans, need to be provided with billing claim forms

Is a paper-based system of records more secure than an electric one?

No; they both have some security issues, but an electronic system is actually safer than paper-based ones.

When transitioning to EHRs, which costs are higher:

initial costs or long-terms costs? Initial Costs. Long term, there are actually cost savings compared to the current paper/manual systems once training has taken place and staff members become more comfortable with the new processes. Initial costs are highest when moving to an electronic system.

Where would you look to determine if a patient has had a polio vaccine?
Immunizations List

Immunizations List

The Electronic Superbill is automatically generated from the ___

Progress Note

What is the correct order of the flow of information in the medical office?

1. Appointment Scheduling2. Front Desk/Check-In3. Nursing/Clinical Support4. Care Provider5. Check-Out Desk6. Business Office/Billing7. Clinical Staff/Care Provider (if/a)

In the long-term, cost will _______________ when transitioning to an electronic health record system

Decrease

The process of moving a patient from appointment-making through check-out is called ___

Patient Flow

Clinical documentation of a patient's visit is known as the __

Progress Note

An encounter form is also known as a/an __________

Superbill

What form is used to bill inpatient claims?

UB-04

What is the purpose of the UB-04?

It is the uniform institutional provider hardcopy claim form suitable for use in billing multiple third party payers.

The __________ ____ ___________ is an example of clinical information that is collected through an EHR.

Plan of Care

What is electronic claims submission?

The information is sent by wire to a clearinghouse.

Why is this the preferred method of claims submission?

It is the preferred billing method because it cuts down on billing errors, and cuts down on processing time, which results in faster payments.

Why is EHR/EMR software more comprehensive, or complete than practice management software

Because it includes clinical documentation.

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What is the difference between an electronic health record and an electronic medical record?

Although some clinicians use the terms EHR and EMR interchangeably, the benefits they offer vary greatly. An EMR (electronic medical record) is a digital version of a chart with patient information stored in a computer and an EHR (electronic health record) is a digital record of health information.

What is an electronic medical record quizlet?

Electronic Medical Record (EMR) An electronic record of health-related information about an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within a single healthcare organization.