Chapter 6 Key Terms

Question 1

Billing and Coding Software

Answer 1

Software that receives data from a patient’s HER/EMR, converts the data into billable items, and submits the bill to the insurance company for reimbursement

Question 2

Blood Pressure Cuff

Answer 2

A device used to measure blood pressure, also called BP cuffs, vitals cuffs or sphygmomanometer

Question 3

Change Advisory Board (CAP)

Answer 3

The board within the IT Company that decides if a change management request is a benefit to the company or a liability, also called a governance board

Question 4

Change Management

Answer 4

The board within the IT Company that decides if a change management request is a benefit to the company or a liability, also called a governance board

Question 5

Code Blue

Answer 5

A code usually used to indicate a patient is in critical condition and requires immediate intervention

Question 6

Consultation

Answer 6

When a doctor seeks the expertise of another doctor in a specialized field

Question 7

Continuity of Care Document (CCD)

Answer 7

A version of a patient’s records for transferring relevant data. A CCD is easily read by either a person or an IS

Question 8

Continuity of Care Record (CCR)

Answer 8

A collection of CCD’s

Question 9

Controlled Substance

Answer 9

A drug or substance regulated by the government

Question 10

Current Procedural Terminology (CPT)

Answer 10

Coding system maintained by the America Medical Association (AMA) to represent procedures or treatments offered by the healthcare provider

Question 11

Digital Imaging and Communication in Medicine (DICOM)

Answer 11

The healthcare industry standard for medical digital imaging. DICOM is designed specifically for image handling, storing, printing, or transmitting. The file extension for this format is .dcm

Question 12

e-Prescribing Software

Answer 12

Software used by physicians to electronically write prescriptions for patients

Question 13

Electrocardiogram (EKG or ECG)

Answer 13

A test that indicates problems with the electrical activity of the heart

Question 14

Electroencephalogram (EEG)

Answer 14

A test that measures the frequency of brain waves

Question 15

Evaluation and Management (E/M) codes

Answer 15

Subcategory of CPT codes that used to describe the level of care provided to a patient

Question 16

Examination

Answer 16

When a healthcare provider evaluates a patient and his medical conditions. This might include test for a complete understanding of the cause of symptoms, also called exam

Question 17

Glucose Monitor

Answer 17

A device used to measure the amount of glucose in the blood sample

Question 18

Governance board

Answer 18

The board within an IT company that decides if a change management request is a benefit to the company or a liability, also called change control

Question 19

Graphics Interchange Format (GIF)

Answer 19

An image file format that supports data compression and animation. GIF supports 256 colors, so some quality is lost on colored images. The file extension for this format is .gif

Question 20

Joint Photographic Experts Group (JPEG)

Answer 20

An image file format that supports data compression. JPEG supports up to 16 million colors, but when compressed, the image loses clarity and sharpness. JPEG is generally used on the Internet. The file extension for this format is .jpg

Question 21

Metadata

Answer 21

Data about data. In imaging, metadata tags files with keywords to easily search for the file

Question 22

National Drug Code Identifier (NDCID)

Answer 22

A code assigned to each drug used by the FDA to maintain a list of drugs being produced

Question 23

Node

Answer 23

A connection point to an IS

Question 24

Nuclear Stress test

Answer 24

A test using both two PET scans and a vascular stress test to test how well the blood flows through the heart of a patient

Question 25

Optical Character Recognition (ORC)

Answer 25

A technology that translates printed lettering into pure text that can be searched and manipulated on a computer

Question 26

Picture Archiving and Communication System (PACS)

Answer 26

An information system designed to store and retrieve different formats of medical imaging in one location, as well as communicate PACS images to other information systems

Question 27

Portable Document Format (PDF)

Answer 27

A widely used file format developed by Adobe Systems used to present digital documents in a printable view on a monitor. PDF viewers or editors made by many software companies. The file extension for this format is .pdf

Question 28

Portable X-ray Machine

Answer 28

A mobile X-ray machine that is small enough to be rolled to a patient’s room or taken to a patient’s house

Question 29

Practice Management Software

Answer 29

Software used in small – to medium-sized medical offices for both clinical and business needs

Question 30

Primary Care Physician (PCP)

Answer 30

A doctor who has an ongoing relationship with a patient and provides primary care for the patient

Question 31

Radio Frequency Identification (RFID)

Answer 31

A technology that uses radio frequency to track or locate a transponder, or tag

Question 32

Rapid Response

Answer 32

A code used when a patient is about to go into code blue

Question 33

Referral

Answer 33

When a doctor refers a patient to go see a specialist

Question 34

Scheduling Software

Answer 34

Software used to schedule services offered that might include features that can reserve rooms, procedures, and personnel based on the type of procedure or service

Question 35

Superbill

Answer 35

An itemized form used by healthcare providers to indicate services rendered. The superbill is the primary source for creating a claim to be sunmitted to the payer

Question 36

Systemized Nomenclature of Medicine – clinical terms (SNOMED-CT)

Answer 36

A medical terminology standard used internationally to create consistency in keywords in medical documentation. SNOMED-CT technology translates several ways to describe the same medical term into a single code

Question 37

Tagged Image File Format (TIFF)

Answer 37

A widely supported image file format. TIFF images can be any reso;ution, color, or grayscale. The file extension for this format is .tif or .tiff

Question 38

Thread

Answer 38

The interface pipeline that connects two information systems

Question 39

Ultrasound

Answer 39

An imaging process that uses sound waves to create a picture of the soft tissues inside the body

Question 40

Vascular Stress Test

Answer 40

A physical test using a EKG that determines the capability of veins to return blood from lower limbs to the heart

Question 41

Vitals Cuff

Answer 41

A device used to measure blood pressure, also called a BP cuff, vitals cuff, or sphygmomanometer