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Healthcare IT Terms

Refer to this glossary of Health IT to get a better understanding of the terminologies used in the Healthcare IT industry.

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

A

Above–threshold ePHI System
Accountable Care Organizations
Accounts Receivable (AR)
Activity-Based Costing
Adjudication
Adjusted Average Per Capita Cost (AAPCC)
Administrative Services Organization (ASO)
Admission, Discharge and Transfer System
Admitted Carriers
Advance Beneficiary Notice of Noncoverage (ABN)
Affordability Exemption
Affordable Care Act (ACA)
Affordable Coverage
After Visit Summary(AVS)
Age Discrimination in Employment Act (ADEA)
Aging Bucket or AR Aging
Alert Fatigue
All Patient Diagnosis Related Group (APDRG)
Ambulatory Care
Ambulatory Medical Record (AMR)
Ambulatory Patient Groups (APGs)
Ambulatory Payment Classification
American Health Information Management Association
American Medical Informatics Association (AMIA)
American Pharmacist's Association (AphA)
American Recovery & Reinvestment Act (ARRA)
American Society for Testing and Materials (ASTM)
Annual Deductible Combined
Appeal
Apple HealthKit
Apple ResearchKit
Application Programming Interface
Application Rationalization
Assignment of Benefits (AOB)
Assisted Living

B

Balance Billing
Barcode Medication Administrator (BCMA)
Basic ePHI System
Basis of Eligibility (BOE)
Behavioral Health
Benefit Year
Bidirectional Interface
Big Data
Blob Storage Server
Blue Button Initiative
Blue Shield Plan
Boren Amendment
Bring Your Own Devices (BYOD)
Bronze Health Plan
Bundled Payments
Burnout
Business Associate Agreement (BAA)
Business Intelligence and Clinical Intelligence applications

C

Capitation
Care Coordination
Care Management Data
Case Mix Index (CMI)
Catastrophic Health Plan
Centers for Medicare and Medicaid Services (CMS)
Certificate of Need (CON)
Certified Application Counselor
Certified Health Data Analyst (CHDA)
Certified in Healthcare Privacy and Security (CHPS)
Charge Entry
Chargemaster
Chief Digital Officer
Chief Information Officer (CIO)
Chief Medical Informatics Officer (CMIO)
Chief Nursing Informatics Officer (CNIO)
Children's Health Insurance Program (CHIP)
Civilian Health and Medical Program of the Uniformed Servicess
Claim Adjustment Group Codes
Claim Adjustment Reason Codes (CARCs)
Claim Denial
Claim Preparation
Claim Scrubbing
Claim Submission
Claims Data
Clearing Houses
Clinical Applications Analyst
Clinical Archive
Clinical Coder
Clinical Data Repository (CDR)
Clinical Decision Support Systems (CDSS)
Clinical Document Architecture (CDA)
Clinical Documentatiton Improvement (CDI)
Clinical Encounter
Clinical Pathway
Clinical Trials
Cloud-Based EHRs
CMS-1500 02/12 Form
Cognitive Computing
Coinsurance
Common Working File (CWF)
Community Mental Health Centers (CMHCs)
Community Rating
Competitive Bidding
Computer-Assisted Coding (CAC)
Computerized Provider Order Entry (CPOE)
Concierge Medicine
Connected Health
Consolidated Clinical Document Architecture (C-CDA)
Consolidated Health Informatics (CHI) Initiative
Continuity of Care
Continuity of Care Record (CCR)
Conversion
Copayment
Cost Accounting Systems
Cost-Sharing Reduction
Creditable Coverage
Critical Access Hospitals (CAHs)
Current Procedural Terminology (CPT)

D

Data Lakes and Data Warehouses
Data Stewardship
Data Use Agreement
DataOps
Date of Service
De-identified Data
Denial Management
Denied Claim
Dependent Coverage
Diagnosis Related Group (DRG)
Digital Adoption Platform (DAP)
Digital Imaging and Communications in Medicine (DICOM)
Digital Therapeutics (DTx)
Digital Twin
Direct Project
Disproportionate Share Hospital (DSH)
Dividend
Downcoding
Dual Special Needs Plan (D-SNP)
Durable Medical Equipment (DME)

E

Early And Period Screening, Diagnostic, And Treatment Services (EPSDT)
EDI Enrollment
EHR Certification
EHR Incentive Programs
EHR Security
Electronic Claim
Electronic Health Record (EHR)
Electronic Health Record (EHR) Implementation Plan
Electronic Intensive Care Unit (eICU)
Electronic Medical Billing
Electronic Medical Records
Electronic Medical Records (EMR)
Electronic Medication Administration Record (eMAR)
Electronic Payment Posting
Electronic Prescribing
Electronic Remittance Advice (ERA)
Eligibility Assessment
Eligible Immigration Status
Emancipated Minor
Emergency Medical Condition
Emergency Mode Operation (EMO) plan
Emergency Room Care
End Stage Renal Disease (ESRD)
Enterprise Architecture
Enterprise Resource Planning
ERISA Health Plans
Evaluation and Management (E/M) Codes
Exchange
Excluded Services
Exclusive Provider Organization (EPO) Plan
Exclusivity Clause
Explanation of Benefits (EOB)
External Quality Review Organization (EQRO)

F

Family and Medical Leave Act (FMLA)
Fast Healthcare Interoperability Resources (FHIR)
FDA mHealth Regulations
Federal Employees Health Benefits (FEHB) Program
Federal Health Architecture (FHA)
Federal Poverty Level (FPL)
Federally Qualified Health Center
Fee for Service
Formulary
Foundation for Accountability (FACCT)
Fully Integrated Dual Eligible (FIDE) SNP
Functional Status

G

Gag Clause
Generic Drugs
Group Health Insurance
Group Model HMO
Guaranteed Drugs
Guarantor

H

Habilitation Services
Health Care Common Procedure Coding System (HCPCS)
Health Claims
Health Data Platform
Health Disparity
Health Equity
Health Informatics
Health Information Exchange (HIE)
Health Information Organization (HIO)
Health Information Service Provider (HISPs)
Health Information Technology Standards Panel (HITSP)
Health Insurance Flexibility and Accountability (HIFA)
Health Insurance Portability and Accountability Act (HIPAA) Disaster Recovery Plan
Health Level 7
Health Level Seven International (organisation)
Health Maintenance Organization (HMO)
Health Savings account
Health Surveys
Healthcare Automation Tools
Healthcare Common Procedure Coding System (HCPCS)
Healthcare Data Archival
Healthcare Effectiveness Data and Information Set (HEDIS)
Healthcare Fraud Prevention Partnership (HFPP)
Healthcare Information and Management Systems Society (HIMSS)
Healthcare Revenue Cycle
Hierarchical Condition Category (HCC)
High-Risk Pool Plan
HIPAA
History of Present Illness (HPI)
HITECH Act
Home and Community-based Services (HCBS)
Home Health Agencies (HHAs)
Hospital Information System (HIS)
Hospital Management Inventory
Hospital Readmissions
Hospital Readmissions Reduction Program (HRRP)
Hybrid Health Record (HHR)

I

ICD-10
ICD-10-CM (Clinical Modification)
ICD-10-PCS (Procedure Coding System)
Independent Practice Association (IPA) HMO
Individual Coverage HRA (ICHRA)
Individual Health Insurance Policy
Individually Identifiable Health Information
Information Governance
Integrated Care Record
Interface Engine
Internet of Medical Things (IoMT)
Interoperabilty

J

Job-Based Health Plan
Joint Commission on the Accreditation of Healthcare Organizations (JCAHO)

K

Key Performance Indicators

L

Laboratory Information System (LIS)
Leapfrog Group
Legacy System
Legal Health Record (LHR)
Life Sciences
Lifetime Renewability
Lock-in
Logical Observation Identifiers Names and Codes (LOINC)
Long-Term Care

M

Machine learning
Magnetic Resonance Imaging (MRI)
Maintenance Management Information System (MMIS)
Major Diagnostic Categories (MDCs)
Management Services Organization (MSO)
Master Data Management
Master Patient Index
Meaningful Use
Meaningful Use Attestation
Med Tech
Medicaid
Medicaid Expansion
Medical Coding
Medical Day Sheet
Medical Device Data Systems (MDDS)
Medical Loss Ratio (MLR)
Medical Practice Management Software (MPMS
Medical Record Number
Medical Savings Account (MSA)
Medical Scheduling Software
Medical Scribe
Medical Transcription (MT)
Medical Trend Analysis
Medical Underwriting
Medically Necessary
Medicare
Medicare Access and CHIP Reauthorization Act
Medicare Administrative Contractor (MAC)
Medicare Fraud and Abuse Audits
Medicare Shared Savings Program
Medicare Supplement Plans
Medication Administration Record (MAR)
Merit-based Incentive Program (MIPS)
Minimum Essence Coverage (MEC)
Mobile Health
Mobile-native EHRs
Modified Adjusted Gross Income (MAGI)

N

National Association of Community Health Centers (NACHC)
National Council for Prescription Drug Programs (NCPDP)
National Disability Insurance Scheme (NDIS)
National Electronic Disease Surveillance System (NEDSS)
National Health Information Network (NHIN)
National Provider Identifier (NPI)
National Quality Forum
Natural Language Processing (NLP)
Network Model HMO
Not Elsewhere Classifiable (NEC)
Not Otherwise Specified (NOS)

O

OASIS Data Set
Observational Medical Outcomes Partnership (OMOP)
Office of the National Coordination of Health Information Technology (ONCHIT)
Online Analytics Processing (OLAP)
Online Transaction Processing (OLTP)
Ontoserver (CSIRO)
OOP Payments
Open Notes Initiative
Organized Health Care Arrangement
Orphan Benefit
Out-of-network care
Out-of-Network Provider
Outpatient
Outpatient Electronic Medical Record Adoption Model (O-EMRAM)
Outpatient Prospective Payment System

P

PACS Systems (Picture Archiving and Communication System)
Palliative Care
Parental Accommodation Benefit
Patient / Disease Registries
Patient Centricity
Patient Encounter Costing
Patient Experience
Patient Generated Health Data (PGHD)
Patient Lifecycle Management
Patient Portals
Patient Record Locator
Patient Reported Outcome Measures (PROMs)
Patient Safety and Quality Improvement Act (PSQIA)
Patient Scheduling Systems
Patient Spokesperson
Patient-reported Experience Measures (PREMs)
Payer Information
Payer Mix
Payer-Provider Convergence
Personal Health Record (PHR)
Pharmacy Benefit Manager (PBM)
Pharmacy Management System
Physician Performance Measurement
Physician Quality Reporting System (PQRS)
Point of Service (POS) Plan
Population Health Management (PHM)
PPO or Preferred Provider Organization
Practice Management
Practice Management (PM) Systems
Pre-existing Condition Insurance Plan (PCIP)
Preauthorization
Predictive Analytics
Predictive Modeling
Prospective Payment System (PPS)
Protected Health Information
Protected Health Information (PHI) Breach
Provider
Provider Enrollment, Chain, Ownership System
Provider Network
Public Key Infrastructure (PKI)

Q

Qualified Health Plan (QHP)
Quality Improvement

R

Randomized Controlled Trials (RCTs)
Ransomware
Rate Review
Real Time Eligibility
Reconstructive Surgery
Regional Health Information Organization (RHIO)
Registries
Regulatory Compliance
Rejected Claims
Relative Value Unit (RVU)
Remote Patient Monitoring (RPM)
Resource-Based Relative Value Scale (RBRVS)
Revenue Cycle Management (RCM)
Rider
Risk Adjustment
Risk stratification
RxNorm

S

Scalability
Secure Messaging
Security Breach
Shared Health Records (SHR)
Single Sign-On (SSO)
SNOMED CT or Systematized Nomenclature of Medicine Clinical Terminology
Social Determinants of Health
Social Security
Software as a Service (or SaaS)
Specialists
Staff Model HMO
Stand-Alone Dental Plan
Stark Law
State Level Repository
Subjective, Objective,Assessment and Plan
Sum Insured
Supplemental Security Income (SSI)

T

Tax Filing Requirement
Telehealth
Telestroke
The Joint Commission (TJC)
Therapeutic Drug Monitoring
Transformed Medicaid Statistical Information System (T-MSIS)
Transition of Care (TOC)
Treatment Decision Support
Tricare
TTY
Twenty-First Century Cures Act

U

UB-04 Claim Form
Uncompensated Care
Underwriting
Unified Code for Units of Measure (UCUM)
Uniform Data System (UDS)
Usual, Customary, and Reasonable (UCR)

V

V-Codes
Value Based Reimbursement (VBR)
Value-based Modifier
Value-Based Payment Program
Value-based Purchasing (VBP)
Vendor Neutral Archive (VNA)
Virtual Visits
Vision Coverage
Voice-to-Text

W

Waiting Period
Wearables
Wellness Programs
Workflows
Write-off

Z

Zero Cost Sharing Plan
Zone-based Health Insurance

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