Vocabulary

Electronic Health Records (EHR) – Digital version of a patient's paper chart, providing real-time, patient-centered records accessible instantly and securely by authorized users.

DrChrono – A mobile EHR and practice management platform that allows medical practices to be more efficient by managing patient intake, clinical charting, billing, and revenue cycle management.

TherapyNotes – A practice management software for behavioral health, helping you manage your practice with electronic medical records (EMR), patient scheduling, and billing.

Electronic Billing – A method of sending bills or invoices to clients via electronic means, such as email or an online portal.

Practice Management Software – Software that deals with the day-to-day operations of a medical practice, often allowing users to capture patient demographics, schedule appointments, maintain lists of insurance payors, perform billing tasks, and generate reports.

Interoperability – The ability of different information systems, devices, or applications to connect, in a coordinated manner, within and across organizational boundaries to access, exchange, and cooperatively use data.

Clinical Charting – The process of documenting a patient's medical history, treatment, testing results, and other healthcare services provided.

Revenue Cycle Management (RCM) – The financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.

e-Prescribing – The process of using an automated data entry system to generate a prescription, rather than writing it by hand.

Telemedicine – The use of technology to deliver healthcare services at a distance.

Patient Portal – An online application that allows patients to interact and communicate with their healthcare providers.

Medical Coding – The transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.

Medical Billing – The process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider.

Health Information Exchange (HIE) – The mobilization of healthcare information electronically across organizations within a region, community, or hospital system.

HIPAA Compliance – Adhering to the rules of the Health Insurance Portability and Accountability Act (HIPAA), which protects patient health information.

ICD-10 – The 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization (WHO).

CPT Coding – Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations.

EMR Software – Electronic Medical Record software, a digital version of a paper chart that contains all of a patient's medical history from one practice.

Medical Scheduling Software – A software tool used by healthcare professionals to appropriately manage the timing of appointments and surgeries.

Insurance Verification – A process that ensures that patients' insurance details are up-to-date and verifies what services are covered by their insurance policy.

Clinical Documentation – Recorded information that includes a comprehensive summary of a patient's health, observations, interventions, and outcomes.

Patient Intake – The process of gathering, verifying, and entering patient information into a healthcare system.

SOAP Notes – Acronym for Subjective, Objective, Assessment, and Plan. It's a method of documentation employed by healthcare providers to write out notes in a patient’s chart.

Data Security – The protection of digital data, such as those in a database, from destructive forces and unwanted actions of unauthorized users, like a cyberattack or a data breach.

Cloud-based software – A software that is hosted on the servers and accessed through the internet.

Medical Transcription – The process of converting voice-recorded reports as dictated by healthcare professionals into text format.

Patient Engagement – The ongoing communication and involvement of a patient in their health care.

Patient Experience – The sum of all interactions, shaped by an organization’s culture, that influence patient perceptions across the continuum of care.

HIPAA Security Rule – National standards to protect individuals’ electronic personal health information that is created, received, used, or maintained by a covered entity.

Health IT – The area of IT involving the design, development, creation, use, and maintenance of information systems for the healthcare industry.