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,● Computer-aided translators
○ is a form of language translation in which a human translator uses
computer hardware to support and facilitate the translation process.
● HIPPA
○ was established in the U.S. in 1996 to protect an individual's personal health care
information.
○ Signed by Pres. Bill Clinton
○ Healthcare institutions are required to meet all standards and comply with the
appropriate security measures in order to safeguard patient data.
○ Four parts to HIPAA's Administrative Simplification
■ Electronic transactions and code sets standards requirements.
■ Privacy requirements.
■ Security requirements.
■ National identifier requirements.
● ICD-10 Coding
○ An alphanumeric code used by doctors, health insurance companies, and public
health agencies across the world to represent diagnoses.
○ The system offers accurate and up-to-date procedure codes to improve health care
cost and ensure fair reimbursement policies
○ The current codes specifically help healthcare providers to identify patients in
need of immediate disease management and to tailor effective disease
management programs.
■ Similarly ICD and CPT coding go together
, ● 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.
● Evaluation and Management Coding
○ Is a medical coding process in support of medical billing
○ Practicing health care providers in the United States must use E/M coding
to be reimbursed by Medicare, Medicaid programs, or private insurance
for patient encounters.
● Reimbursement Coding
○ Is based on claims and documentation filed by providers using medical diagnosis
and procedure codes.
○ Commercial payers must use standards defined by the U.S. Department of Health
and Human Services (HHS) but are largely regulated state-by-state.
● Clinical Support Tools
○ are designed to help sift through enormous amounts of digital data to suggest next
steps for treatments, alert providers to available information they may not have
seen, or catch potential problems, such as dangerous medication interactions
○ Such as CDS clinical decision support, a program used by providers.
○ Or various applications use by healthcare professionals to allow for communicate
between provider to provider and provider to patient
○ The tools are all used to benefit patient outcome
● Workflow analysis