Frequently Asked Questions

Familiarize yourself with industry-specific terminology to communicate effectively with clients and stakeholders.

Terms

• Electronic Health Record (EHR): A digital version of a patient's paper chart, containing their medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory test results.
• Medical Coding: The transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.
• Patient Billing: The process of generating and sending bills to patients for healthcare services received, including insurance claims and payment processing.
• Prior Authorization: The process by which insurance companies approve or deny coverage for a proposed medical service, treatment plan, or prescription drug.
• Predictive Analysis: The use of statistical algorithms and machine learning techniques to identify the likelihood of future outcomes based on historical data.
• Dashboard: A visual interface that provides real-time insights and analytics, allowing users to monitor and manage various aspects of the integrated software system.
• Monitoring and Performance: Continuous observation of the system's behavior to identify and address any issues, ensuring optimal performance and efficiency.
• Fine Tuning: The iterative process of making small adjustments to the system to enhance its performance and align it with the specific needs of providers and payers.
• Claim Acceptance Rate: The percentage of insurance claims submitted that are accepted by payers without rejection or denial.
• HL7 (Health Level Seven): A set of international standards for the exchange, integration, sharing, and retrieval of electronic health information.
• API (Application Programming Interface): A set of rules and tools for building software applications, enabling the exchange of data between different software systems.
• DICOM (Digital Imaging and Communications in Medicine): A standard for transmitting, storing, and sharing medical images, such as X-rays, MRIs, and CT scans.
• EMR (Electronic Medical Record): Similar to EHR, an EMR is a digital version of a patient's paper chart but is typically more focused on the medical and treatment history within a single healthcare organization.
• CCD (Continuity of Care Document): A standardized document containing a summary of a patient's health information for efficient sharing between healthcare providers.
• PHI (Protected Health Information): Any individually identifiable information related to the past, present, or future health status of an individual, subject to strict privacy and security regulations.
• Interoperability: The ability of different software systems to communicate and exchange data seamlessly, promoting collaboration and information sharing across healthcare networks.
• Data Migration: The process of transferring data from one system to another, often required during software integration to ensure a smooth transition.
• Health Informatics: The interdisciplinary field that combines healthcare, information technology, and data science to improve the efficiency and quality of healthcare delivery.
• Data Warehousing: The centralized storage of large volumes of healthcare data from various sources, providing a comprehensive view for analysis and decision-making.
• Machine Learning in Healthcare: The application of machine learning algorithms to analyze healthcare data, predict outcomes, and improve clinical decision-making processes.
• API Integration: The process of connecting and integrating different software applications through their respective APIs to enable seamless data exchange and functionality.