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  2. Healthcare Effectiveness Data and Information Set - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Effectiveness...

    Most HEDIS data is collected through surveys, medical charts and insurance claims for hospitalizations, medical office visits and procedures. Survey measures must be conducted by an NCQA-approved external survey organization. Clinical measures use the administrative or hybrid data collection methodology, as specified by NCQA.

  3. Periodontal charting - Wikipedia

    en.wikipedia.org/wiki/Periodontal_charting

    An audit of 1,128 dental charts found that 44% contained inaccuracies, including missed restorations, incorrect tooth charting, and incomplete records. Rushed or incomplete documentation may lead to critical omissions, such as missing clinical attachment loss or bleeding on probing, compromising diagnostic accuracy.

  4. Clinical audit - Wikipedia

    en.wikipedia.org/wiki/Clinical_audit

    Sample sizes for data collection are often a compromise between the statistical validity of the results and pragmatical issues around data collection. Data to be collected may be available in a computerised information system, or in other cases it may be appropriate to collect data manually or electronically using data capture solutions such as ...

  5. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    Under Canadian federal law, the patient owns the information contained in a medical record, but the healthcare provider owns the records themselves. [29] The same is true for both nursing home and dental records. In cases where the provider is an employee of a clinic or hospital, it is the employer that has ownership of the records.

  6. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed.

  7. Clinical data acquisition - Wikipedia

    en.wikipedia.org/wiki/Clinical_data_acquisition

    Acquisition or collection of clinical trial data can be achieved through various methods that may include, but are not limited to, any of the following: paper or electronic medical records, paper forms completed at a site, interactive voice response systems, local electronic data capture systems, or central web based systems.

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  9. Health information management - Wikipedia

    en.wikipedia.org/wiki/Health_information_management

    Application: the purpose for which the data are collected. Collection: the processes by which data elements are accumulated. Warehousing: the processes and systems used to store and maintain data and data journals. Analysis: the process of translating data into information utilized for an application.

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