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HCUP Logo. The Healthcare Cost and Utilization Project (HCUP, pronounced "H-Cup") is a family of healthcare databases and related software tools and products from the United States that is developed through a Federal-State-Industry partnership and sponsored by the Agency for Healthcare Research and Quality (AHRQ).
Most practice management/EM software will automate this transmission, hiding the process from the user. [18] This first transaction for a claim for services is known technically as X12-837 or ANSI-837. This contains a large amount of data regarding the provider interaction, as well as reference information about the practice and the patient.
The employer is not required to prepay into a fund for reimbursements. Instead, the employer reimburses employee claims as they occur. Reimbursements under an HRA can be made to the following persons: Current and former employees. Spouses and dependents of those employees.
The proposed legislation also refers to the need to standardize the data by adopting the FHIR standard and utilizing standard terminologies, such as SNOMED-CT, both in source systems and in the data exchange process. The sharing of information will be with the patient's consent, and this consent will be given according to data buckets. [39]
Electronic referral, when a specialist evaluates medical data (such as laboratory tests or photos) to diagnose a patient instead of seeing the patient in person, would often improve health care quality and lower costs. However, "in the private fee-for-service context, the loss of specialist income is a powerful barrier to e-referral, a barrier ...
Medical practice management software (PMS) is a category of healthcare software that deals with the day-to-day operations of a medical practice including veterinarians.Such software frequently allows users to capture patient demographics, schedule appointments, maintain lists of insurance payors, perform billing tasks, and generate reports.
On Jan. 20, 2015, the Associated Press reported in an article titled: "Government health care website quietly sharing personal data" that HealthCare.gov is providing access to enrollees' personal data to private companies that specialize in advertising. The data may include age, income, ZIP code, whether a person smokes, and if a person is ...
The chargemaster may be alternatively referred to as the "charge master", "hospital chargemaster", or the "charge description master" (CDM). [4] [5] It is a comprehensive listing of items billable to a hospital patient or a patient's health insurance provider.