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  2. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    While an insured patient typically interacts only with a healthcare provider during a visit, the encounter is part of a three-party system. The first party in this system is the patient. The second is the healthcare provider, a term that encompasses not only physicians but also hospitals, physical therapists, emergency rooms, outpatient ...

  3. Consolidated Clinical Document Architecture - Wikipedia

    en.wikipedia.org/wiki/Consolidated_Clinical...

    Continuity of Care Document - The Continuity of Care Document (CCD) represents a core data set of the most relevant administrative, demographic, and clinical information facts about a patient's healthcare, covering one or more healthcare encounters. The primary use case for the CCD is to provide a snapshot in time containing the germane ...

  4. Prospective payment system - Wikipedia

    en.wikipedia.org/wiki/Prospective_payment_system

    The PPS was established by the Centers for Medicare and Medicaid Services (CMS), as a result of the Social Security Amendments Act of 1983, specifically to address expensive hospital care. Regardless of services provided, payment was of an established fee. The idea was to encourage hospitals to lower their prices for expensive hospital care.

  5. Affordable Care Act - Wikipedia

    en.wikipedia.org/wiki/Affordable_Care_Act

    The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act (PPACA) and informally as Obamacare, is a landmark U.S. federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010.

  6. Health information management - Wikipedia

    en.wikipedia.org/wiki/Health_information_management

    The patient health record is the primary legal record documenting the health care services provided to a person in any aspect of the health care system. The term includes routine clinical or office records, records of care in any health related setting, preventive care, lifestyle evaluation, research protocols and various clinical databases.

  7. International Classification of Primary Care - Wikipedia

    en.wikipedia.org/wiki/International...

    The ICPC-3 strives to be a person centered classification for Primary Care, building on the foundations of the ICPC-2. It includes references to existing international standards such as ICD-10, ICD-11, ICF as well as SNOMED CT clinical terminology. It provides a framework for documenting and organizing clinical data from primary care patient ...

  8. Diagnosis code - Wikipedia

    en.wikipedia.org/wiki/Diagnosis_code

    In health care, diagnosis codes are used as a tool to group and identify diseases, disorders, symptoms, poisonings, adverse effects of drugs and chemicals, injuries and other reasons for patient encounters. Diagnostic coding is the translation of written descriptions of diseases, illnesses and injuries into codes from a particular classification.

  9. Patient-centered outcomes - Wikipedia

    en.wikipedia.org/wiki/Patient-centered_outcomes

    The Patient Protection and Affordable Care Act had three primary goals, to make health insurance affordable and available to more people, to expand the Medicaid to cover more individuals, and to support innovative medical care delivery methods that would lower the costs of health care. [8] With these changes, there was a significant increase in ...