by Abraham Whaley | Apr 3, 2012 | Definitions
A personal health record (PHR) is a patient’s healthcare profile. Unlike an electronic medical record or electronic health record, these data are collected and maintained by the individual. In the future, PHRs will be electronically connected to provider EHRs for...
by Abraham Whaley | Apr 3, 2012 | Definitions
Payment integrity is the process by which the correct payments for the correct covered lives, for the correct services are paid to the correct provider(s). This process involves detecting and minimizing fraud, waste, abuse, and misuse of healthcare dollars.
by Abraham Whaley | Apr 3, 2012 | Definitions
The domain dedicated to preventing and reducing the harm that may be caused during a patient’s interaction with the medical system. This can help improve healthcare outcomes while reducing costs.
by Abraham Whaley | Apr 3, 2012 | Definitions
To deliver the most appropriate care to specific cohorts within a population, providers are encouraged to keep lists of patients who have common conditions or concerns. These registries can be paper-based or preferably computerized. With these lists, physicians and...
by Abraham Whaley | Apr 3, 2012 | Definitions
This is a voluntary medication benefit program that started in 2006. Participants with a standard plan have 75 percent of their drug costs covered until they reach a cost of $2,830. Any expense higher than this is paid out of pocket until the cost reaches $4,550. Once...
