by Abraham Whaley | Apr 3, 2012 | Definitions
Preventive care services have a threefold purpose. They can reduce health risks by engaging in wellness promotion. They can promote screening or testing to ensure early detection and diagnosis of conditions, and they can provide interventions to prevent disabilities,...
by Abraham Whaley | Apr 3, 2012 | Definitions
Pre-existing conditions are health concerns that exist prior to an individual’s enrollment in a health plan. Historically, illness burden has precluded an individual from qualifying for coverage or finding affordable rates.
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...
