| 1500
Claim Form
|
Standard insurance
claim form (formerly HCFA-1500) from the Centers for Medicare and Medicaid
Services (CMS).
|
| ADA
|
Americans with
Disabilities Act, a comprehensive Civil Rights law to assist people with
disabilities; enforced by Department of Justice.
|
| ADL
|
Activities of daily
living.
|
| BAT
|
Breath Alcohol Test
or Breath Alcohol Technician, the licensed person who administers the breath
alcohol test.
|
| Billing Jump |
An operation that occurs when the system opens
the Invoice Find screen after you select an order and click
Invoice. For more information, see the Billing Module section in
Program Preferences.
|
| BWC
|
Bureau of Workers'
Compensation.
|
| C/A/N/T |
Appointment status
options on Appointment Register screen and Treatment screen:
Canceled, Appointment, No-show,
Treatment. |
| CCR
|
Continuity of Care
Record
|
| CDC
|
Centers for Disease
Control and Prevention, part of DHHS (see DHHS).
|
| Chart
|
An attached PDF form
that has been opened and saved (with or without data entry) and any other type
of file that has been added to a patient's order via the Attach File option.
|
| CLIA
|
Clinical Laboratory
Improvement Amendments, a federal agency under CMS.
|
| CM
|
Case Manager, Case
Management; a system of monitoring, guiding, and supporting an injured worker
as s/he recovers from a workplace accident/illness.
|
| CMS
|
Centers for
Medicare and Medicaid Services, a federal agency under DHHS.
|
| COW
|
Computer On Wheels;
mobile computer workstations for healthcare workers.
|
| CPT
|
Current Procedural
Terminology; a system for coding medical services and procedures performed by
physicians; required for most physician billing.
|
| CQI
|
Continuous Quality
Improvement, a method to ensure quality of services.
|
| DEA
|
Drug Enforcement
Agency, a federal agency.
|
| DER
|
Designated Employer
Representative, an individual identified by an employer as able to receive
communications and drug or alcohol test results directly from MROs, BATs,
screening test technicians, collectors, and substance abuse professionals.
|
| DHHS
|
Department of
Health and Human Services, a federal agency.
|
| DOL |
Department of Labor, a
federal agency. |
| DOT
|
Department of
Transportation, a federal agency.
|
| D, P, I |
Order status on the
Orders screen: Data (D), Print (P), Invoice (I). |
| EAP
|
Employee Assistance
Program, an employer-sponsored program to assist employees experiencing
difficulties that impact their work.
|
| EBT
|
Evidential Breath
Testing; the test and/or device used in breath alcohol screening.
|
| EDI
|
Electronic Data
Interchange.
|
| EFT
|
Electronic Funds
Transfer.
|
|
EHR
|
Electronic Health
Record, the aggregate electronic record of health-related information on an
individual that is created and gathered cumulatively across more than one
health organization and is managed and consulted by licensed clinicians and
staff involved in the individual's health and care (per National Alliance for
Health Information Technology) (see also EMR).
|
| EMR
|
Electronic Medical
Record, the electronic record of health-related information on an individual
that is created, gathered, managed, and consulted by licensed clinicians and
staff from a single organization who are involved in the individual's health
and care (per NAHIT) (see also EHR).
|
| Entry
Date
|
The actual date
that a billable item is entered in
SYSTOC. This is controlled by the
program and cannot be edited by the user. The Entry Date and the Service Date
often differ. It is important to use reports based on Entry Date when trying to
balance accounting.
|
| EOMB
|
Explanation of
Medical Benefit, a summary from an insurer that records the reason(s) an
invoice is rejected/adjusted or clarifies a payment made.
|
| FDF
|
PDF Form Data
Format. Form data can be imported and exported using the
SYSTOC FDF library. Custom legacy
tap2chart templates can be imported
into
Tap2Chart using the FDF template
conversion tool.
|
| FEF
|
Forced Expiratory
Flow, part of a pulmonary function screening.
|
| FEIN
|
Federal Employer
Identification Number, tax identification provided to a company by the IRS.
|
|
Flattening
|
Flattening a PDF
form reduces the file size, permanently prevents additional data changes, and
secures the document.
|
| Form
|
A blank PDF.
|
| FROI
|
First Report of
Injury.
|
| FVC
|
Forced Vital
Capacity, part of a pulmonary function screening.
|
| HCFA
|
Health Care
Financing Administration, now CMS (see CMS).
|
|
HCFA-1500
|
Obsolete term once
used for a standard insurance claim form, now known as the 1500 Claim Form (see
HCFA).
|
| HCPCS
|
Healthcare Common
Procedure Coding System, a standardized coding system used to process claims to
Medicare and other health insurance programs. HCPCS is divided into level I for
medical services and procedures (CPT codes), and level II for products,
supplies, and services not included in CPT codes. Level II codes are
alphanumeric codes, consisting of a single alphabetical letter followed by four
numeric digits; CPT codes consist of five numeric digits.
|
| HIPAA
|
Health Insurance
Portability and Accountability Act, a federal law protecting health insurance
coverage and the security and privacy of health data.
|
| HMO
|
Health Maintenance
Organization, a system of insuring, monitoring, and managing healthcare;
primary goal is to provide efficient healthcare at lower costs.
|
| HPI
|
History of Present
Illness, a common medical abbreviation.
|
| HRA
|
Health Risk
Analysis, a tool for patient health and wellness education.
|
| HX
|
History, a common
medical abbreviation.
|
| ICC
|
Interstate Commerce
Commission, a federal agency.
|
| ICD
|
International
Classification of Diseases; provides classification and comparison of
statistics on a world-wide basis.
|
| IME
|
Independent Medical
Examination; used in injury cases when worker's condition and claim information
need an unbiased evaluation.
|
| ImpRenew |
Licensing program for the generic import
program. |
| iSYSTOC
|
A free web-based
service that allows authorized client companies, insurance carriers, and/or
off-site physicians to view patient data generated by
SYSTOC over a secure, encrypted
connection.
|
| JCAHO
|
Joint Commission on
Accreditation of Healthcare Organizations, a commission that provides
accreditation and related services to support performance improvement in
healthcare organizations.
|
| LTG
|
Long-term goals.
|
| MCO
|
Managed Care
Organization, a system of healthcare delivery that influences utilization and
cost of services and measures performance.
|
| METS
|
A measure of the
intensity of effort, expressed as the ratio of work metabolic rate to resting
metabolic rate.
|
| MMI
|
Maximum Medical
Improvement; reference to the best health condition an injured worker can
attain, with the recognition that full recovery is not likely.
|
| MRO
|
Medical Review
Officer, a medical doctor who interprets urinalysis test results reported by a
lab to ensure a scientifically valid result and who determines whether a
legitimate medical explanation could account for any confirmed positive
results.
|
| NAICS
|
North American
Industry Classification System, jointly developed by the U.S., Canada, and
Mexico to provide new comparability in statistics about business activity
across North America.
|
| NCCI
|
National Council on
Compensation Insurance; maintains a nation-wide database of detailed
statistical information on workers' compensation cases.
|
| NEC
|
Not Elsewhere
Classified (commonly referred to as Not Otherwise Classified). This terminology
is often found in the descriptions of ICD codes or NCCI codes.
|
| NIOSH
|
National Institute
for Occupational Safety and Health, the federal agency responsible for
conducting research and making recommendations for the prevention of
work-related injury and illness; part of CDC (see CDC).
|
| NKA
|
No Known Allergies,
a common medical abbreviation.
|
| NOS
|
Not Otherwise
Specified. This terminology is often found in the descriptions of ICD-9 codes
or NCCI codes.
|
| OSHA
|
Occupational Safety
and Health Administration, a federal agency that is part of the Department of
Labor.
|
| PCP
|
Primary Care
Physician.
|
| PDF
|
Portable Document
Format, a universal file format that captures all the elements of a printed
document as an electronic image that can be viewed, navigated, and printed.
Interactive forms containing data fields to collect and manage data are often
created in PDF file format.
|
| PDF
Editor
|
A program used to
create and manipulate PDF documents containing interactive fields and similar
types of controls. These programs are not typically free. Adobe Acrobat
Professional, Foxit Phantom, and CutePDF Professional are examples.
|
| PDF
Printer
|
A free print driver used to create a PDF
document from any document that can be printed. Instead of
printing to a physical printer, printing is directed to the
print driver and the user is prompted for a file name to assign
to the PDF file that is created. Common examples are Adobe PDF
printer, PDFCreator, and CutePDF printer. PDFs within SYSTOC can be
printed using the SYSTOC PDF
reader. |
| PDF
Reader
|
The
SYSTOC PDF reader is used to view
PDF documents.
|
| PFT
|
Pulmonary Function
Test, a respiratory screening.
|
| PHI |
Protected Health
Information. |
| POC
|
Plan of Care.
|
| POR
|
Provider of Record.
|
| PPD
|
Purified Protein
Derivative, the Mantoux tuberculosis skin test.
|
| PPO
|
Preferred Provider
Organization, an arrangement between a group of providers and an employer or
other group to offer price discounts on services in exchange for access to a
higher volume of patients.
|
| PRONA
|
Process Report of
New Activity, a report used when processing bills.
|
| PTA
|
Physical Therapy
Assistant.
|
| Report Tool |
Report Importer and Reports - Forms
Updater. |
| ROM
|
Range of Motion.
|
| RVU
|
Relative Value
Unit, stores any one of several coding methods used to quantify resources
needed to provide a product/service; useful for statistical purposes. In
SYSTOC, the RVU is stored in the
Fee table.
|
| Service
Date
|
The date that a
billable service occurs or an item is dispensed. The Service Date is often
different from the Entry Date. Service Date should be used for reports that
analyze activity, never for reports that balance accounting.
|
| SIC
|
Standard Industrial
Code, used by the Bureau of Labor Statistics to compile economic and labor
market data; replaced by NAICS (see NAICS).
|
| SOAP
|
Subjective,
Objective, Assessment, and Plan; a standard format for medical transcription.
|
| SSN
|
Social Security
Number.
|
| STG
|
Short-term goals.
|
| STS
|
Standard Threshold
Shift; in an audiological exam, a change of at least 10 decibels constitutes a
shift per OSHA.
|
| SystocImporter
|
Generic import program. |
| Tablet
PC
|
Portable computer
that can be used as either a laptop or a digital notepad. As a notepad, the
orientation of the screen rotates 180 degrees and closes to cover the keyboard.
While in notepad orientation, a stylus is used to write or make selections
directly on the screen.
|
| TIN
|
Tax Identification
Number.
|
| TOS
|
Type of Service.
|
| TPA
|
Third Party
Administrator, a person who processes claims and offers administrative services
pursuant to a service contract; does not include an insurance carrier or
employer sponsoring a WC plan.
|
| TPW
|
Times per week.
|
| UB Claim Form
|
Uniform Billing
claim form (formerly UB92); also referred to as the HCFA 1450.
|
| UPIN
|
Unique Physician
Identification Number, an identification system for healthcare providers.
|
| WCB
|
Workers'
Compensation Board.
|
| WFL
|
Within Functional
Limits.
|