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Definition of Terms

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Definitions of Terms

HCS/533
January 14, 2013
Sheryl-Anne Murray

* AMR- Ambulatory Medical Records are medical records in which physicians use. If the physician is using the same information system as the hospital, they can be linked together to show visits in the ambulatory setting. The medical records are kept at the office that provides the care (Wager, Lee, & Glaser, 2009). The AMR system includes billing, coding, and the transcription of doctor’s notes. AMR’s are important because they can ensure compliance, increase the time which doctor’s spend with their patients, and reduce the space in the offices for paper charts.

* CMR- Computerized Medical Records are health information about patients stored within the system. Recently, the use of computerized medical records has become a requirement for the government and CMS in order to obtain reimbursements for services rendered (Wager, Lee, & Glaser, 2009). CMR’s are important and increases reimbursement time processes, increases retrieval times of patient records, makes physician handwriting more legible, and assists with organization of patient information. The CMR includes information that was previously obtained by scanning the patient chart into the computer system.

* CMS- Centers for Medicare and Medicaid focuses on physicians, nursing homes, long-term care, home care and hospitals. They ensure compliance of government policies and procedures of these facilities. CMS aggregates data from CMS1500 (Insurance claims forms) for analyzing national health care reimbursements as well as clinical and population trends (Wager, Lee, & Glaser, 2009).

* CMS-1500 is an insurance claim form adopted by the federal government. It was created by the American Medical Association (AMA) and maintained by the National Uniform Claim Committee. This form is used for noninstitutional provider

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