EHR360

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Glossary

Short definitions of common healthcare and EHR360 terms used in these guides.

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  • 2FA

    Two-factor authentication — A security method that requires two forms of identification to access resources and data.

  • 835

    The electronic remittance advice (ERA) file format insurers use to report what they paid, adjusted, or denied on claims. In EHR360 this is handled under Billing → Remittance Reports.

  • 837

    The electronic claim (EDI) file format used to submit professional or institutional claims to a clearinghouse or payer. Configured under Practice Settings → Clearinghouse.

A

  • ABN

    An advance beneficiary notice of noncoverage (ABN) informs patients that Medicare may not cover a treatment or service, and lists the estimated cost. The patient then chooses to either accept financial responsibility and sign the form, or decline — in which case the treatment or service is not performed and the provider is notified.

  • API

    Application Programming Interface — How apps work together.

C

  • C-CDA

    Consolidated Clinical Document Architecture is an XML-based markup standard for exchanging health information. Certified electronic health records use C-CDA to export medical data.

  • CCD

    Continuity of Care Document — An electronic document summarizing a patient's health record that is shared when their care is transferred from one healthcare provider to another.

  • Claim.MD

    A clearinghouse option in EHR360 Practice Settings used to submit electronic claims (EDI 837) and receive remittance files.

  • Clearinghouse

    A service that routes electronic claims and remittance files between the practice and payers. In EHR360, configured under Practice Settings (for example Claim.MD or SecureConnect).

  • Clinic Services Types

    In EHR360, bookable service appointment kinds (for example lab or imaging services) with their own schedules. Used on Appointments → Services. Not the same as Visit Types or eligibility Service Types.

  • CPT

    Current Procedural Terminology — Standardized procedure codes used on claims. Maintained in Billing → Fee Schedule (CPT Codes).

  • CQM

    Clinical quality measure — A mechanism used for assessing the degree to which a clinician competently and safely delivers clinical services appropriate for the patient in an optimal time frame.

D

  • DoseSpot

    EHR360’s e-prescribing integration. When enabled in Practice Settings, providers can prescribe electronically from the patient Medications area (and related allergy/pharmacy features).

  • DSI

    Decision Support Intervention rules are tools that help clinicians make decisions about a patient's care by combining clinical indicators to estimate the likelihood of a disease or condition.

  • Dynamic FHIR API

    The Dynamic FHIR® API makes health information broadly available using FHIR®, a set of clinical interoperability resources under the umbrella of the HL7 standards organization. Dynamic FHIR® API can be implemented as a stand-alone product or as part of the DHIT suite of applications. The API provides leading edge interoperability and meets ONC EHR Certification requirements 170.315(g)(7, 9) and (g)(10) Bulk FHIR (Flat FHIR).

E

  • EDI

    Electronic Data Interchange — Standards for exchanging healthcare transactions electronically, such as claims (837) and remittance (835).

  • EHR

    Electronic health record.

  • Eligibility

    A real-time check of a patient’s insurance coverage and benefits. In EHR360, run from Patient Info → Eligibility using Service Types (eligibility codes).

  • EOB

    Explanation of Benefits — A payer’s remittance document (often paper) showing what was paid or denied. In EHR360 Billing, EOBs can be entered under Remittance Reports. A Drive file type labeled EOB is only a practice file category and does not post payments.

  • EPCS

    Electronic prescriptions for controlled substances.

  • ERA

    Electronic Remittance Advice — An electronic file (often 835) that reports insurance payment, adjustment, and denial details for claims. Managed in Billing → Remittance Reports.

  • eRx

    E-prescribing — Sending prescriptions electronically to a pharmacy (in EHR360, typically via DoseSpot).

F

  • FHIR

    Fast Healthcare Interoperability Resources — A standard for exchanging electronic health records (EHR). It's an application programming interface (API) that uses internet standards to allow healthcare data to be shared between systems.

H

  • HIE

    Health Information Exchange — Allows health care professionals and patients to appropriately access and securely share a patient's medical information electronically.

  • HIPAA

    The Health Insurance Portability and Accountability Act (HIPAA) of 1996 establishes federal standards protecting sensitive health information from disclosure without a patient's consent.

I

  • ICD-10

    International Classification of Diseases, 10th Revision — Diagnosis coding used on claims. Maintained in Billing → Fee Schedule (ICD-10 Codes).

  • IntelliMed

    An EHR360 integration used for AI-assisted chart tools and fax-related workflows when enabled for the practice. The chart IntelliMed AI tab and main Fax menu depend on this being turned on.

L

  • Location

    A physical site under a Practice (clinic) in EHR360—hours, rooms, and many schedules are location-scoped. Select locations in the header when booking or viewing calendars.

M

  • MA

    Medical Assistant — Clinical support staff. In EHR360, often configured under Practice Users (Practice Staff) and MA Settings.

  • MIPS

    Merit-Based Incentive Payment System — One way to participate in the Quality Payment Program (QPP), which is a federal program that reimburses Medicare providers, who are MIPS-eligible clinicians for Medicare Part B covered professional services, and rewards them for improving the quality of patient care and outcomes.

  • MRN

    Medical Record Number — The practice’s unique identifier for a patient chart.

N

  • NDC

    National Drug Code — A unique identifier for medications. May appear on fee schedule or claim lines when drug details are required.

  • NPI

    National Provider Identifier — A unique ID for healthcare providers used on claims and provider records in EHR360.

P

  • PCP

    Primary Care Provider — The patient’s main clinician, often recorded on Patient Info.

  • PDMP

    Prescription drug monitoring program — An electronic database that tracks controlled substance prescriptions.

  • POS

    Place of Service — A code describing where care was delivered (for example office). Often set on Visit Types in EHR360.

  • Practice

    In EHR360 guides and menus, Practice means the clinic organization you edit under Administration → Practices (locations, users, schedules, and related settings).

  • Provider

    A doctor or other clinician who delivers care and can be scheduled for appointments. Distinct from Practice Staff (front desk, billing, and similar roles) unless noted otherwise.

R

  • RBAC

    Role-Based Access Control — Permissions granted by role (and optional user overrides) in Administration → Roles Access / User Access that control which menus and actions a user sees.

  • ROS

    Review of Systems — A structured symptom checklist by body system on the patient chart (also used in some visit/rooming flows).

  • RxNorm

    RxNorm is a standardized naming system for drugs and a tool that helps systems that use different drug terminologies communicate with each other. The National Library of Medicine (NLM) produces RxNorm.

S

  • Self Pay

    In EHR360, a visit payment choice meaning the patient pays for that visit without the insurance claim path. It is not the same as the Billing claims or ERA modules. Plans may still exist on the chart for other visits.

  • Service Types

    In EHR360 Practice → Service Types, these are eligibility service-type codes (code + name) used when running insurance eligibility—not Visit Types and not Clinic Services Types used for booking.

  • Sig

    Directions for patients to follow on how to take their medication. The pharmacist prints the sig on the medication label.

  • SSO

    Single sign-on — An authentication method that allows a user to log in to multiple applications and websites with one set of credentials.

V

  • Visit Types

    In EHR360, appointment kinds for provider visits (for example New Consult, Follow Up). Used on Appointments → General. Assign them to providers under Users. Not the same as Clinic Services Types or eligibility Service Types.