Encoder - ANSWER-Computer software that helps the coding professional to assign codes. This software
now includes assistance with other coding systems
Computer Assisted Coding - ANSWER-Utilizes natural language processing (NLP) and algorithmic
software to electronically analyze entire medical charts to pre-code with both CPT procedure and ICD10
diagnostic nomenclatures
Natural language processing - ANSWER-Considered a special form of data entry, it is the capability of a
computer to apply very sophisticated mathematical and probabilistic formulas to narrative text and
convert them to structured data. Although text processing is becoming more feasible, the technology has
a long way to go before it can be used routinely
Grouper - ANSWER-Coders enter the codes that have been selected into this computer program. It then
assigns the patient's case to the correct group based on the ICD-10-CM and/or CPT/HCPCS codes
Digital dictation system - ANSWER-Today, hospitals may use speech recognition systems where dictation
automatically converts to text. Dictators themselves can make any necessary corrections as they are
dictating or transcriptionists can make corrections. Such systems permit clinicians to continue using
paper-based processes for their day-to-day clinical functions but enhance the ability to gain access to
information, which has been a major problem with paper-based records
Electronic signature authentication - ANSWER-A system that requires the author of a document to sign
onto a patient record using a user ID and password, reviews the document to be signed, and indicates
approval
Single sign-on - ANSWER-A type of technology that allows a user access to all disparate applications
through one authentication procedure, thus reducing the number and variety of passwords a user must
remember and enforcing and centralizing access control
Clinical data repository - ANSWER-A central database that focuses on clinical information
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