Glossary

A

Alerts

Alerts are flags that let users know important information (usually clinical) relating to the patient.

Allergies

Allergies can also be attached to a patient so users know of any adverse reactions to drugs, food, animals, materials, etc.

Appointment

A scheduled time between a Patient and Provider; with statuses (Booked, Cancelled, etc)

Assessments

Assessments are designed and configured to your business requirements and the assessments can be created, edited and archived by your System Administrator.

B

Bulk printing

Bulk Printing allows for multiple letters to be sent to a single print job

C

Calendar view

A Calendar view is simply a view of the calendar that providers or locations can be assigned to. When the view is selected, the providers and locations that are members of the view will show in the calendar.

Correspondence

Communication by means of letters or e-mail

Credit

It is the money that you have to pay

CRM

Customer Relationship Management (CRM)

Customer relationship management (CRM) is a technology for managing all your company's relationships and interactions with customers and potential customers. Platforms include: HubSpot, Salesforce and many others.

D

Debit

It is the revenue that you own

DRG

DRG

Diagnosis Related Group, often refers to AR-DRG. The current version in use is AR-DRG v10, until 1 July 2023 https://www.ihacpa.gov.au/resources/ar-drg-version-110

DVA

Department of Veteran's Affairs

E

Eclipse

ECLIPSE

Electronic Claim Lodgement and Information Processing Service Environment (ECLIPSE) is an extension of Medicare Online claiming.

ERA

Eclipse Remittance Advice

Events

Events allow you to track time and services delivered

G

Guarantor

The entity responsible for paying an invoice

H

HCP

Hospital CaseMix Protocol (HCP)

Hospital Casemix Protocol (HCP)

HPI-I

HPI-I

Healthcare Provider Identifier – Individual (HPI-I)

HPI-O

HPI-O

Healthcare Provider Identifier – Organisation

HSD

Human Services Directory

I

IHC

In Hospital Claiming

IHI

IHI

Individual Health Identifier

IMC

Inpatient Medical Claim

IFC

Informed Financial Consent

https://www.ombudsman.gov.au/publications-and-news-pages/publication-pages/brochures-and-factsheets/factsheets/private-health-insurance/informed-financial-consent

L

LMO

Local Medical Officer

Location

Physical location of the practice.

M

MBS

Medicare benefit schedule

Medical provider

A medical provider is a clinican, doctor, or similar individual. They can have access to Statutory Reporting, Calendar, Cases, Secure Messaging, Medical Provider Details, Prescribing information

MIMS

Medical Information Management System

MRN

Medical reference number

O

OEC

Online Eligibility Check

OPV

Online Patient Verification

P

PCOC

Palliative Care Outcomes Collaborative (PCOC)

Palliative Care Outcomes Collaborative

PCI

Patient Claim Interactive

PRODA

PRODA

Provider Digital Access

Provider

A provider (or medical provider) is a clinical, doctor, or similar individual. They can have access to Statutory Reporting, Calendar Sessions, Cases, Secure Messaging

Provider Number

Provider Number

An 8 digit identifier. (6 digits, 1 location character, 1 check character) See https://www.servicesaustralia.gov.au/how-to-apply-for-medicare-provider-number-or-pbs-prescriber-number?context=34076

R

Radiation Oncology

Radiation Oncology Billing items require specific price calculations for some items and a specific way to submit claims electronically.

Recall

Recalls are used as a reminder to follow up with a patient for a future review appointment

Reconciliation

It is useful to locate Transactions paid to you and to reconcile against your organisations bank account

Reservation

It is an appointment that is not attached to a patient, used to show an individual is Busy/Unavailable

S

Service Provider

Provider on an invoice called Service Provider

T

Telehealth Billing

The payment is a derived fee based on the original service item

Thelma

This requires registration with eHealthwise. Please contact Clintel for further information

V

VAED

VAED

Victorian Admitted Episodes Dataset

W

Workflow

Workflow is a progression of steps (tasks/events/interactions) that comprise a business process