Glossary of Common Industry Terms and Acronyms

ADT - Admissions/Discharge/Transfer

ASP – Application Service Provider

ASR – Automated Speech Recognition

Back-end speech recognition – workflow in which the provider dictates into a digital dictation system, the voice is routed through a speech recognition machine, and the recognized draft document is routed along with the original voice file to the ME, who verifies the accuracy of the draft and finalizes the report.

CAC – Computer-assisted coding

EHR – Electronic Health Record

Electronic signature – used to authenticate documents

EMR – Electronic Medical Record

Front-end speech recognition – workflow in which the provider dictates into a speech recognition system, the recognized words are displayed right after they are spoken, and the dictator is responsible for correcting mistakes and signing off on the document without ever going through an editor.

GPO – Group Purchasing Organization

HIM – Health Information Management

HIPAA – Health Insurance Portability and Accountability Act of 1996

HIS – Hospital Information System

ILP – International Labor Partner(ship)

LHR - Legal Health Record

ME – Medical Editor

MT – Medical Transcriptionist

MTS – Medical Transcription System

MTSO - Medical Transcription Service Organization

NLP – Natural Language Processing

PACS – Picture Archiving and Communication System

PHI – Patient Health Information

PHR – Personal Health Record

QA – Quality Assurance

QC – Quality Control

RHIO - Regional Health Information Organization

RIS – Radiology Information System

SLA – Service Level Agreement

TAT – Turnaround Time

TSD – Transcription Service Delivery

VA – Veterans Administration

Voice capture – capture of dictation electronically