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Billing Terms Glossary
EHR Terms: Definitions for Therapists and Psychiatrists
In this section
- 38 terms defined
- Written for psychotherapists and psychiatrists
- Source organization linked on every entry

AdvancedMD
General (all payers)Also called: Advanced MD
- Definition
- A vendor of cloud-based EHR, practice management, and billing software for independent practices. Listed for reference; not an endorsement or partnership.
- Why it matters
- Used by some small and mid-size practices, including mental health.
- Illustrative example
- A practice runs scheduling and billing in AdvancedMD.
Related terms EHR (Electronic Health Record)Practice Management System (PMS)
Reference source AdvancedMD
Categories EHR & Healthcare Technology Terms
Application Programming Interface (API)
General (all payers)Also called: API; EHR API; payer API
- Definition
- A set of rules that lets software systems exchange data automatically.
- Why it matters
- APIs power real-time eligibility, authorization, and record exchange.
- Illustrative example
- An EHR sends eligibility requests to a payer through an API.
Related terms FHIRInteroperability
Reference source HL7 International · HL7 FHIR
Categories EHR & Healthcare Technology TermsEDI & Clearinghouse Terms
athenahealth
General (all payers)Also called: athenaOne; athena EHR
- Definition
- A vendor of EHR, practice management, and revenue cycle services for medical practices. Listed for reference; not an endorsement or partnership.
- Why it matters
- Used by some multispecialty and behavioral health practices.
- Illustrative example
- A practice uses athenahealth for billing.
Related terms EHR (Electronic Health Record)RCM Platform
Reference source athenahealth
Categories EHR & Healthcare Technology Terms
Credible
General (all payers)Also called: Credible Behavioral Health; Qualifacts
- Definition
- A vendor of behavioral health EHR and practice management software that merged with Qualifacts. Listed for reference; not an endorsement or partnership.
- Why it matters
- Used by community and residential providers.
- Illustrative example
- A residential program bills through Credible.
Verify: confirm current ownership and brand.
Related terms NetsmartEHR (Electronic Health Record)
Reference source Credible (Qualifacts)
Categories EHR & Healthcare Technology Terms
E-Prescribing (eRx)
General (all payers)Also called: eRx; electronic prescribing
- Definition
- Sending prescriptions electronically from a prescriber's system to a pharmacy.
- Why it matters
- Prescribers such as psychiatrists rely on it; controlled substances have extra rules.
- Illustrative example
- A psychiatrist e-prescribes through the EHR.
Reference source NCPDP
Categories EHR & Healthcare Technology TermsBehavioral Health Specific Terms
eClinicalWorks
General (all payers)Also called: eCW
- Definition
- A vendor of EHR and practice management software for ambulatory practices. Listed for reference; not an endorsement or partnership.
- Why it matters
- Used across many outpatient practices.
- Illustrative example
- A practice bills from eClinicalWorks.
Related terms EHR (Electronic Health Record)Practice Management System (PMS)
Reference source eClinicalWorks
Categories EHR & Healthcare Technology Terms
EHR (Electronic Health Record)
General (all payers)Also called: EHR; electronic health record system; EHR software
- Definition
- Software that stores a patient's clinical record, including notes, diagnoses, medications, and orders, and often includes scheduling and billing features.
- Why it matters
- The EHR is the source of documentation that supports claims and audits.
- Illustrative example
- A therapist writes a progress note in the EHR and the system generates the claim.
Related terms EMR (Electronic Medical Record)Practice Management System (PMS)Interoperability
Reference source HHS (U.S. Department of Health and Human Services)
Categories EHR & Healthcare Technology Terms
Eligibility Verification Tool
General (all payers)Also called: eligibility tool; insurance verification software
- Definition
- Software that automates eligibility checks through real-time transactions or payer portals.
- Why it matters
- Reduces manual checks and eligibility denials.
- Illustrative example
- A tool checks eligibility for the next day's schedule.
Related terms Eligibility Verification270/271 Eligibility Transaction
Reference source CAQH
Categories EHR & Healthcare Technology TermsEligibility & Benefits
EMR (Electronic Medical Record)
General (all payers)Also called: EMR; electronic medical record
- Definition
- A digital version of a patient's chart within one practice; the term is often used interchangeably with EHR.
- Why it matters
- Same operational role as an EHR for billing and documentation.
- Illustrative example
- A small practice keeps notes in an EMR.
Related terms EHR (Electronic Health Record)Practice Management System (PMS)
Reference source HHS (U.S. Department of Health and Human Services)
Categories EHR & Healthcare Technology Terms
Encryption
General (all payers)Also called: data encryption; encryption at rest; encryption in transit
- Definition
- Scrambling data so it is unreadable without a key, protecting it in storage and during transmission.
- Why it matters
- Safe harbor for breach notification depends on proper encryption.
- Illustrative example
- A laptop with encrypted storage is lost and not treated as an unsecured PHI breach.
Related terms Breach Notification RuleHIPAA Security Rule
Reference source HHS (U.S. Department of Health and Human Services) · HHS Office for Civil Rights (OCR)
Categories EHR & Healthcare Technology TermsAudits & Compliance
EPCS
General (all payers)Also called: electronic prescribing of controlled substances
- Definition
- Electronic prescribing of controlled substances, which requires additional identity proofing and security under DEA rules.
- Why it matters
- Psychiatrists prescribing controlled substances must use compliant systems where required.
- Illustrative example
- A psychiatrist uses two-factor authentication to sign an EPCS order.
Verify: confirm current DEA and state requirements.
Related terms E-Prescribing (eRx)DEA Registration
Reference source NCPDP
Categories EHR & Healthcare Technology TermsBehavioral Health Specific Terms
Epic
General (all payers)Also called: Epic Systems; Epic EHR
- Definition
- A large electronic health record vendor used mainly by hospitals and health systems. Listed for reference; not an endorsement or partnership.
- Why it matters
- Behavioral health departments in health systems often work in it.
- Illustrative example
- A hospital's outpatient psychiatry clinic documents in Epic.
Related terms EHR (Electronic Health Record)Interoperability
Reference source Epic
Categories EHR & Healthcare Technology Terms
FHIR
General (all payers)Also called: Fast Healthcare Interoperability Resources
- Definition
- An HL7 standard for exchanging health data using modern web technologies and APIs.
- Why it matters
- CMS and payers are moving toward FHIR-based APIs.
- Illustrative example
- A payer exposes claims data through a FHIR API.
Related terms HL7InteroperabilityPrior Authorization API
Reference source HL7 FHIR
Categories EHR & Healthcare Technology TermsEDI & Clearinghouse Terms
Greenway Health
General (all payers)Also called: Greenway; Intergy
- Definition
- A vendor of EHR and practice management software for ambulatory practices. Listed for reference; not an endorsement or partnership.
- Why it matters
- Used in some multispecialty practices.
- Illustrative example
- A practice uses Greenway for billing.
Related terms EHR (Electronic Health Record)Practice Management System (PMS)
Reference source Greenway Health
Categories EHR & Healthcare Technology Terms
HL7
General (all payers)Also called: Health Level Seven International
- Definition
- A standards organization that develops health information exchange standards, including FHIR.
- Why it matters
- HL7 standards underpin many EHR integrations.
- Illustrative example
- An EHR sends an HL7 message to another system.
Related terms FHIRInteroperability
Reference source HL7 International
Categories EHR & Healthcare Technology TermsEDI & Clearinghouse Terms
ICANotes
General (all payers)Also called: ICANotes EHR
- Definition
- A behavioral health EHR vendor offering documentation and billing tools. Listed for reference; not an endorsement or partnership.
- Why it matters
- Common among behavioral health practices.
- Illustrative example
- A psychiatrist documents in ICANotes.
Related terms EHR (Electronic Health Record)Progress Note
Reference source ICANotes
Categories EHR & Healthcare Technology Terms
Information Blocking
General (all payers)Also called: 21st Century Cures Act information blocking
- Definition
- A practice that is likely to interfere with access, exchange, or use of electronic health information, prohibited under federal rules with exceptions.
- Why it matters
- Affects how practices respond to record requests and EHR access.
- Illustrative example
- A practice delays giving a patient their records without a valid exception.
Verify: consult counsel.
Related terms InteroperabilityHIPAA
Reference source HHS (U.S. Department of Health and Human Services)
Categories EHR & Healthcare Technology TermsAudits & Compliance
InSync
General (all payers)Also called: InSync Healthcare Solutions
- Definition
- A vendor of EHR and practice management software for behavioral health practices. Listed for reference; not an endorsement or partnership.
- Why it matters
- Used by some behavioral health groups.
- Illustrative example
- A group uses InSync for scheduling and billing.
Related terms EHR (Electronic Health Record)Practice Management System (PMS)
Reference source InSync Healthcare Solutions
Categories EHR & Healthcare Technology Terms
Interoperability
General (all payers)Also called: health information exchange; data exchange
- Definition
- The ability of systems to exchange and use health information.
- Why it matters
- Enables data sharing between EHRs, payers, and other systems.
- Illustrative example
- An EHR shares data with a payer through an API.
Reference source HL7 International · HL7 FHIR
Categories EHR & Healthcare Technology TermsEDI & Clearinghouse Terms
Kareo
General (all payers)Also called: Kareo EHR
- Definition
- A legacy name for a practice management and EHR vendor that became part of the Tebra brand. Listed for reference; not an endorsement or partnership.
- Why it matters
- Older documents and payer records may still use the name.
- Illustrative example
- A payer file lists Kareo as the software vendor.
Verify: confirm current brand.
Related terms TebraPractice Fusion
Reference source Tebra
Categories EHR & Healthcare Technology Terms
Multi-Factor Authentication (MFA)
General (all payers)Also called: MFA; two-factor authentication; 2FA
- Definition
- A security method that requires two or more proofs of identity to sign in.
- Why it matters
- Commonly expected for systems containing PHI.
- Illustrative example
- A biller logs into a payer portal with a password and code.
Related terms HIPAA Security RuleAudit Trail
Reference source HHS (U.S. Department of Health and Human Services) · HHS Office for Civil Rights (OCR)
Categories EHR & Healthcare Technology TermsAudits & Compliance
Netsmart
General (all payers)Also called: Netsmart Technologies; myAvatar
- Definition
- A vendor of software for behavioral health, human services, and post-acute care, used by community providers. Listed for reference; not an endorsement or partnership.
- Why it matters
- Common among larger behavioral health and community organizations.
- Illustrative example
- A community clinic uses Netsmart for EHR and billing.
Related terms EHR (Electronic Health Record)Community Mental Health Center (CMHC)
Reference source Netsmart
Categories EHR & Healthcare Technology Terms
NextGen
General (all payers)Also called: NextGen Healthcare
- Definition
- A vendor of EHR and practice management software for ambulatory practices. Listed for reference; not an endorsement or partnership.
- Why it matters
- Used in specialty and behavioral health settings.
- Illustrative example
- A group uses NextGen for its EHR.
Related terms EHR (Electronic Health Record)Practice Management System (PMS)
Reference source NextGen Healthcare
Categories EHR & Healthcare Technology Terms
Oracle Health
General (all payers)Also called: Cerner; Oracle Cerner
- Definition
- Oracle's health information technology business, formerly Cerner, offering EHR and related systems mainly to health systems. Listed for reference; not an endorsement or partnership.
- Why it matters
- Legacy name Cerner still appears in payer and provider workflows.
- Illustrative example
- A health system uses Oracle Health for its EHR.
Verify: confirm current product names.
Related terms EHR (Electronic Health Record)
Reference source Oracle Health
Categories EHR & Healthcare Technology Terms
Patient Portal
General (all payers)Also called: client portal; patient portal
- Definition
- A secure website where patients view records, pay balances, complete forms, and message providers.
- Why it matters
- Helps collect intake forms and balances.
- Illustrative example
- A patient pays a balance through the portal.
Related terms EHR (Electronic Health Record)Card on File
Reference source HHS (U.S. Department of Health and Human Services)
Categories EHR & Healthcare Technology TermsPatient Financial Responsibility Terms
Practice Fusion
General (all payers)Also called: Practice Fusion EHR
- Definition
- An EHR product associated with the Tebra family of software. Listed for reference; not an endorsement or partnership.
- Why it matters
- Older records may reference it.
- Illustrative example
- A practice migrated from Practice Fusion.
Verify: confirm current product status.
Reference source Tebra
Categories EHR & Healthcare Technology Terms
Practice Management System (PMS)
General (all payers)Also called: PMS; practice management software; billing software
- Definition
- Software that handles scheduling, patient registration, charge entry, claims, and payment posting.
- Why it matters
- Often paired with or built into the EHR.
- Illustrative example
- A practice submits claims from its practice management system.
Related terms EHR (Electronic Health Record)RCM Platform
Reference source MGMA
Categories EHR & Healthcare Technology TermsRevenue Cycle Metrics
RCM Platform
General (all payers)Also called: revenue cycle management software; RCM software; billing platform
- Definition
- Software that supports billing steps such as eligibility, claim scrubbing, submission, posting, and denial follow-up.
- Why it matters
- Can reduce manual work but needs monitoring.
- Illustrative example
- A biller works a denial queue inside an RCM platform.
Related terms Practice Management System (PMS)Revenue Integrity Solution
Reference source HFMA
Categories EHR & Healthcare Technology TermsRevenue Cycle Metrics
Revenue Integrity Solution
General (all payers)Also called: revenue integrity software; charge integrity tools
- Definition
- Tools and processes that check charges, coding, and documentation to ensure accurate billing and prevent revenue loss or compliance issues.
- Why it matters
- Helps find missed charges and coding errors before submission.
- Illustrative example
- A tool flags a mismatch between documented time and billed code.
Related terms Charge CaptureClaim ScrubbingRevenue Leakage
Reference source HFMA
Categories EHR & Healthcare Technology TermsRevenue Cycle Metrics
Role-Based Access Control (RBAC)
General (all payers)Also called: RBAC; user permissions
- Definition
- Limiting system access based on a person's role so staff see only what they need.
- Why it matters
- Supports the minimum necessary standard.
- Illustrative example
- A front desk user cannot view psychotherapy notes.
Related terms Minimum NecessaryAudit Trail
Reference source HHS (U.S. Department of Health and Human Services) · HHS Office for Civil Rights (OCR)
Categories EHR & Healthcare Technology TermsAudits & Compliance
SimplePractice
General (all payers)Also called: Simple Practice
- Definition
- A vendor of practice management, EHR, telehealth, and billing software for health and wellness practices. Affiliate disclosure: MCM South has an affiliate relationship with SimplePractice and may receive compensation if you sign up through this link.
- Why it matters
- Widely used by solo and group therapy practices.
- Illustrative example
- A therapist schedules, documents, and bills from one platform.
Related terms EHR (Electronic Health Record)Practice Management System (PMS)Clearinghouse
Reference source SimplePractice (affiliate link)
Categories EHR & Healthcare Technology Terms
Tebra
General (all payers)Also called: Kareo; Tebra practice management
- Definition
- A vendor of practice management, EHR, and patient engagement software; the Kareo brand transitioned to Tebra. Listed for reference; not an endorsement or partnership.
- Why it matters
- Legacy Kareo name still appears in older workflows.
- Illustrative example
- A practice uses Tebra for claims.
Verify: confirm brand and product names.
Related terms KareoPractice FusionEHR (Electronic Health Record)
Reference source Tebra
Categories EHR & Healthcare Technology Terms
TEFCA
General (all payers)Also called: Trusted Exchange Framework and Common Agreement
- Definition
- A federal framework meant to enable nationwide health information exchange among networks.
- Why it matters
- Emerging channel for exchanging records.
- Illustrative example
- A network participates in TEFCA exchange.
Verify: program details evolve.
Related terms InteroperabilityHL7
Reference source HHS (U.S. Department of Health and Human Services)
Categories EHR & Healthcare Technology Terms
Telehealth Platform
General (all payers)Also called: video visit software; HIPAA-compliant video
- Definition
- Software used to deliver video sessions, which for covered entities should be configured to meet HIPAA requirements and be covered by a business associate agreement where required.
- Why it matters
- Security and vendor agreements matter for compliance.
- Illustrative example
- A practice uses a video platform under a BAA.
Related terms Business Associate Agreement (BAA)Telehealth
Reference source HHS (U.S. Department of Health and Human Services)
Categories EHR & Healthcare Technology TermsTelehealth Terms
TherapyNotes
General (all payers)Also called: Therapy Notes
- Definition
- A vendor of EHR and practice management software for behavioral health practices. Listed for reference; not an endorsement or partnership.
- Why it matters
- Widely used by solo and group therapy practices.
- Illustrative example
- A therapist documents and bills from TherapyNotes.
Related terms EHR (Electronic Health Record)Practice Management System (PMS)
Reference source TherapyNotes
Categories EHR & Healthcare Technology Terms
USCDI
General (all payers)Also called: United States Core Data for Interoperability
- Definition
- A standardized set of health data classes and elements for nationwide exchange.
- Why it matters
- Defines minimum data EHRs must be able to share.
- Illustrative example
- An EHR exports USCDI data elements.
Related terms InteroperabilityFHIR
Reference source HHS (U.S. Department of Health and Human Services)
Categories EHR & Healthcare Technology Terms
Valant
General (all payers)Also called: Valant Behavioral Health EHR
- Definition
- A vendor of EHR and practice management software designed for behavioral health practices. Listed for reference; not an endorsement or partnership.
- Why it matters
- Behavioral-health-specific workflows and measurement tools.
- Illustrative example
- A psychiatry group documents in Valant.
Related terms EHR (Electronic Health Record)Measurement-Based Care
Reference source Valant
Categories EHR & Healthcare Technology Terms
Veradigm
General (all payers)Also called: Allscripts legacy
- Definition
- A health technology company, formerly Allscripts, offering EHR and related software. Listed for reference; not an endorsement or partnership.
- Why it matters
- Legacy Allscripts name appears in older documents.
- Illustrative example
- A practice uses Veradigm for e-prescribing.
Verify: confirm current offerings.
Related terms EHR (Electronic Health Record)E-Prescribing (eRx)
Reference source Veradigm
Categories EHR & Healthcare Technology Terms
More billing terms
- Credentialing & Enrollment 58
- Contracting & Network Management 22
- Claims Processing 172
- Eligibility & Benefits 75
- Payment & Reimbursement 61
- Denials & Appeals 46
- Audits & Compliance 115
- Behavioral Health Specific Terms 148
- CPT, E/M & HCPCS Code Entries 54
- Telehealth Terms 23
- Revenue Cycle Metrics 44
- EDI & Clearinghouse Terms 63
- BCBS, UHC & Commercial Payer Terms 54
- Medicare & Medicaid Terms 145
- Value-Based Care Terminology 23
- Prior Authorization Terminology 22
- Quality & Risk Adjustment Terms 34
- Provider Data Management Terms 26
- Patient Financial Responsibility Terms 35
- AI & Healthcare Automation Terms 12
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