CRM Software for the Health Care Industry Key Terms

Learn key terms on Customer Relationship Management (CRM) software for the health care industry
By Emmet McMahan CRM for health care needs to seamlessly combine application and data programs in order to achieve a desired result. It needs a specifically selected data set that will support requirements such as analysis, campaign management, data mining and opportunity identification. It's essential for CRM software to use a data model based on the knowledge and experience of the particular industry for which it will be used. CRM for health care consists of information on patients, payers and providers. This includes diagnostics and procedures such as CPT, DRG and ICD.
 

Current Procedural Technology (CPT)

CPT is the standard terminology for reporting medical services and procedures. Each service or procedure has a unique, five-digit code.
Try: LifeWise Health Plan of Oregon provides a glossary of health care terms, including CPT.

Diagnosis-Related Group (DRG)

The DRG is a classification system that specifies the diagnosis and treatment for a particular case. The actual DRG code is calculated by a "grouper" program that assigns each case to a DRG based on the diagnosis, any complications and other factors.
Try: Lee Memorial Health System provides an extensive glossary of health industry terms, including DRG.

International Classification of Diseases, Ninth Edition (ICD-9-CM)

The ICD-9-CM is a listing of diagnosis codes that physicians use to report a diagnosis to the enrollee of a health care plan. This coding scheme allows for a primary and secondary diagnosis.
Try: CACI International provides IT solutions and also offers definitions of medical terms, such as ICD-9, as they pertain to coding.

Content Management System (CMS)

A CMS is a software application that creates, edits and manages electronic text. These applications are becoming increasingly necessary to manage the large amount of content that is used by CRM software.
Try: Boston Intranets provides a more complete definition of CMS and CRM.

Health Insurance Portability and Accountability Act (HIPAA)

HIPAA attempts to provide standards for maintaining patient confidentiality. It's essential for software systems in health care, such as CRM systems, to meet HIPAA requirements.
Try: Binary Spectrum discusses the implementation of HIPAA standards in health care software systems.

Medical Device Reporting (MDR)

MDR is the method by which adverse events of medical devices are reported. MDR handling is an essential component of CRM systems in health care.
Try: Boston Scientific develops CRM systems in the health care industry. It also defines MDR and provides a specific discussion on use of MDR in health care CRM systems.