Domain
HEDIS, Stars ratings, measures, outcomes and accreditation
1,563 quality terms
The patient responsibility value for a record review process. Used to capture financial data associated with audit transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
The expense value for a record review process. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
A numeric value in EHR, claims, or PBM audit tables representing the total number of review occurrences for a given record or entity, used by data engineers to track audit frequency, detect anomalies, and monitor compliance review volumes across processing cycles.
The nation name for a record review process. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
The creating user identifier for a record review process. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
The timestamp recording when an audit record was initially generated within EHR, claims adjudication, or member enrollment systems, used by data engineers to establish record lineage, support compliance timelines, and enable chronological sorting of audit trail data.
The record creation time for a record review process. Used to track temporal information related to audit created time. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
The kidney function marker for a record review process. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
The calendar date associated with a specific review event in healthcare claims, EHR, or PBM systems, used to timestamp when a compliance check, coding review, or clinical documentation audit was performed, supporting regulatory reporting and audit trail integrity.
A combined date and time value recorded in EHR, claims, or pharmacy systems that precisely timestamps a review event, enabling data engineers to sequence audit trail records, detect concurrent processing conflicts, and support time-sensitive compliance reporting requirements.
The drug enforcement administration number for a record review process. Used as a unique reference to identify and track the audit across healthcare systems. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
The recorded date of a member or patient death captured within an audit record in EHR, claims, or member enrollment systems, used to validate downstream claim submissions, terminate benefit eligibility, and ensure data integrity across mortality-related compliance reviews.
The insurance threshold value for a record review process. Used to capture financial data associated with audit transactions. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
The record deletion date for a record review process. Used to track temporal information related to audit deleted date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
The removal status flag for a record review process. Used to track the current state or condition of the audit. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
A textual explanation field within EHR, claims, or PBM audit records that documents the nature, scope, or findings of a review process, providing data engineers and compliance analysts with context for audit events, coding discrepancies, or billing irregularities identified during review.
Granular information captured within EHR, claims adjudication, or pharmacy audit records that documents specific findings, data elements reviewed, or discrepancies identified during a compliance check, supporting root cause analysis and corrective action workflows in healthcare data pipelines.
The payment deadline date for a record review process. Used to track temporal information related to audit due date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
The time span length for a record review process. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for audit management and reporting.
The date on which an audit record or associated review action becomes active within EHR, claims, or member enrollment systems, used by data engineers to manage temporal validity of compliance decisions, benefit changes, and provider contract reviews within audit tracking workflows.