9 Glossary

Captcha Code: is a type of challenge-response test used to ensure the response is generated by a

human and not generated by a computer.

Confirmation Code: A unique, computer generated captcha code presented to a user if the user exceeds the maximum number of unsuccessful login attempts. The presented captcha code must be re-entered successfully along with the username and password.

Gold Thread-Qualitative: (Evaluation, Treatment Plan, Services provided, Progress Notes, Treatment Plan Review, Discharge Planning)

“Gold Thread” is a term coined by mental health consultant David Lloyd, of MTM Services. It refers to the concept that risk free and clinically sound documentation in a medical chart demonstrates that each service ordered on the treatment plan comes from a need identified in the diagnostic assessment; that each service, including frequency and duration, is medically (clinically) necessary to improve the client’s functioning; and that the progress notes chart directly to the plan of care, justifying the charge to the payer. Anyone who audits for Gold Thread should be terminally licensed in his/her field meeting the requirements of Mental Health Professional.

Gold Thread consistency establishes a legal justification for the services provided. Medical necessity should drive every treatment decision from intake to discharge.

Icon: a graphic symbol (usually a simple picture) that denotes a program or a command or a data file or a concept, e.g.,

Answer Questions View Report Add/Edit Notes Edit Audit Archive Help Back

PDF Reader: PDF Reader: (Portable Document Format) is a file format in which reports within this software are displayed.  In order to properly view the reports a user will need to have installed Adobe PDF Reader (free) on their computer.

Question Set: Groups of questions based on either standards, e.g., Joint Commission, or custom questions. A Question Set may be based solely on standards, standards and custom questions combined or custom questions only.

Ribbon:  A collection of questions in the interface that can be collapsed to a single line or expanded to reveal all questions.  Individual ribbons can be opened or closed by Clicking on the ribbon header.

Silver Thread-Quantitative: “Silver Thread” is a term used to mean the presence, absence, and timeliness of documentation. The medical record staff members often conduct Silver Thread audits.