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AAHAM CRCE Vocabulary
Exam Study Manual 2014
203
Health Care
Professional
04/16/2014

Additional Health Care Flashcards

 


 

Cards

Term

1500

 

CMS-1500 form

Definition
Standard claim form used when a provider qualifies for a waiver fro electronic claims submission; also used for billing some Medicaid state agencies.
Term
72-Hour Rule
Definition
Medicare regulation requiring that certain outpatient services within 72 hours of an inpatient admission must be included in the patient's inpatient claim and reimbursed under a DRG.
Term
837I
Definition
HIPAA standard transaction used by hospitals to submit claims electronically.
Term
837P
Definition
HIPAA standard transaction that replaces the 1500 and is required of almost all physicians.
Term

ABN

 

Advance Beneficiary Notice of Noncoverage

Definition
A document given to the patient that states that the provider believes that Medicare will not or probably will not cover the specified item.
Term
Abuse
Definition
Incidents or practices that, although not usually considered fraudulent, are inconsistent with acepted sound medical, business or fiscal practices, directly or indirectly resulting in unnecessary costs or improper reimbursement for services that fail to meet professionally recognized standards of care or that are medicall unnecessary.
Term
Accrual
Definition
A method of accountig in which income is recognized at the time it is earned, even if not yet collected, and expenses are booked as they are incurred, even if not yet paid.
Term

ADA

 

Americans with Disabilities Act

Definition
A law passed in 1990 that requires employers to make reasonable adjustments to the work site to accommodate a disabled employee's ability to perform the job and requires bulildings to be accessible to those with disabilities.
Term

ADC

 

Average Daily Census

Definition
The total number of patient days in a given time period divided by the number of days in that period.
Term

ALJ

 

Administrative law Judge

Definition
One of the five levels of Medicare appeals.
Term

ALOS

 

Average Legnth of Stay

Definition
the total number of patient days divided by the number of discharges
Term

AMA

 

American Medical Association

Definition
The group that owns the copyright for, and anually maintains CPT codes.
Term

ANSI

 

American National Standards Institute

Definition
The group that established standards for electronic data interchange within healthcare.
Term

APC

 

Ambulatory Payment Classification

Definition
A system that places outpatient services into groups based on similar procedures and resource use.
Term
AR
Definition
Accounts Receivable
Term
Asset Control
Definition
Procedures to protect assets from theft.
Term
Assets
Definition
Those things a business owns that have a value.
Term
Assignment
Definition
An aggreement that Medicare payments will be sent to the office rather than the patient; the physician acccepts what Medicare allows as payment in full.
Term
Automated
Definition
A type of review in which RAC identifies a potential issue and uses its database to find improper payments; the provides is then given notification of denied claims.
Term
Bad Debt
Definition
A deduction from revenue when an account is determined to be uncollectible.
Term
Balance Sheet
Definition
A financial satement that is a snapshot in time of the business.
Term

CAH

 

Critical Access Hospital

Definition
A small hospital that serves a rural community
Term
Capital
Definition
The kind of asset that cannot be easily turned into cash, such as land, buildings, and large equiptment.
Term
Capitated Payment
Definition
A payment method in which a physician contracts to deliver services to a set population base; the physician is paid on a per-person basis.
Term
Cash
Definition
A method of accounting in which income is recognized when it is collected and expenses are booked when they are paid.
Term
CC
Definition
Chief Complaint
Term

CCI

 

Correct Coding Initiative

Definition
A system of edits that apply to physician services to identify pairs of codes that cannot be billed together, pairs that can be billed only with modifiers, and things that dont make sense.
Term

CCP

 

Coordination Care Plans

Definition
Include health maintenance organizations, provider-sponsored organizations, and preferred provider organizations.
Term

CDC

 

Centers for Disease Control and Prevention

Definition
A federal agency with functions that include monitoring health, detecting and investigating health problems; and preparing for new health threats.
Term
Chapter 7
Definition
A type of personal bankruptcy in which the debtor does not have any means to repay the debts; the assets, if any are divvided among the creditors according to precedence.
Term
Chapter 13
Definition
A type of personal bankruptcy in which the debtor has a regular income high enough to support a repayment plan over time.
Term
Chargemaster
Definition
A computer listing of all charges that might be posted to a patient account; also called the fee schedule, item master, and other similar names.
Term
Charity Care
Definition
A deduction from revenue for care provided under preset financial guidelines.
Term

CHIP

 

Children's Health Insurance Program

Definition
A state and federal partnership created in 1997 that targets uninsured childreb abd pregnant women in families with incomes too high to qualify for most state Medicaid programs, but often too low to afford private coverage.
Term

CLIA

 

Clinical Laboratory Improvement Act

Definition
A regulation that provides for the registration, certification, and inspection of all laboratory sites.
Term
CMHC
Definition
Community Mental Health Center
Term

CMS

 

Ceters for Medicare and Medicaid Services

Definition
A federal agency responsible for developing rules and regulations that govern Medicare and Medicaid; it also contracts with entities who administer Medicare benefits in various regions of the country.
Term
CO
Definition
Compliance Officer
Term
COB
Definition
Coordination of Benefits
Term
Coinsurance
Definition
The percentage of allowable charges which the patient must pay after paying his or her deductible.
Term
Commercial Insurance
Definition
Health insurance that covers individuals; most often can be obtained as a benefit of employment, individual policies can be purchased by people who do not get insured through an employer.
Term
Complex
Definition
A type of review in which RAC requests medical records and makes its determination from them.
Term
Condition Code
Definition
A two-digit UB code that clarifies an event or condition related to the bill that may affect payer processing.
Term
Conflict of Interest
Definition
A situation where one or more parties to an arrangement have an opportunity to exploit their position for personal or business advantage.
Term
Coverage Percentage
Definition
The percentage at which a payer will reimburse the provider; also called the reimbursement rate.
Term

CPT

 

Current Procedural Terminology

Definition
A system of terms and five-digit alpha-numeric codes that are used primarily to identify medical services and procedures furnished by phisicians and other healthcare professionals.
Term
Current Asset
Definition
An asset that is cash, or can quickly be tunred into cash, such as AR, checking account balances, and inventory.
Term
Current Liabilities
Definition
Those things that a business owes and are expected to be settled in cash within one year, sich as wages, taxes and accounts payable.
Term
Deductible
Definition
An amount that a patient must pay for healthcare before the payer begins to pay.
Term

DEERS

 

Defense Enrollment Eligibility Reporting System

Definition
The system in which military dependents must be enrolled to receieve benefits under TRICARE
Term
DHS
Definition
Designated Health Service
Term

DME

 

Durable medical Equiptment

Definition
Any equiptment that can withstand repeated use, is used for a medical purpose, is of generally no use in the absence of illness, and is intended for use in the home.
Term
DEMPOS
Definition
Durable Medical Equiptment, Prosthetics, Orthotics, and Supplies
Term

DMERC

 

Durable Medical Equiptment Regional Carrier

Definition
A MAC to which DME is billed.
Term

DNFB

 

Discharged, Not Final Billed

Definition
An account for a patient who has completeed treatment but has not had a claim produced.
Term

DNR

 

Do Not Resuscitate

Definition
A doccument that states that the patient does not wish to have CPR or similar interventions performed in the event of a medical emergency.
Term
DOS
Definition
Date of Service
Term

DRG

 

Diagnosis-Related Group

Definition
A group of services that has a payment weight assignned to it, based on the average resources used to treat Medicare patients in that DRG.
Term
Dual Eligible
Definition
An individual who is entitled to Medicare Part A and/or Part B, and is also eligible for some form of Medicaid benefit.
Term
Durable Power of Attorney for Healthcare
Definition
A doccument that designates someone else (known as a surrogate, agent, or healthcary proxy) to make decisions on the patient's behalf if he or she is unable to do so; also called a Healthcare Power of Attorney.
Term
E-codes
Definition
Supplementary ICD codes that capture the external cause of injury or poisoning, the intent, and the place where the event occured.
Term

E & M

 

Evaluation and Management

Definition
One range of CPT codes that apply to both the process of and the charge for examining a patient and formulating a treatment plan.
Term
ED
Definition
Emergency Department
Term
EDI
Definition
Electronic Data Interchange
Term
EHR
Definition
Electronic Health Record
Term
EMR
Definition
Electronic Medical Record
Term

EMTALA

 

Emergency Medical Treatment and Labor Act

Definition
A law passed in 1986 in response to concerns that hospital were refusing to treat patients without insurance, and even transferring them to other facilities and leaving them there, sometimes without notifyinfg the receiving facility; also known as the Federal Anti-Dumping Statute.
Term
EP
Definition
Eligible Professional
Term
Equity
Definition
What a business is worth, as determined by the difference between assets and liabilities.
Term
ER
Definition
Emergency Room
Term
ERA
Definition
Electronic Remittance Advice
Term

ERISA

 

Employee Retirement Income Security Act

Definition
A federal law passed in 1974 that governs self-insured plans.
Term
ESRD
Definition
End Stage Renal Disease
Term
Expenses
Definition
Obligations that arise when a business has to pay for things.
Term

FDA

 

Food and Drug Administration

Definition
A federal Agency responsible for approving or not, new drugs and meical devices, as well as safety in the medical and food industries.
Term

FDCPA

 

Fair Debt and Collection Practices Act

Definition
A law that went into effect in 1996 to amend the Consumer Credit Protection Act.
Term
Fee Schedule
Definition
A payment method in which services are paid for on a fee schedule basis.
Term
Fee-for-Service
Definition
The oldest method of payment; charges are considered in full without application of any discount.
Term

FMLA

 

Family Medical Leave Act

Definition
A law established in 1993 allowing certain employees to take unpaid leave because of their own "serious health condition" or that of a family member, or the birth or adoption of a child.
Term
Fraud
Definition
An internal deception or misrepresentation that an individual knows to be false or does not believe to be true, and knows that the deception could result in some unauthorized benefit to himself/herself or some other person.
Term

FTC

 

Federal Trade Comission

Definition
A federal agency responsible for consumer protection.
Term

GAAP

 

Generally Accepted Accounting Principles

Definition
"Rules" used to standardize accounting practices so that interested parties can interpret the true picture of a financial report.
Term

GDRO

 

Gross Days Receivable Outstanding

 

 

Definition
The average time it takes for AR to turn over completely.
Term
GHP
Definition
Group Health Plan
Term

GPCI

 

Geographic Practice Cost Index

Definition
An adjustment to account for differences in wages and other costs among different geographic areas of the country.
Term
HAC
Definition
Hospital Acquired Condition
Term

HCFA

 

Health Care Finance Administration

Definition
The original name for CMS
Term

HCPCS

 

Healthcare Common Procedure Coding System

Definition
A milti-level coding system to relay information in healthcare transactions.
Term
Healthcare Power of Attorney
Definition
A doccument that designates someone else (known as a surrogate, agent or healthcare proxy) to make decisions on the patient's behalf if he or she is unable to do so; also called a Durable Power of Attorney for Healthcare.
Term
HHA
Definition
Home Health Agency
Term

HHS

 

U.S. Department of Health and Human Services

Definition
The principal agency for protecting the health of all Americans.
Term

HINN

 

Hospital-Issued Notice of Noncoverage

 

Definition
A liability notice similar to an ABN hat affects providers submitting claims to fiscal intermediaries for hospital inpatient services.
Term

HIPAA

 

Health Insurance Portability and Accountability Act

Definition
A law enacted in 1996 with the primary objective of protecting insurance subscribers from loss of coverage due to job changes, but with other, far-reaching consequences for healthcare.
Term

HMO

 

Health Maintenance Organization

Definition
A plan that provides or arranges for comprehensive healthcare services in exchange for a fixed premium.
Term
Home Health Care
Definition
Services available to Medicare beneficiaries who cannot leave their residence except in very limited circumstances.
Term
HPI
Definition
History of Present Illness
Term
HPSA
Definition
Health Practitioner Shortage Area
Term
HR
Definition
Human Resources
Term
HSA
Definition
Health Savings Account
Term

ICD

 

International Classification of Diseases

Definition
A code set to relay information in healthcare transactions.
Term

Income

(or loss)

Definition
The result of subtracting expenses from revenue.
Term
Income Statement
Definition
A financial statement that is a record over a set period of time and used to evaluate an organization's ability to pay present and future debts, and to earn revenue that exceeds expenses; also called Profit and Loss Statement.
Term

IRF

 

Inpatient Rehabilitation Facility

Definition
A type of facility that provides services to patients that need rehabilitation services to improve the individual's overall physical condition.
Term
Judgement
Definition
A legally verified claim against a debtor validated by the court; a legal right to collect a debt that can be used to obtain a lien.
Term

LCD

 

Local Coverage Determination

Definition
A decision by a fiscal intermediary or carrier whether to cover a particular service on an intermediary-wide or carrier-wide basis.
Term
Liabilities
Definition
Those things that a business owes; debts.
Term
Liability Insurance
Definition
Coverage for non-work-related accident through property and casualty or auto insurance.
Term
Lien
Definition
A recorded claim against real or personal property, generally arising out of a debt; if the property is sold by the debtor, the creditor must be paid out of the procedes of that sale.
Term
Living Will
Definition
A document that specifies what treatments a patient does and does not wish to receieve.
Term
Lockbox
Definition
A bank service in which payments are routed from a post office box directly to the bank, which opens the mail and deposits the monies.
Term
Locum Tenes
Definition
A temporary substitute, especially for a doctor or member of the clergy.
Term
Locum Tenens
Definition
A temporary substitute, especially for a doctor or member of the clergy.
Term

LTC

 

Long Term Care

Definition
A form of acute care for patients who are expected to stay more than 25 days; also sometimes refers to custodial care that is offered in nursing homes.
Term

MAC

 

Medicare Administrative Contractor

Definition
A private firm that processes Medicare claims; formerly known as fiscal intermediary or carrier.
Term

MDC

 

Major Diagnostic Category

Definition
One of 25 groups of DRGs
Term

MDS

 

Minimum Data Set

Definition
Part of the federally required process for clinical assessment of all residents in Medicare-or Medicaid-certified nursing homes; the MDS then determines the RUG and hence the payment.
Term

MU

 

Meaningful Use

Definition
Providers are using certified EHR technology to achieve health and efficiency goals including reducing errors; making records data available; generating reminders and alerts; supporting clinical decisions; and automating e-prescribing/refills.
Term
Medicaid
Definition
A program signed into effect in 1965 to assure that the vulnerable have access to medical care; funding is shared by federal and state governments; also known as Title XIX.
Term

MIC

 

Medicaid Integrity Contractor

Definition
A third-party firm contracted to find Medicaid overpayments.
Term
Medicare
Definition
A program signed into effect in 1966 to assure that the elderly could get medical care; later expanded to cover those under 65 with disabilities or ESRD; also known as Title XVIII.
Term
Medigap
Definition
Supplementary coverage available only to persons enrolled in Medicare Part A and Part B.
Term

MIC

 

Medicaid Integrity Contractor

Definition
A third-party firm contracted to find Medicaid overpayments.
Term

MMA

 

Medicare Prescription Drug, Improvement, Modernization Act of 2003

Definition
A law creating an exception to the physician self-referral prohibition for non- monetary remuneration used soley to receive and transmit electronic prescription information; commonly called Stark I, Stark II, and Stark III.
Term
MSA
Definition
Medical Savings Account
Term

MSN

 

Medicare Summary Notice

Definition
A statement reflecting services received, charges submitted, charges allowed, amount for which the beneficiary is responsible, and the amount that was paid to the provider or beneficiary; may also specify deductible and coinsurance amounts; also known as remittance advice and formerly known as the Medicare Explanation of Benefits.
Term

MSP

 

Medicare Secondary Payer

Definition
Laws that shifted costs from the Medicare program to other sources of payment.
Term

MUE

 

Medically Unlikely Edit

Definition
A program to reduce the error rate for Medicare claims; for example, this program would detect a claim for a person having "ten legs amputated."
Term

NCD

 

National Coverage Determination

Definition
A determination of the extent to which Medicare will cover specific services, procedures, or technilogies on a national basis.
Term

NIH

 

National Institue of Health

Definition
The primary federal agency for conducting and supporting medical research.
Term

NLRB

 

National Labor Relations Board

 

 

Definition
A government agency that looks into unfair labor practices, including union organization issues and collective bargaining; it governs breaks, overtime, and similar issues.
Term
Noncovered Service or Charge
Definition
A service or charge for which there is no coverage and, therefore, no payment by the insurance payer.
Term

NOP

 

Notice if Privacy Practices

Definition
A notice that explains how the provider will maintain the patient's privacy and how patient information will be used by the facility; HIPAA requires providers to give all patients the NOP once in their lifetime and then again if the content of the NOP changes.
Term

NPDB

 

National Practitioner Data Bank

Definition
An information clearinghouse to collect and release information regarding medical and malpractice payments and other adverse professional actions taken against physicians.
Term

NPI

 

National Provider Identification

Definition
A coding system to identify providers, as dictated by CMS's Administrative Simplification Identifier Standards.
Term

OASIS

 

Outcome and Assessment Information Set

Definition
An assessment made by a home health care provider, which determines a payment rate.
Term
Occurrence Code
Definition
A two-digit UB code and a date that together clarify a significant event or condition related to a claim.
Term
Occurence Span Code
Definition
A two-digit code followed by two dates that identify a span of time relevant to claim processing.
Term

OCE

 

Outpatient Code Editor

Definition
A system of edits that apply to hospital outpatient services under the hospital OPPS to identify pairs of codes that cannot be billed together, pairs that can be billed only with modifiers, and things that dont make sense.
Term

OIG

 

Office of Inspector General

Definition
A federal agency with the mission to protect the integrity og HHS programs and the health and welfare of the beneficiaries of those programs; it has a major role in investigating fraud and abuse, and in issuing Advisory Opinions.
Term

OPPS

 

Outpatient Prospective Payment System

Definition
Medicare's system that applies to most outpatient services, partial hospitalization services in CMHCs, and Part B-covered inpatient services if Part A coverage is exhausted.
Term
Out-of-Pocket Maximum
Definition
The maximum that a patient must pay on his or her own because the costs are not covered by any payer.
Term
Part A
Definition
The hospital insurance component of Medicare.
Term
Part B
Definition
The medical insurance component of Medicare.
Term
Part C
Definition
The Medicare Advantage component of Medicare; formerly known as Medicare+Choice.
Term
rt Da
Definition
The prescription drug component of Medicare.
Term
Patient's Bill of Rights
Definition
Expectations that patients and their families can have about how they will be treated in healthcare situations.
Term

PCP

 

Primary Care Physician

Definition
The family physician or "gatekeeper."
Term

PDA

 

Pregnancy Discrimination Act

Definition
A law enacted in 1978 to prohibit discrimination against employees and applicants on the basis of pregnancy, childbirth, and related medical conditions.
Term
Per Diem
Definition
Latin for "for each day."
Term
Percent of Charges
Definition
A payment method in which the claim is paid at a predetermined percentage discount rate.
Term

PFFS

 

Private Fee-For-Service

Definition
A type of Medicare Advantage plan.
Term
PFSH
Definition
Personal Family Social History
Term

PHI

 

Protected Health Information

Definition
Individually identifiable patient information protected under HIPAA.
Term
Physician Self-Referral
Definition
A physician referral of a Medicare patient for certain designated health services to an entity with which the physician or a member of the physician's immediate family has a financial relationship.
Term
POA
Definition
Power of Attorney
Term

POA Indicator

 

Present on Admission

Definition
A type of indicator paired with each diagnosis code in the medical record of an inpatient claim to help identify non-payable complications such as hospital-acquired infections, sponges left in patients, and so on.
Term

POS

 

Point of Sale

Definition
As related to financial policies, POS collections are the only cost-effective method of collecting small-dollar copayments.
Term

PPO

 

Preferred Provider Organization

Definition
A fee-for-service arrangement or contract with a group of providers (the preferred providers)
Term

PQRI

 

Physician Quality Reporting Initiative

Definition
A physician quality reporting system mandated by the 2006 Tax Relief and Health Care Act; it includes an incentive payment for eligible professionals who report data on quality measures for services furnished to Medicare beneficiaries.
Term
Preadmission
Definition
The process of gathering patient information and taking care of as many items as possible prior to the actual date of service.
Term
Precertification
Definition
The process of obtaining advance insurance approval in order for payment to be secured later; also called preauthorization.
Term
Progressve Disciplinary Action
Definition
The process of documenting performance and behavior prior to, during, and after the entire disciplinary process; the documentation should reflect progression, sucess, or continued regression, and inability to perform satisfactorily.
Term

PSO

 

Provider-Sponsored Organization

Definition
A type of Medicare Advantage plan
Term

QMB

 

Qualified Medicare Beneficiary

Definition
An individual with financial resources and income at or below specified levels; these individuals do not have to pay their Medicare Part A/Part B premiums, deductibles, and coinsurance; their Medicaid program assumes these expenses.
Term

RAC

 

Recovery Audit Contractor

Definition
A private firm charges with identifying under- and overpayments in Medicare and earning a contingency fee for denial of previously paid claims.
Term

RAP

 

Request for Anticipated Payment

Definition
A request submitted by a home health care provider based on an Outcome and Assessment Information Set, which determines the payment rate; the provider receives half the payment up front and the remainder when the actual claim is submitted.
Term

RBRVS

 

Resource-Based Relative Value Scale

Definition
A scale used by Medicare to determine the value of practitioner services.
Term
Regulation Z
Definition
A regulation with the purpose to promote the informed use of consumer credit by requiring disclosures about its terms and cost; also called the Truth in Lending Act.
Term
Revenue
Definition
The dollars generated when a business provides its services and generates a charge.
Term
Revenue Code
Definition
A four-digit UB code that specifies an accoumodation or ancillary service category.
Term
RFB
Definition
Religious Fraternal Belief
Term

RFP

 

Request for Proposal

Definition
A document that defines a job to be done, asks for specific pricing, asks responders to explain what makes them the best choice, and asks for references.
Term
ROS
Definition
Review of Systems
Term

RTP

 

Returned to Provider

Definition
When an error on a claim does not pass Medicare's front-end edits, claims are returned to provider (RTP); the billing tema needs to review the claim, correct the information, and resend the UB.
Term

RUG

 

Resource Utilization Group

Definition
The system used by Medicare to determine the payment rate for most skilled nursing care.
Term

RVU

 

Relative Value Unit

Definition
The base value of a procedure in comparison to other procedures.
Term
Self-insurance
Definition
A type of insurance in which a company does not purchase group insurance, but rather puts premium payments into a fund and pays a third party to administer benefits from the fund.
Term
Self-pay
Definition
The common term for patients who have no insurance.
Term
Skip-tracing
Definition
Efforts to locate correct information when an address or telephone number in an account turns out to be incorrect.
Term

SNF

 

Skilled Nursing Facility

Definition
An institution or distinct part of an institution which provides skilled nursing care and services for residents who require medical or nursing care, or services for the rehabilitation of injured, disabled, or sick persons.
Term
SNF PPS
Definition
Skilled Nursing Facility Prospective Payment System
Term

SSA

 

Social Security Administration

Definition
A federal agency with the mission to protect the economic security of citizens; it is responsible for administering Medicare eligibiltiy.
Term
Stark I, Stark II, and StarkIII
Definition
The common name for Section 101 of the Medicare Prescription Drug, Imporvement, and Modernization Act of 2003 (MMA), so called because its chief sponsor was Congressman Pete Stark, and it was implemented in three phases.
Term
Superbill
Definition
A sheet used to record data related to a patient encounter; it is preprinted with the most common E&M codes, procedures, diagnosis codes, common lab tests, etc.; also called the encounter form.
Term
Swing Bed
Definition
A payment methodology in which small rural hospitals can choose to use beds for either acute or SNF care.
Term

TCPA

 

Telephone Consumer Protection Act of 1991

Definition
Legislation that restricts telephone solicitations and the use of automated telephone equiptment.
Term

TJC

 

The Joint Comission

Definition
A private agency that seeks to protect and improve the quality and safety of care; CMS allows TJC to accredit hospitals.
Term
Tort Liability
Definition
A liability for an injury ot wrongdoing by one person to another resulting from a breach of legal duty; the entity held liable may look to its insurer to pay the claim; the creditor may file a lien against those insurance proceeds for payment when a settlement is made.
Term
TPO
Definition
Treatment, Payment, or Operations
Term
TRICARE
Definition
Coverage for active-duty service members, their spouses, and dependents, and retirees unless they are eligible for Medicare; formerly known as Champus.
Term
Truth in Lending Act
Definition
A regulation with the purpose to promote the informed use of consumer credit by requiring disclosures about its terms and costs; also called Regulation Z.
Term
UB-04
Definition
The standard paper form used by many providers for billing insurance.
Term

UCR

 

Usual Customary and Reasonable

Definition
A payment methodology that relied on physician-charge data accumulated over time to determine the value for services.
Term
Un-processable
Definition
A claim that cannot be processed due to incomplete or invalid information; when returned, it has not been denied and, as such, is not afforded appeal rights.
Term

UR

 

Utilization Review

Definition
Also called Case Management
Term
V codes
Definition
Supplemenary ICD codes used to describe encounters in circumstances other than disease or injury.
Term
VA
Definition
U.S. Deparrtment of Veterans Affairs
Term
Value Code
Definition
A two-digit UB code and its related amount or valur that together clarify an event or condition related to a claim.
Term
Workers' Compensation
Definition
Coverage for a worker who is injured in the course of performing his or her job duties.
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