Medical Terms

ablation
abstract abuse access accessibility of services accessory dwelling unit (adu) accreditation accreditation cycle for m-c deeming accreditation for deeming accreditation for participation accredited (accreditation) accredited standards committee act, law, statute activities of daily living (adl) actual charge actuarial balance actuarial deficit actuarial rates actuarial soundness actuarial status acupuncture acute add-on-code additional benefits adjusted average per capita cost (aapcc) adjusted community rating (acr) administrative code sets administrative costs administrative data administrative expenses administrative law judge (alj) administrative services only administrative simplification administrative simplification compliance act administrator admission date admitting diagnosis code admitting physician adult living care facility advanced contract billing codes(abc codes) advance beneficiary notice (abn) advance coverage decision advance directives advance directive (health care) adverse effects advisory council on social security advocate affiliated contractor affiliated provider aged enrollee albumin algorithm allowed charge ambulance (air or water) ambulance (land) ambulatory ambulatory care ambulatory care sensitive conditions ambulatory surgical center AMENDMENTS AND CORRECTIONS AMERICAN ASSOCIATION FOR HOMECARE AMERICAN DENTAL ASSOCIATION AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION AMERICAN HOSPITAL ASSOCIATION AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS AMERICAN MEDICAL ASSOCIATION AMERICAN MEDICAL INFORMATICS ASSOCIATION AMERICAN NATIONAL STANDARDS AMERICAN NATIONAL STANDARDS INSTITUTE AMERICAN SOCIETY FOR TESTING AND MATERIALS AMNIOCENTESIS AMORTIZATION AMPUTATION ANALGESIC ANASTOMOSIS ANCILLARY SERVICES ANEMIA ANESTHESIA ANGIODYSPLASIA ANNUAL ELECTION PERIOD ANTIBODY (AB) antigen (ag) appeal appeal process APPROVED AMOUNT ARCTATION (COARCTATION) AREA AGENCY ON AGING (AAA) ARTERY ARTHROCENTESIS ARTHRODESIS ARTHROPLASTY ASPHYXIA aspiration assessment assets assigned claim assignment assisted living association for electronic health care transactions assumptions attachment(s) attending physician authoritative approval authoritative evidence authorization automated claim review average market yield

B BABY BOOM BALANCE BILLING BASE ESTIMATE BASIC BENEFITS BASIC BENEFITS (MEDIGAP POLICY) BENCHMARK BENEFICIARY BENEFICIARY ENCRYPTED FILE BENEFICIARY NOTIFICATION LETTER BENEFITS BENEFITS DESCRIPTION (PLAN) BENEFIT PAYMENTS BENEFIT PERIOD BIOLOGICALS BIOMETRIC IDENTIFIER BIRTHING CENTER BLOOD UREA NITROGEN BLUE CROSS AND BLUE SHIELD ASSOCIATION BOARD-CERTIFIED BOARD AND CARE HOME BOARD HEARING BOARD OF TRUSTEES BODY RECORD BOND BONUS BUSINESS ASSOCIATE BUSINESS MODEL BUSINESS PARTNER BUSINESS RELATIONSHIPS

C CADAVERIC TRANSPLANT CALLABLE CAPITATION CAPPED RENTAL ITEM CAREGIVER CARE PLAN CARRIER CASE MANAGEMENT CASE MANAGER CASE MIX CASE MIX INDEX CASH BASIS CATASTROPHIC ILLNESS CATASTROPHIC LIMIT CENTERS FOR DISEASE CONTROL AND PREVENTION CENTER FOR HEALTHCARE INFORMATION MANAGEMENT CERTIFICATE OF INDEBTEDNESS CERTIFICATE OF MEDICAL NECESSITY CERTIFIED (CERTIFICATION) CERTIFIED NURSING ASSISTANT (CNA) CERTIFIED REGISTERED NURSE ANESTHETIST CHAIN OF TRUST CHAIN OF TRUST AGREEMENT CHRONIC MAINTENANCE DIALYSIS CIVILIAN HEALTH AND MEDICAL PROGRAM (CHAMPUS) CLAIM CLAIM ADJUSTMENT REASON CODES CLAIM ATTACHMENT CLAIM STATUS CATEGORY CODES CLAIM STATUS CODES CLINICAL BREAST EXAM CLINICAL PERFORMANCE MEASURE CLINICAL PRACTICE GUIDELINES CLINICAL TRIALS CMS-1450 CMS-1500 CMS AGENT CMS DIRECTED IMPROVEMENT PROCESS CODE OF FEDERAL REGULATIONS CODE SET CODE SET MAINTAINING ORGANIZATION COGNITIVE IMPAIRMENT COHORT COINSURANCE (MEDICARE PRIVATE FEE-FOR-SERVICE PLAN) COINSURANCE (OUTPATIENT PROSPECTIVE PAYMENT SYSTEM) COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES COMMENT COMMERCIAL MCO COMMUNITY MENTAL HEALTH CENTER COMPLAINT COMPLAINT (OF FRAUD OR ABUSE) COMPLIANCE DATE COMPREHENSIVE INPATIENT REHABILITATION FACILITY COMPREHENSIVE MCO COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY (CORF) COMPUTER-BASED PATIENT RECORD INSTITUTE-HEALTHCARE OPEN SYSTEMS AND TRIALS COMPUTER MATCHING AGREEMENT CONDITIONAL PAYMENT CONFIDENTIALITY CONSENT AND AUTHORIZATION (BASIC RULE) CONSOLIDATED OMNIBUS BUDGET RECONCILIATION ACT (COBRA) CONSUMER ASSESSMENT OF HEALTH PLANS STUDY (CAHPS) CONSUMER PRICE INDEX CONSUMER SELF-REPORT DATA CONSUMER SURVEY DATA CONTINGENCY CONTINGENCY MARGIN CONTINUATION OF ENROLLMENT CONTINUING CARE RETIREMENT COMMUNITY (CCRC) CONTINUOUS AMBULATORY PERITONEAL DIALYSIS CONTINUOUS CYCLING PERITONEAL DIALYSIS CONTINUOUS QUALITY IMPROVEMENT CONTRACTOR CONTRIBUTIONS CONTRIBUTION BASE COORDINATED CARE PLAN COORDINATION OF BENEFITS COORDINATION PERIOD COST-BASED HEALTH MAINTENANCE ORGANIZATION COST RATE COST REPORT COST SHARING COVERAGE ANALYSIS FOR LABORATORIES (CALS) COVERAGE BASIS COVERAGE ISSUES MANUAL (CIM) COVERED BENEFIT COVERED CHARGES COVERED EARNINGS COVERED EMPLOYMENT COVERED ENTITY COVERED FUNCTION COVERED SERVICES COVERED WORKER CREDITABLE COVERAGE CRITERIA CRITICAL ACCESS HOSPITAL CROSSWALKING CURRENT DENTAL TERMINOLOGY CURRENT PROCEDURAL TERMINOLOGY CUSTODIAL CARE CUSTODIAN

 

D D-CODES DATA CONDITION DATA CONTENT DATA COUNCIL DATA DICTIONARY DATA ELEMENT DATA EXTRACT SYSTEM ACCESS FORM DATA INTERCHANGE STANDARDS ASSOCIATION DATA MAPPING DATA MODEL DATA SUPPORT ACCESS FACILITY ACCESS FORM DATA USE AGREEMENT DATA USE CHECKLIST DATE OF FILING AND DATE OF SUBMISSION DATE OF RECEIPT DEDUCTIBLE (MEDICARE) DEEMED DEEMED STATUS DEEMED WAGE CREDIT DEEMING AUTHORITY DEFICIENCY (NURSING HOME) DEHYDRATION DEMOGRAPHIC ASSUMPTIONS DEMOGRAPHIC DATA DEMONSTRATIONS DENTAL CONTENT COMMITTEE DEPARTMENT OF HEALTH AND HUMAN SERVICES DERIVATIVE FILE DESCRIPTOR DESIGNATED CODE SET DESIGNATED DATA CONTENT COMMITTEE OR DESIGNATED DCC DESIGNATED STANDARD DESIGNATED STANDARD MAINTENANCE ORGANIZATION DETERMINATION DIABETIC DURABLE MEDICAL EQUIPMENT DIAGNOSIS-RELATED GROUPS DIAGNOSIS DIAGNOSIS CODE DIALYSATE DIALYSIS DIALYSIS CENTER (RENAL) DIALYSIS FACILITY (RENAL) DIALYSIS STATION DIETHYLSTILBESTROL (DES) DIGITAL IMAGING AND COMMUNICATIONS IN MEDICINE DIRECT DATA ENTRY DISABILITY DISABILITY INSURANCE DISABLED ENROLLEE DISCHARGE PLANNING DISCLOSURE DISCLOSURE HISTORY DISCOUNT DRUG LIST DISCRETIONARY SPENDING DISENROLL DISPROPORTIONATE SHARE HOSPITAL DOWNCODE DRAFT STANDARD FOR TRIAL USE DRG CODING DRUG TIERS DUAL ELIGIBLES DURABLE MEDICAL EQUIPMENT DURABLE MEDICAL EQUIPMENT REGIONAL CARRIER (DMERC) DURABLE POWER OF ATTORNEY

E EARNINGS ECONOMIC ASSUMPTIONS ECONOMIC STABILIZATION PROGRAM EDIT EDI TRANSLATOR EFFECTIVE EFFECTIVE DATE EFFICIENT ELDERCARE ELECTION ELECTION PERIODS ELECTRONIC COMMERCE ELECTRONIC DATA INTERCHANGE ELECTRONIC HEALTHCARE NETWORK ACCREDITATION COMMISSION ELECTRONIC MEDIA CLAIMS ELECTRONIC MEDIA QUESTIONNAIRE ELECTRONIC REMITTANCE ADVICE ELIGIBILITY ELIGIBILITY or MEDICARE PART A ELIGIBILITY or MEDICARE PART B EMERGENCY CARE EMERGENCY ROOM (HOSPITAL) EMPLOYEE EMPLOYER EMPLOYER BULLETIN BOARD SERVICE EMPLOYER GROUP HEALTH PLAN (GHP) EMPLOYER IDENTIFIER EMT-BASIC EMT-INTERMEDIATE EMT-PARAMEDIC EMTALA (EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT) ENCOUNTER DATA END-STAGE RENAL DISEASE END-STAGE RENAL DISEASE (ESRD) END-STAGE RENAL DISEASE NETWORK END STAGE RENAL DISEASE TREATMENT FACILITY ENHANCED BENEFITS ENROLL ENROLLEE HOTLINES ENROLLMENT ENROLLMENT - PART A ENROLLMENT FEE ENROLLMENT PERIOD ENTITY ASSETS EPISODE EPISODE OF CARE EQRO ORGANIZATION EQUIVALENCY REVIEW ESRD ELIGIBILITY REQUIREMENTS ESRD FACILITY ESRD NETWORK ESRD NETWORK ORGANIZATION ESRD PATIENT ESRD SERVICES EVIDENCE EVIDENCE OF FUNDING EXCESS CHARGES EXCLUSIONS (MEDICARE) EXPEDITED APPEAL EXPEDITED ORGANIZATION DETERMINATION EXPENDITURE EXPENSE EXTENDED CARE SERVICES EXTERNAL QUALITY REVIEW ORGANIZATION

F FACILITY CHARGE FALSE NEGATIVES FALSE POSITIVES FEDERALLY QUALIFIED HEALTH CENTER FEDERALLY QUALIFIED HEALTH CENTER (FQHC) FEDERAL GENERAL REVENUES FEDERAL INSURANCE CONTRIBUTIONS ACT FEDERAL INSURANCE CONTRIBUTION ACT PAYROLL TAX FEDERAL MANAGERS' FINANCIAL INTEGRITY ACT FEDERAL MEDICAL ASSISTANCE PERCENTAGE FEDERAL REGISTER FEE-FOR-SERVICES FEE-SCREEN YEAR FEE SCHEDULE FINANCIAL DATA FINANCIAL INTERCHANGE FIRST RESPONDER FISCAL INTERMEDIARY FISCAL YEAR FIXED CAPITAL ASSETS FLAT FILE FOCUSED STUDIES FORMAT FORMULARY FORMULARY DRUGS FRAUD FRAUD AND ABUSE FREEDOM OF INFORMATION ACT FREEDOM OF INFORMATION ACT (FOIA) FREE LOOK (MEDIGAP POLICY) FREQUENCY DISTRIBUTION FULLY ACCREDITED FULL CAPITATION FULL CAPITATION (FUL) FULL PSC OR FULL PROGRAM SAFEGUARD CONTRACTOR

 

G GAPFILLING GAPS GATEKEEPER GENERAL ENROLLMENT PERIOD (GEP) GENERAL FUND OF THE TREASURY GENERAL REVENUE GRIEVANCES AND COMPLAINTS GROSS DOMESTIC PRODUCT GROUP HEALTH PLAN GROUP OR NETWORK HMO GUARANTEED ISSUE RIGHTS (ALSO CALLED MEDIGAP PROTECTIONS) GUARANTEED RENEWABLE GUIDELINES

 

H HCFA-1450 HCFA-1500 HEALTHCARE COMMON PROCEDURAL CODING SYSTEM HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION HEALTHCARE PROVIDER TAXONOMY CODES HEALTH CARE CLEARINGHOUSE HEALTH CARE CODE MAINTENANCE COMMITTEE HEALTH CARE FINANCING ADMINISTRATION DATA MA HEALTH CARE PREPAYMENT PLAN HEALTH CARE PROVIDER HEALTH CARE PROVIDER TAXONOMY COMMITTEE HEALTH CARE QUALITY IMPROVEMENT PROGRAM HEALTH EMPLOYER DATA AND INFORMATION SET (HEDIS) HEALTH INFORMATICS STANDARDS BOARD HEALTH INSURANCE ASSOCIATION OF AMERICA HEALTH INSURANCE CLAIMS NUMBER HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 HEALTH INSURING ORGANIZATION HEALTH LEVEL SEVEN HEALTH MAINTENANCE ORGANIZATIONS (HMO) HEALTH PLAN HEARING HEDIS MEASURES FROM ENCOUNTER DATA HEMATOCRIT HEMODIAFILTRATION HEMODIALYSIS HEMODIALYSIS (HD) HEMOFILTRATION HIGH COST ALTERNATIVE HIGH RISK AREA HIPAA DATA DICTIONARY OR HIPAA DD HOME HOMEBOUND HOME AND COMMUNITY-BASED SERVICE WAIVER PROGRAMS (HCBS) HOME HEALTH AGENCY HOME HEALTH CARE HOME PATIENTS HOSPICE HOSPICE CARE HOSPITALIST HOSPITAL ASSUMPTIONS HOSPITAL COINSURANCE HOSPITAL INDEMNITY INSURANCE HOSPITAL INPUT PRICE INDEX HOSPITAL INSURANCE HOSPITAL INSURANCE (PART A) HOSPITAL MARKET BASKET HYBRID ENTITY HYDRATION

 

I ICD, ICD-N-CM, ICD-N-PCS IMMUNOSUPPRESSIVE DRUGS IMPLEMENTATION GUIDE IMPLEMENTATION SPECIFICATION IMPROVEMENT PLAN INAPPROPRIATE UTILIZATION INCIDENCE INCOME RATE INCURRED BASIS INDEPENDENT LABORATORY INDICATOR INFORMATION, COUNSELING, AND ASSISTANCE PROGRAM INFORMATION MODEL INFUSION PUMPS INITIAL (CLAIM) DETERMINATION INITIAL COVERAGE ELECTION PERIOD INITIAL ENROLLMENT PERIOD INITIAL ENROLLMENT QUESTIONNAIRE (IEQ) INPATIENT CARE INPATIENT HOSPITAL INPATIENT HOSPITAL DEDUCTIBLE INPATIENT HOSPITAL SERVICES INPATIENT PSYCHIATRIC FACILITY INSOLVENCY INSURER INTEREST INTERFUND BORROWING INTERMEDIARY INTERMEDIARY HEARING INTERMEDIARY OR PROGRAM SAFEGUARD CONTRACTOR DETERMINATION INTERMEDIATE CARE FACILITY OR MENTALLY RETARDED INTERMEDIATE ENTITIES INTERMITTENT PERITONEAL DIALYSIS INTERNAL CONTROLS INTERNAL REVENUE SERVICE INTERNATIONAL CLASSIFICATION OF DISEASES INTERNATIONAL ORGANIZATION FOR STANDARDIZATION INTERNIST INTER OR INTRA AGENCY AGREEMENT INTRAGOVERNMENTAL ASSETS, LIABILITIES

J J-CODES JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS

 

L LARGE GROUP HEALTH PLAN LETTER OF REQUEST LETTER OF SUPPORT LIABILITY DETERMINATION LIABILITY INSURANCE LICENSED (LICENSURE) LICENSED BY THE STATE AS A RISK-BEARING ENTITY LIFETIME RESERVE DAYS LIFETIME RESERVE DAYS (MEDICARE) LIMITING CHARGE LINE ITEM LIVING DONOR KIDNEY TRANSPLANT LIVING WILLS LMRP ARTICLES LOCAL CODE(S) LOCAL CODES LOCAL COVERAGE DETERMINATION (LCD) LOCAL MEDICAL REVIEW POLICY (LMRP) LOGICAL OBSERVATION IDENTIFIERS, NAMES AND CODES LONG-TERM CARE LONG-TERM CARE INSURANCE LONG-TERM CARE OMBUDSMAN LONGER TERM CARE MINIMUM DATA SET LONG RANGE LOOP LOW COST ALTERNATIVE

 

M MALNUTRITION MAMMOGRAM MANAGED CARE MANAGED CARE ORGANIZATION MANAGED CARE PAYMENT SUSPENSION MANAGED CARE PLAN MANAGED CARE PLAN WITH A POINT OF SERVICE OPTION (POS) MANAGED CARE SYSTEM MANDATORY SPENDING MANDATORY SUPPLEMENTAL BENEFITS MANUAL CLAIM REVIEW MANUAL TRANSMITTALS MARKET BASKET MASS IMMUNIZATION CENTER MATERIAL WEAKNESS MAXIMUM DEFINED DATA SET MAXIMUM ENROLLEE OUT-OF-POCKET COSTS MAXIMUM PLAN BENEFIT COVERAGE MAXIMUM TAXABLE AMOUNT OF ANNUAL EARNINGS MAXIMUM TAX BASE MCO OR PHP STANDARDS MEASUREMENT MEDIATE MEDICAID-ONLY MCO MEDICAID MEDICAID MANAGEMENT INFORMATION SYSTEM MEDICAID MCO MEDICALLY NECESSARY MEDICAL BILLING MEDICAL BILLING AND CODING JOBS MEDICAL CODE SETS MEDICAL CODING MEDICAL INSURANCE (PART B) MEDICAL RECORDS INSTITUTE MEDICAL REVIEW OR UTILIZATION REVIEW MEDICAL UNDERWRITING MEDICARE-APPROVED AMOUNT MEDICARE MEDICARE ADVANTAGE PLAN MEDICARE BENEFITS MEDICARE BENEFITS NOTICE MEDICARE CARRIER MEDICARE CONTRACTOR MEDICARE COORDINATION OF BENEFITS CONTRACTOR MEDICARE COVERAGE MEDICARE COVERAGE ADVISORY COMMITTEE (MCAC) MEDICARE DURABLE MEDICAL EQUIPMENT REGIONAL CARRIER MEDICARE ECONOMIC INDEX MEDICARE HANDBOOK MEDICARE MANAGED CARE PLAN MEDICARE MEDICAL SAVINGS ACCOUNT PLAN (MSA) MEDICARE NATIONAL COVERAGE DETERMINATIONS MANUAL MEDICARE PART A (HOSPITAL INSURANCE) MEDICARE PART A FISCAL INTERMEDIARY MEDICARE PART B (MEDICAL INSURANCE) MEDICARE PART B CARRIER MEDICARE PART B PREMIUM REDUCTION AMOUNT MEDICARE PAYMENT ADVISORY COMMISSION MEDICARE+CHOICE MEDICARE+CHOICE PLAN MEDICARE PREFERRED PROVIDER ORGANIZATION (PPO) PLAN MEDICARE PREMIUM COLLECTION CENTER (MPCC) MEDICARE PRIVATE FEE-FOR-SERVICE PLAN MEDICARE REMITTANCE ADVICE REMARK CODES MEDICARE SAVINGS PROGRAM MEDICARE SAVINGS PROGRAMS MEDICARE SECONDARY PAYER MEDICARE SELECT MEDICARE SUMMARY NOTICE (MSN) MEDICARE SUPPLEMENT INSURANCE MEDICARE TRUST FUNDS MEDIGAP POLICY MEMORANDUM OF UNDERSTANDING MILITARY SERVICE WAGE CREDITS MILITARY TREATMENT FACILITY MINIMUM SCOPE OF DISCLOSURE MODALITY MODIFIED AVERAGE-COST METHOD MODIFY OR MODIFICATION MONITORING MONITORING OF MCO OR PHP STANDARDS MORBIDITY MORBIDITY RATE MORTALITY RATE MULTI-EMPLOYER GROUP HEALTH PLAN MULTI-EMPLOYER PLAN MULTIPLE EMPLOYER PLAN M+C ORGANIZATION (MEDICARE+CHOICE) M+C PLAN

 

N NATIONAL ASSOCIATION OF HEALTH DATA ORGANIZATIONS NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS NATIONAL ASSOCIATION OF STATE MEDICAID DIRECTORS NATIONAL CENTER FOR HEALTH STATISTICS NATIONAL COMMITTEE FOR QUALITY ASSURANCE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) NATIONAL COMMITTEE ON VITAL AND HEALTH STATISTICS NATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS NATIONAL COVERAGE ANALYSES (NCA) NATIONAL COVERAGE DETERMINATIONS (NCDS) NATIONAL COVERAGE POLICY NATIONAL DRUG CODE NATIONAL EMPLOYER ID NATIONAL HEALTH INFORMATION INFRASTRUCTURE NATIONAL IMPROVEMENT PROJECTS NATIONAL MEDIAN CHARGE NATIONAL PATIENT ID NATIONAL PAYER ID NATIONAL PROVIDER FILE NATIONAL PROVIDER IDENTIFIER NATIONAL PROVIDER REGISTRY NATIONAL PROVIDER SYSTEM NATIONAL STANDARD FORMAT NATIONAL STANDARD PER VISIT RATES NATIONAL UNIFORM BILLING COMMITTEE NATIONAL UNIFORM CLAIM COMMITTEE NCPDP BATCH STANDARD NCPDP TELECOMMUNICATION STANDARD NEBULIZERS NEGLECT NETWORK NO-FAULT INSURANCE NON-COVERED SERVICE NON-ENTITY ASSETS NON-FEDERAL AGENCY NON-FORMULARY DRUGS NONCONTRIBUTORY OR DEEMED WAGE CREDITS NONPARTICIPATING PHYSICIAN NORTH CAROLINA HEALTHCARE INFORMATION AND COMMUNICATIONS ALLIANCE NOTICE OF INTENT NOTICE OF PROPOSED RULEMAKING NPLANID NUBC EDI TAG NURSE PRACTITIONER NURSING FACILITY NURSING HOME NUTRITION

O OBLIGATION OCCUPATIONAL THERAPY OFFICE OFFICE FOR CIVIL RIGHTS OFFICE OF MANAGEMENT & BUDGET OFFSET OLD-AGE, SURVIVORS, AND DISABILITY INSURANCE OMBUDSMAN ON-SITE REVIEWS OPEN ENROLLMENT PERIOD OPEN SYSTEM INTERCONNECTION OPTIONAL SUPPLEMENTAL BENEFITS ORGAN ORGANIZATIONAL DETERMINATION ORGAN PROCUREMENT ORGAN PROCUREMENT ORGANIZATION ORIGINAL MEDICARE PLAN OTHER MANAGED CARE ARRANGEMENT OTHER UNLISTED FACILITY OUT-OF-POCKET COSTS OUTCOME OUTCOME AND ASSESSMENT INFORMATION SET OUTCOME DATA OUTCOME INDICATOR OUTLAY OUTLIER OUTPATIENT CARE OUTPATIENT HOSPITAL OUTPATIENT HOSPITAL SERVICES (MEDICARE) OUTPATIENT PROSPECTIVE PAYMENT SYSTEM OUTPATIENT SERVICES OUT OF AREA OUT OF NETWORK BENEFIT OVERPAYMENT ASSESSMENT

P PANEL SIZE PAP TEST PARTIALLY CAPITATED PARTIAL CAPITATION PARTIAL HOSPITALIZATION PARTICIPATING HOSPITALS PARTICIPATING PHYSICIAN OR SUPPLIER PART A (HOSPITAL INSURANCE) PART A (MEDICARE) PART A OF MEDICARE PART A PREMIUM PART B (MEDICAL INSURANCE) PART B (MEDICARE) PART B OF MEDICARE PATIENT ADVOCATE PATIENT LIFTS PATTERN ANALYSIS PAY-AS-YOU-GO FINANCING PAYER PAYERID PAYMENT PAYMENT RATE PAYMENT SAFEGUARDS PAYMENT SUSPENSION PAYROLL TAXES PELVIC EXAM PERCENTILE PERFORMANCE PERFORMANCE ASSESSMENT PERFORMANCE IMPROVEMENT PROJECTS PERFORMANCE MEASURE PERFORMANCE MEASURES PERIODS OF CARE (HOSPICE) PERITONEAL DIALYSIS PERITONEAL DIALYSIS (PD) PERSONAL CARE PHYSICAL THERAPY PHYSICIAN ASSISTANT (PA) PHYSICIAN GROUP PHYSICIAN INCENTIVE PLAN PHYSICIAN SERVICES PLAN ID PLAN OF CARE PLAN SPONSOR POINT-OF-SERVICE (POS) POINT OF SERVICE (POS) POLICY ADVISORY GROUP POSTPAYMENT REVIEW POTENTIAL FRAUD CASE POTENTIAL PAYMENTS POWER OF ATTORNEY PRE-EXISTING CONDITION PREFERRED PROVIDER ORGANIZATION PREFERRED PROVIDER ORGANIZATION (PPO) PREFERRED PROVIDER ORGANIZATION (PPO) PLAN PREMIUM SURCHARGE PREPAID HEALTH PLAN PREPAYMENT REVIEW PRESENT VALUE PREVALENCE PREVENTIVE SERVICES PRICER PRICER OR REPRICER PRIMARY CARE PRIMARY CARE CASE MANAGEMENT PROVIDER PRIMARY CARE DOCTOR PRIMARY CASE MANAGEMENT PRIMARY PAYER PRIVACY ACT OF 1974 PRIVATE CONTRACT PRIVATE FEE-FOR-SERVICE PLAN PROCEDURE PROCESS PROCESS IMPROVEMENT PROCESS INDICATOR PRODUCTIVITY INVESTMENTS PROFILES PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAM MANAGEMENT PROGRAM MANAGEMENT AND MEDICAL INFORMATION SYSTEM PROGRAM SAFEGUARD CONTRACTOR PROJECTION ERROR PROJECT OFFICER PROSPECTIVE PAYMENT SYSTEM PROS AND CONS PROTECTED HEALTH INFORMATION PROVIDER PROVIDER NETWORK PROVIDER SPONSORED ORGANIZATION (PSO) PROVIDER SURVEY DATA PROVIDER TAXONOMY CODES PROXY PSYCHIATRIC FACILITY (PARTIAL HOSPITALIZATION) PSYCHIATRIC RESIDENTIAL TREATMENT CENTER PUBLIC USE FILE PURCHASE ORDER

 

Q QUALIFIED MEDICARE BENEFICIARY (QMB) QUALIFYING INDIVIDUALS (1) (QI-1S) QUALIFYING INDIVIDUALS (2) (QI-2S) QUALITY QUALITY ASSURANCE QUALITY IMPROVEMENT ORGANIZATION QUINQUENNIAL MILITARY SERVICE DETERMINATION AND ADJUSTMENTS

R RAILROAD RETIREMENT RANDOM SAMPLE REAL-WAGE DIFFERENTIAL REASONABLE-COST BASIS REASONABLE COST RECIPIENT RECOUPMENT REFERRAL REFERRAL SERVICES REGENSTRIEF INSTITUTE REGIONAL HOME HEALTH INTERMEDIARY (RHHI) REGIONAL OFFICE REHABILITATION REHABILITATION (AS DISTINGUISHED FROM VOCATIONAL REHABILITATION) REJECT STATUS RENAL TRANSPLANT CENTER REOPENING REPORT CARD REQUESTOR RERELEASE RESEARCH DATA ASSISTANCE CENTER RESEARCH PROTOCOL RESERVE DAYS RESIDENTIAL SUBSTANCE ABUSE TREATMENT FACILITY RESIDUAL FACTORS RESOURCE-BASED RELATIVE VALUE SCALE RESPITE CARE RESTRAINTS REUSE REVENUE REVENUE CODE REVIEW OF CLAIMS RIGHTS OF INDIVIDUALS RISK-BASED HEALTH MAINTENANCE ORGANIZATION OR COMPETITIVE MEDICAL PLAN RISK ADJUSTMENT ROUTINE USE RURAL HEALTH CLINIC

 

S SANCTIONS SECONDARY PAYER SECOND OPINION SECRETARY SEER - MEDICARE DATABASE SEER PROGRAM SEGMENT SELF-EMPLOYMENT SELF-EMPLOYMENT CONTRIBUTION ACT PAYROLL TAX SELF-INSURED SELF DIALYSIS SEQUESTER SERVICE SERVICE AREA SERVICE AREA (PRIVATE FEE-FOR-SERVICE) SERVICE CATEGORY DEFINITION SHORT RANGE SIDE EFFECT SINGLE DRUG PRICER SKILLED CARE SKILLED NURSING CARE SKILLED NURSING FACILITY SKILLED NURSING FACILITY (SNF) SKILLED NURSING FACILITY CARE SMALL HEALTH PLAN SMI PREMIUM SNF COINSURANCE SOCIAL HEALTH MAINTENANCE ORGANIZATION (SHMO) SOCIAL SECURITY ACT SOCIAL SECURITY ADMINISTRATION SPECIALIST SPECIALTY CONTRACTOR SPECIALTY PLAN SPECIAL ELECTION PERIOD SPECIAL ENROLLMENT PERIOD SPECIAL PUBLIC-DEBT OBLIGATION SPECIFIED DISEASE INSURANCE SPECIFIED LOW-INCOME MEDICARE BENEFICIARIES (SLMB) SPEECH-LANGUAGE THERAPY SPELL OF ILLNESS STAFF ASSISTED DIALYSIS STANDARD CLAIMS PROCESSING SYSTEM STANDARD TRANSACTION STATE CERTIFICATION STATE CHILDRENS HEALTH INSURANCE PROGRAM STATE HEALTH INSURANCE ASSISTANCE PROGRAM STATE INSURANCE DEPARTMENT STATE LAW STATE LICENSURE AGENCY STATE MEDICAL ASSISTANCE OFFICE STATE OR LOCAL PUBLIC HEALTH CLINIC STATE SURVEY STATE SURVEY AGENCY STATE UNIFORM BILLING COMMITTEE STATUS LOCATION STOCHASTIC MODEL STRATEGIC NATIONAL IMPLEMENTATION PROCESS SUBSIDIZED SENIOR HOUSING SUBSTANTIAL FINANCIAL RISK SUMMARIZED COST RATE SUMMARIZED INCOME RATE SUPPLEMENTAL EDIT SOFTWARE SUPPLEMENTARY MEDICAL INSURANCE SUPPLIER SURVEY AND CERTIFICATION PROCESS SUSPENSION OF PAYMENTS SUSTAINABLE GROWTH RATE SYNTAX SYSTEMATIC SYSTEM NOTICE SYSTEM OF RECORDS

 

T TAXABLE EARNINGS TAXABLE PAYROLL TAXABLE SELF-EMPLOYMENT INCOME TAXABLE WAGES TAXATION OF BENEFITS TAXES TAX AND DONATIONS TAX RATE TECHNOLOGY ASSESSMENT (TA) TELEMEDICINE TERM INSURANCE TEST OF LONG-RANGE CLOSE ACTUARIAL BALANCE TEST OF SHORT-RANGE FINANCIAL ADEQUACY THIRD PARTY ADMINISTRATOR THIRD PARTY USE TIER TRADING PARTNER TRANSACTION TRANSACTION CHANGE REQUEST SYSTEM TRANSIENT PATIENTS TRANSPLANT TRAUMA CODE DEVELOPMENT TREATMENT TREATMENT OPTIONS TRICARE TRICARE FOR LIFE (TFL) TRUE NEGATIVES TRUST FUND TRUST FUND RATIO TTY

 

U UB-82 UB-92 UNASSIGNED CLAIM UNIFORM CLAIM TASK FORCE UNITED NATIONS CENTRE FOR FACILITATION OF PROCEDURES AND PRACTICES FOR ADMINISTRATION, COMMERCE, AND UNITED NATIONS RULES FOR ELECTRONIC DATA INTERCHANGE FOR ADMINISTRATION, COMMERCE, AND TRANSPORT UNIT INPUT INTENSITY ALLOWANCE URGENTLY NEEDED CARE UTAH HEALTH INFORMATION NETWORK UTILIZATION SUMMARY DATA

 

V VALIDATION VALUATION PERIOD VALUE-ADDED NETWORK VIRTUAL PRIVATE NETWORK VOCATIONAL REHABILITATION VOLUNTARY AGREEMENT VOLUNTARY ENROLLEE

W WAITING PERIOD WASHINGTON PUBLISHING COMPANY WITHHOLD WORKERS COMPENSATION WORKFORCE WORKGROUP FOR ELECTRONIC DATA INTERCHANGE WORLD HEALTH ORGANIZATION

 

X X12 X12F X12J X12N X12N OR SPTG4 X12N OR TG1 X12N OR TG2 X12N OR TG2 OR WG1 X12N OR TG2 OR WG12 X12N OR TG2 OR WG15 X12N OR TG2 OR WG19 X12N OR TG2 OR WG2 X12N OR TG2 OR WG3 X12N OR TG2 OR WG4 X12N OR TG2 OR WG5 X12N OR TG2 OR WG9 X12N OR TG3 X12N OR TG3 OR WG1 X12N OR TG3 OR WG21 X12N OR TG3 OR WG3 X12N OR TG3 OR WG4 X12N OR TG4 X12N OR TG8 X12N TG2 WG10 X12 148 X12 270 X12 271 X12 274 X12 275 X12 276 X12 277 X12 278 X12 811 X12 820 X12 831 X12 834 X12 835 X12 837 X12 997 X12 IHCEBI & IHCEBR X12 IHCLME X12 OR PRB X12 STANDARD

 

From AAPC