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Can you name the Healthcare Billing Terms and Form Names?
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Sets of Three IX
Hospital Billing claim in the paper format.
Professional AND Hospital Billing claim in the electronic format.
Professional Billing claim in the paper format.
A Medicare policy to determine what is and what is not covered for an encounter. It is based on medical necessity.
A Diagnosis-related charge for inpatient stays. Only one may be assigned to a patient.
An electronic request for claim status. Sent by provider to payor.
Codes which charge for the procedures performed in an outpatient setting.
A code that identifies a specific accomodation or service. It is a group of individual charges. Payors will either pay the whole claim, or they'll pay for each of these charges.
Both edit-checks a claim and determines its medium (paper or electronic)
A designation that Medicare gives to qualifying organizations which allows them to bill Medicare on UB and 1500--not just on one CMS form.
An electronic response to a request for claim status. Sent from payor back to provider.
A document from the payor explaining what invoices are being paid and why.
Medicare's identification number it assigns to each claim received to keep track of it.
A code used to charge for procedures performed in an inpatient stay.
Codes which charge for supplies and equipment used in an outpatient setting.
Electronic form of remittance advice.
A diagnosis-related charge for an outpatient visit. Patients can have multiple groups of these charges.
System developed my CMS to promote national coding methodologies and reduce duplicate entries
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