acroymns

1. Describes the day your inpatient admission began.
2. Box 64 on the UB04, assigned number by the health plan to the bill for their internal control.
4. 2-digit code that describes the location where services were rendered
5. refers to an entity or a private company that has a contract with the center for medicare and medicaid services
6. 3 levels of codes to describe specific items and services provided in health care.
9. provider Transaction Access Number
11. system of analyzing condtions and treatments for similar groups for reimbursement on inpatient claims
12. refers to diagnoses/conditions that were present at the time the order for inpatient admission occurs.
14. Describes 3 things: type of facility, bill classification and frequency of bill
15. Software system that allows electronic editing, validation and transmission of institutional and professional claims
16. Determines which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more than one plan.
17. This is a detailed statement of the carrier’s determination of the claims processed.

1. the day your services began on
3. A unique ten-digit identification number required by HIPAA for all health care providers in the United States
5. federal Employees' Compensatation Act
6. Previously known as the Health Care Financing Administration (HCFA), is a federal agency within the United States Department of Health and Human Services that administers the Medicare program and works in partnership with state governments to administer Medicaid, the State Children's Health Insurance Program, and health insurance portability standards.
7. Describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes.
8. are tickets opened by the corporate SSI (application) analysts that request resolution to edits in SSI or for programming requests for specific payers
10. was formed in 1975 to develop and maintain a single billing form and standard data set to be used nationwide by institutional, private and public providers and payers for handling health care claims.
11. the day you celebrate your birth
13. This is an automatic system for providers to generate and print collated secondary claims and RAs if secondary insurance coverage is provided.
14. This is an identifying number used for tax purposes in the United States