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Selasa, 11 Oktober 2016

Common Medical Billing and Coding Terminology

Common Medical Billing and Coding Terminology

Entering the medical billing and coding discipline would require which you examine a long listing of varied terminology. It is the basis of the profession that is an tricky, extremely critical aspect which can imply the difference among a patron or patient being billed efficiently or having them emerge as in a quagmire of fallacious price range.
In the beginning, educating your self at the not unusual medical billing and coding terminology will enable you to be one step in advance of other students. There are literally hundreds of phrases to memorize, underneath is an example of a number of the greater fashionable expressions and abbreviations used.
Common Terminology
Ambulatory Care – Health service that doesn't require an in a single day stay.
Ancillary Service – Services billed past room and board along with surgical operation, lab assessments and remedy.
ABN – Advanced beneficiary note
Assignment of Benefits – Insurance price sent immediately to the hospital or health practitioner.
Beneficiary – Person included by medical insurance.
CHAMPUS – Military medical insurance also called TriCare.
Clean Claim – Claims that need not be investigated through coverage earlier than processing.
COBRA – Insurance purchased by way of an character whilst employment is terminated.
Coordination of Benefits (COB) – Determining which insurance agency can pay while a couple of enterprise covers a affected person.
CPT Codes – Description of offerings and treatments.
DOS – Date of service when a affected person is dealt with.
Diagnosis Code – code for billing illness.
DME – Durable medical equipment that can be used usually or at domestic.
EEG – Measuring energy in the mind.
EKG/ECG – Measurement of coronary heart feature.
EOB/EOMB – Explanation of benefits.
FI – Fiscal intermediary, Medicare personnel that approaches claims.
Guarantor – A man or woman who is of the same opinion to cowl the invoice.
HCFA 1500 Billing Form (CMS) – Doctor s for filing claims.
HCPC Codes – Describes treatment and offerings administered by way of the physician.
HMO – Health protection employer of particular coverage carriers.
IP – In-patient who stays overnight.
ICN – Internal manipulate quantity for assigned billing.
LTC – Long time period care.
MSN – Medicare precis observe.
Medigap – Medicare complement coverage.
MRI – Magnetic resonance imaging, a type of x-ray.
Non-Participant Provider – Doctor, clinic or coverage not a part of the community.
Oncology –Cancer related offerings.
OP - Outpatient
PPS – Federal potential price machine that pays a fixed charge.
POS – Place of service or Point of provider.
Per-Diem – Charged by using the day.
PCN – Primary care network.
PPS – Prospective fee provider, set quantity paid by means of Medicare.
RA – Remittance advice
R and C – Reasonable and commonplace.
SDS – Same day surgical procedure.
Submitter ID – Doctor or clinic ID quantity.
TOS – Terms of Service
UB-92 – Insurance shape for scientific claims.
UR – Utilization assessment, workforce that allows to benefit lower fee care.
These not unusual terms are an amazing begin in getting familiar with the industry. However, scientific billing and coding terminology is constantly converting so it is a good idea to live knowledgeable at some stage in your career.