Providers who implement EHR must show "Meaningful Use" and meet certain requirements defined in the act. Modifiers are important to explain additional procedures and obtain reimbursement for them. Funded by Federal and state government and administered by states. Contains explanations for rejected or denied claims. Responsible Party - The person responsible for paying a patients medical bill. All-Things-Medical-Billing.com provides this website as a service. What is the best treatment for my condition. Medical Coder - Analyzes patient charts and assigns the appropriate code. A. AAA – abdominal aortic aneurysm AAD – acute aortic dissection . A procedure not covered by the patients health insurance plan. Outpatient - Typically treatment in a physicians office, clinic, or day surgery facility lasting less than one day. Pre-existing Condition (PEC) - A medical condition that has been diagnosed or treated within a certain specified period of time just before the patients effective date of coverage. What do you think about the features of this website? Protected Health Information (PHI) - An individuals identifying information such as name, address, birth date, Social Security Number, telephone numbers, insurance ID numbers, or information pertaining to healthcare diagnosis or treatment. 'Canadian Forces Base' is one option -- get in to view more @ The Web's largest and most authoritative acronyms and abbreviations resource. Knowledgeable in medical billing terminology. New Medicare Card-What to do and how will new MBI number look?

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MAC - Medicare Administrative Contractor. Medical Billing and Coding Abbreviations Lists Expansions; ABN: Advance Beneficiary … PPO - Preferred Provider Organization. Please read our full Disclaimer and Privacy Policy here. Link/Page Citation Category Filters; All definitions (43) Information Technology (7) Military & Government (6) Science & Medicine (9) Organizations, Schools, etc. Palmetto GBA - An administrator of Medicare health insurance for the Centers for Medicare & Medicaid Services (CMS) in the US and its territories. Similar to an HMO.

Below is a list of medical abbreviations commonly found in vascular surgery articles, textbooks, and other resources.

When this maximum limit is reached, the insurance typically then pays 100% of eligible expenses. Medical Necessity - Medical service or procedure that is performed on for treatment of an illness or injury that is not considered investigational, cosmetic, or experimental. When you close the collections month, how do you bill the physicians? What does CFB stand for in Medical? ABI – ankle-brachial index . POS - Point-of-Service plan. Preauthorization - Requirement of insurance plan for primary care doctor to notify the patient insurance carrier of certain medical procedures (such as outpatient surgery) for those procedures to be considered a covered expense. Modifier - Modifier to a CPT treatment code that provide additional information to insurance payers for procedures or services that have been altered or "modified" in some way. There are 2 parts: Medicare Coinsurance Days - Medical billing terminology for inpatient hospital coverage from day 61 to day 90 of a continuous hospitalization. Medigap - Medicare supplemental health insurance for Medicare beneficiaries which may include payment of Medicare deductibles, co-insurance and balance bills, or other services not covered by Medicare. After the 90th day, the patient enters "Lifetime Reserve Days.".

Sometimes also referred to in medical billing terminology as a Medical Spending Account. A wholly owned subsidiary of BlueCross BlueShield of South Carolina based in Columbia, South Carolina. NPI Number - National Provider Identifier. The patient is responsible for paying for part of the costs during those days. Medicaid - Insurance coverage for low income patients. Has guidelines for billing services and individual and small group physician practices. Besides networking .. visiting their offices, how else can you attract their business? Referral - When one provider (usually a family doctor) refers a patient to another provider (typically a specialist). showing only Science & Medicine definitions . List of Pre Existing Conditions,ACA-Obama Care,AHCA-Trump Care,BCRA, How to Obtain Premera Blue Cross Insurance Prior Authorization, Medical Billing Denial Codes and Solutions, Health Insurance in the United States of America, Primary Insurance and Secondary Insurance, Medicaid Provider Enrollment Phone Number, Denial Code CO 27 Expenses incurred after coverage terminated, Denial Code CO 11 The diagnosis is inconsistent with the procedure, Civilian Health and Medical Program of the Uniformed Services, Civilian Health and Medical Program for the Veteran Administration, Clinical Laboratory Improvement Amendments, Consolidation Omnibus Budget Reconciliation Act, Defense Enrollment Eligibility Reporting System, Healthcare Common Procedure Coding System, Health Insurance Portability and Accountability Act, National Council of Prescriptions Drug Programs, National Plan and Provider Enumeration System.