Fechar
Write-Off
Worker’s Compensation
V-Codes
Utilization Review (UR)
Utilization Limit
Usual Customary and Reasonable (UCR)
Unique Physician Identification Number (UPIN)
Upcoding
Untimely Submission
Unbundling
UB04
TRICARE
Type of Service (TOS)
Triple Option Plan (TOP)
Tax Identification Number (TIN)
Third Party Administrator (TPA)
Tertiary Insurance Claim
Term Date
Taxonomy Code
Treatment Authorization Request (TAR)
Supplemental Insurance
Superbill
Subscriber
Specialist
Software as a Service (SAAS)
Signature on File (SOF)
Skilled Nursing Facility
Security Standard
Secondary Procedure
Secondary Insurance Claim
Self-Pay
Self-Referral
Scrubbing
Relative Value Amount (RVA)
Revenue Code
Responsible Party
Remittance Advice (R/A)
Referral
Provider Transaction Access Number (PTAN)
Provider
Privacy Rule
Premium
Pre-exisiting Condition Exclusion
Pre-existing Condition (PEC)
Pre-determination
Pre-Certification
Preauthorization
Practice Management Software
Preferred Provider Organization (PPO)
Place of Service Code
Point of Service Plans
Primary Care Physician (PCP)
Patient Responsibility
Palmetto GBA
Outpatient
Out-of-Network
Office of Inspector General (OIG)
National Provider Identifier (NPI) Number
Not Otherwise Specified (NOS)
Non-participation
Network Provider
Not Elsewhere Classifiable (NEC)
Non-Covered Charge (N/C):
Modifier
Medigap
Medicaid
Medicare Donut Hole
Medicare Coinsurance Days
Medicare
Medical Transcription
Medical Savings Account (MSA)
Medicare Secondary Payer
Medical Record Number
Medical Necessity
Medical Billing Specialist
Medical Coder
Medical Assistant
Maximum Out of Pocket
Managed Care Plan
Medicare Administrative Contractor (MAC)
Intensive Care
Independent Practice Association (IPA)
Inpatient
In-Network
Indemnity
Incremental Nursing Charge
ICD-10 Codes
ICD-9 Codes
Hospice
Health Maintenance Organization (HMO)
Health Insurance Portability and Accountability Act (HIPAA)
Health Insurance Claim
Healthcare Reform Act
Healthcare Provider
Healthcare Insurance
Healthcare Financing Administration Common Procedure Coding System (HCPCS)
Healthcare Financing Administration
Guarantor
Group Number
Group Name
Group Health Plan (GPH)
Fraud
Formulary
Fiscal Intermediary (FI)
Financial Responsibility
Fee Schedule
Fee for Service
ERISA
Electronic Remittance Advice (ERA)
Explanation of Benefits (EOB)
Enrollee
Electronic Medical Records (EMR)
Evaluation and Management (E/M)
Electronic Funds Transfer
Electronic Claim
Dx
Duplicate Coverage Inquiry (DCI)
Downcoding
Date of Birth (DOB)
Durable Medical Equipment (DME)
Demographics
Deductible
Day Sheet
Date of Service (DOS)
Crossover Claim
Credit Balance
Credentialing
Current Procedural Technology (CPT) Code
Co-Pay
Coordination of Benefits (COB)
Contractual Adjustment
Collection Ratio
Co-Insurance
COBRA Insurance
Coding
CMS 1500
Centers for Medicare and Medicaid Services (CMS)
Clearinghouse
Clean Claim
Charity Care
Civilian Health and Medical Program of Uniform Services (CHAMPUS)
Capitation
Blue Cross Blue Shield
Beneficiary
Authorization
Application Service Provider (ASP)
Assignment of Benefits (AOB)
Applied to Deductible (ATD)
Appeal
Ancillary Services
Aging
American Medical Association (AMA)
Allowed Amount
