C
LOB
What is Line of Business?
PIP
What is Performance Improvement Plan?
EHI
What is Evolent Health India?
MRN
What is Medical Record Number?
PAR
What is Participating Provider? (In-Network)
PCP
What if Primary Care Physician?
J-codes
What codes are used for injectable drugs?
What is the status code for a rejected claim?
PDM
What is Provider Database Management?
Manual Claim Entry
In Aldera where do you go to data enter a claim?
OOP
What is Out of Pocket?
TPL
What is Third Party Liability?
NCCI
What is National Correct Coding Initiative Edits?
An acronym for ambulatory therapy.
What is PT, ST or OT?
(Physical therapy, Speech Therapy, Occupational Therapy)
FQHC
What is Federally Qualified Health Center?
ASC
What is Ambulatory Surgical Center?
E&M
What is Evaluation and Management?
DRG
What is Diagnosis Related Group?
APTC
What is Advance Premium Tax Credit?
Standard uniform billing for a professional claim.
What is a CMS1500?
PI
What is Payment Integrity?
The claim number box.
What is the first field entered during data entry?
DADS
What is Department of Aging and Disability Services?
MCO
What is Managed Care Organization?
HCR
What is Healthcare Reform?