Abbreviations
CAH
What is Critical Access Hospital
SNF
What is Skilled Nursing Facility
Eligibility
What is the process of Identifying and confirming insurance coverage
Alphabetical listing of accounts receivables with outstanding balances
What is the ATB
Guarantor
What is the responsible party who is not necessarily the patient
Hospitals will hold a bill for a period of 3-7 days to allow time for charges to be entered
What is Bill Hold Days
Professional paper claim form
What is CMS1500
Subscriber
What is the employee who carries the insurance coverage
The process of collecting all services, procedures, and supplies provided during patient care
What is Charge Capture
Medicare Statement that describes services rendered, payment covered, and benefits limits and denials
What is Medicare Summary Notice
ABN
What is Advance Beneficiary Notice
POS
What is Point of Service
The database used by healthcare facilities to house the price list for all services provided to patients
What is Charge Description Master
The standard claim form that any institutional provider can use for the billing of medical claims
What is UB04
Universal Billing Form
effective 2004
RHC
What is Rural Health Clinic
RTP
What is Return to Provider
Pre-Certification
What is required by the insurance company to determine medical necessity
Bills that have completed service but have not been billed to insurance yet
What is Discharge Not Final Billed (DNFB)