Terminology
This is used to access multiple systems including your computer login, ilogin, Kronos, ServiceNow, ALC, BARRT, EDD/Ultipro, Artiva and HMS
What is Universal ID?
Facilities acquired after CHS converted from HMA
What are Legacy Facilities?
When Medicare will only pay a certain amount for a specific service or item during a given time period
What are Frequency Limits?
The time period that an insurance company has to receive, review, and process a claim
What is Ajudication?
This code is for a specific date that event took place on a claim
What is occurrence code?
The money that the company is expecting to receive
What is Accounts Receivable?
What shows the type of service a patient is receiving
What are Patient Types?
This is given to a patient if a service may not be covered by insurance
What is an Advanced Beneficiary Notice of Non-Coverage?
This is a claim free from errors
What is a Clean Claim?
Codes that are used by medical professionals to describe medical, surgical, and diagnostic services
What is Current Procedural Terminology?
Also known as carriers, Payers, and Third Party Liability
What are Insurance Companies?
This is like a social security number for businesses.
What is Tax ID?
This is decided based on a patient's diagnosis
What is Medical Necessity?
This shows what insurance is currently paying on a claim
What is Financial Class?
The code that is used on a claim that is accident related
What is Condition Code?
A billing number specific only to healthcare facilities and physicians
What are National Provider Identifiers?
This happens when an authorization is received after the patient has already had the procedure or service done
What is Retro-Authorization?
The symptom or problem that brought a patient to the hospital
What is Chief Complaint?
The SSI is the SSC's one of these
What is Clearinghouse?
Prior to the claim being processed, an insurance company may ask for this
What is Additional Documentation Request?
The unique code used for providers to identify their specialty on a claim
What is Taxonomy?
This shows the type of procedure a patient had
What is Patient Subtype?
The medical claim used by physicians
What is CMS1500?
What is Blanket ABN?
The action of taking money from an overpaid account
What is Recoup?