Abbreviations
IHS
What is Indian Health Services?
- Works with tribes to provide health services to American Indians and Alaska Natives.
A request by you for payment by the insurance company of medical expenses that are covered under the insurance policy.
What is a Claim?
AGI
What is Adjusted Gross Income - amount of income AFTER certain reductions?
There are there main categories of Patients at the hospital.
Inpatient
Emergency
Outpatient
Services for MRI/CT/US etc will be ordered with this
What is an Order?
MRN
What is a Medical Records Number?
The process of entering information into the EHR system to enroll a person as a patient by creating a patient record.
What is Registration?
PHI
What is Protected Health Information?
- Refers to individually identifiable health information that is transmitted or maintained in any medium, written, oral or electronic.
Documents indicating a patient's wishes in the event they become incapacitated and unable to make decisions regarding their own medical care.
What are Advanced Directives?
A patient admitted into the hospital for at least one overnight stay. Treatment can continue indefinitely.
What is Inpatient?
CMS
What are the Centers for Medicare and Medicaid Services?
- Federal agency in the Department of Health and Human Services that runs Medicare, Medicaid, clinical laboratories, and other government health programs; responsible for enforcing all HIPAA standards other than the privacy and security standards.
IFS
What is the Interactive Face Sheet
- A form initiated by the admitting department and includes personal and demographic information.
HIPAA
What is the Health Insurance Portability and Accountability Act?
- Passed in 1996, the purpose of this law is to protect the privacy of a patient's personal and health information.
An admission necessitated by an accident or medical emergency processed through the Emergency Department.
What is an Emergency Admission?
This is a patient a doctor wants to observe for a limited amount of time. They are assigned to a bed on the nursing unit and receive care for a period of less than 24 hours. Doctors can extend observation status up to 48 hours if necessary. Any additional time requires a transfer to Inpatient Status.
What is Observation?
FPL
What is the Federal Poverty Level?
The charges generated as Patients are given care.
EHR
What is an Electronic Health Record?
EPIC screen that records the authorization activity for authorizing outpatient services.
What is the Referral Record?
DX
What is a Diagnosis?
501(r)
What are federal regulations that regulate charity that is provided by a not for profit organization?
The amount of cash paid to the provider by health insurance plans, other payers, and Patients for healthcare services.
What is Reimbursement?
COBRA
Consolidated Omnibus Budget Reconciliation Act
- A federal law that may allow you to temporarily keep health coverage after your employment ends, you lose coverage as a dependent of the covered employee, or another qualifying event.
MSPQ
What is the Medicare Secondary Payer Questionnaire?
HOD
What is the Hospital Outpatient Department?