Contracts and Reimbursements
PDM Acronyms
Eprovider Specialty Codes
Term Codes and when to use them
Actual fun questions that don't have spit to do with work
100

The DCN field is populated with "MN" followed by what provider identifier?

Providers NPI number
100

TPI

Texas Provider Identifier

100

The specialty code for nurse practitioners.

XNR

100

If a provider is forced to leave a group because a video surfaced of him clubbing 12 really cute baby emperor penguins and an elderly lady at a Costco in Brunswick New Jersey, what term code would you use?

Left Contracted Group

100

Abraham Lincolns nickname.

Honest Abe

200

This type of contract requires the corresponding group to share ties with the same reimbursement. location, and tax ID information.

Group Contract

200

CLIA

Clinical Laboratory Improvement Amendments

200

The specialty code for a Urologist

U

200

If a provider decided he hates old people and does not want to participate in medicare advantage, you use this term code.

Provider Opt Out

200

Who is Shawn Corey Carter?

Jay-Z

300

Total number of possible Medicare advantage networks.

2 (MPMA and BEEMA)

300

DME

Durable Medical Equipment

300
Can a nurse have a specialty of General Surgery?
Naaaah bro.
300

If a provider stays up late by candlelight trying to cure full blown AIDS and accidently burns his practice down, you would term with this term code.

Address term.

300

Who is Stefani Joanne Angelina Germanotta

Lady Gaga

400

Is it possible for a provider to have more than 1 individual contract?

Nah bro.

400

TIN

Tax Identification Number

400

Name the specialty for D

Dermatology

400

You would use no term code at all in what situation?

Never, always have a term code.

400

After the most successful hockey career in human history, Wayne Gretzky was dubbed this.

The Great One

500

If a provider hasn't been credentialed in this many years, they are due for credentialing.

Three fo sho

500

FCR

Foster Care

500

Name the specialty for IM

Internal Medicine

500

If a provider suffers fatal decapitation you use this term code.

Deceased

500

The US Government is often referred to as this nickname.

Uncle Sam

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