Revenue Abbreviations
CDM stands for
What is Charge description master?
RA stands for
What is remittance advice?
The amount of cost, usually annually, the policyholder must incur before the plan will assume liability for the remaining covered expenses
What is Deductible?
NDC stands for
What is national drug code?
Charges exceed your contracted/legislated fee arrangements
What is denial code 45?
What major holiday does Easter always compete with?
What is Halloween?
COB stands for
What is coordination of benefits?
PPO stands for
What is Preferred provider organization?
A pre-established percentage of eligible expenses after the deductible is paid
What is coinsurance?
Hospital claim form
What is a UB04?
The procedure code is inconsistent with the modifier used.
What is denial code 04?
What is considered to be the flower of Easter?
What are Easter Lilies?
FFS stands for
What is fee for service?
HMO stands for
What is Health Maintenance organization?
A three digit code linked to every charge
What is a revenue code?
Hospital bill that lists all services received
What is an itemized bill?
These are non-covered services because this is not deemed a "medical necessity" by the payer
What is denial code 50?
Americans consume more than 16 million of these candies during Easter
What are Jellybeans?
PFS stands for
What is patient financial system and/or patient financial services?
CMS stands for
What is Centers for Medicare and Medicaid Services?
A list of services and the amount that the healthcare insurance plan will pay for healthcare claims
What is a fee schedule?
Hospital bills that have completed service but have not been billed to insurance yet
What is Discharged Not Final Bill(DNFB)?
Claim not covered by this payer/contractor. You must send the claim to the correct payer/contractor
What is denial code 109?
What time in history did Easter eggs originate from?
What is medieval Europe?
RCM stands for
What is revenue cycle management?
MCO stands for
What is Managed care organization?
A form that details how the payer processes the claim for payment sent to the patient
What is an EOB?
Department responsible for submitting nurse reviewed clinical information to the insurance company
Who is appeals department?
The attachment/other documentation that was received was incomplete or deficient.
What is denial code 251?
In 1953 how long did it take to make one peep candy?
What is 27 hours?