MVA
What is a Motor Vehicle Accident?
Health care services a person receives at home.
What is Home Health Care?
DOB
What is the Date of Birth?
Care facility for an illness, injury, or condition serious enough for a reasonable person to seek care right away, but not so severe as to require emergency room care.
What is Urgent Care?
The release, transfer, provision of access to, or divulging in any other manner of information outside the entity holding the information.
What is Disclosure?
POA
What is the Power of Attorney?
Care in a hospital where treatment is provided and then the patient is able to go home. It does not require an overnight stay.
What is Hospital Outpatient Care?
DOS
What is the Date of Service?
An illness, injury, symptom, or condition serious enough for a reasonable person to seek care right away to avoid severe harm or loss of life.
What is an Emergency Medical Condition?
A written or electronic order from a primary care doctor to see a specialist or get specific medical services. (Used in a managed care plan)
What is a Referral?
POE
What is the Place of Employment?
A facility that provides 24-hour room, board, and skilled nursing care and treatment to at least three residents.
What is a Skilled Nursing Facility?
DOI
What is the Date of Injury?
An admission usually scheduled in advance from a doctor's office, clinic, or emergency room. The patients will usually have a room/bed reserved.
What is a Direct Admission?
This a permission from the health insurance company required by managed care plans for certain outpatient services and/or surgeries prior to receiving care (except in an emergency). It is not a promise from the health insurance or plan to cover the cost.
What is a Preauthorization?
Sometimes called a prior authorization, prior approval, or precertification.
WC
What is Workers' Compensation?
Services to provide comfort and support for patients and their families in the last stages of a terminal illness.
What are Hospice Services?
MCR
What is Medicare?
Medical services provided on an outpatient basis in a hospital or clinic setting.
Ambulatory Care
A document the patient must sign stating if Medicare denies payment for services rendered, the patient is then financially responsible for the cost(s).
What is an Advanced Beneficiary Notice?
EMTALA
What is Emergency Medical Treatment and Labor Act (EMTALA)?
- This is a federal law requiring anyone coming to an emergency department to be stabilized and treated, regardless of their insurance status or ability to pay. Also known as the anti-dumping law.
Equipment and supplies ordered by a health care provider for a patient for everyday or extended use. Examples include: oxygen equipment, wheelchairs, crutches, or blood testing strips for diabetics.
What is Durable Medical Equipment?
MCD
What is Medicaid?
An admission always made or scheduled in advanced. It may be urgent or elective.
What is a Scheduled Admission?
- A direct admission can be a scheduled admission but a scheduled admission can not be a direct admission.
The inappropriate acquisition of, access to, and use or disclosure of unsecured patient medical information in a manner not permitted under HIPAA regulations.
What is a Breach?