Abbreviations
IHS
What is Indian Health Services?
- Works with tribes to provide health services to American Indians and Alaska Natives.
A request by you or a healthcare system for payment by the insurance company for medical expenses covered under the insurance policy.
What is a Claim?
- The provider of a medical service will file a claim for you.
AGI
What is Adjusted Gross Income?
- Amount of income AFTER certain reductions
There are three main patient statuses at the hospital, including?
What are Patient Categories?
Inpatient
Emergency
Outpatient
Without this, services such as LABS/MRI/CT/US cannot be performed.
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 a Registration?
PHI
What is Protected Health Information?
- Refers to individually identifiable health information 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 running Medicare, Medicaid, clinical laboratories, and other government health programs; responsible for enforcing all HIPAA standards other than the privacy and security standards.
A form initiated by the admitting department which includes a patient's personal and demographic information.
What is a Registration Form?
HIPAA
What is the Health Insurance Portability and Accountability Act?
- Passed in 1996, the purpose of the 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?
A patient the doctor wants to monitor for a limited amount of time. A patient of this status type is assigned to a bed on the nursing unit and receives care for a period of less than 24 hours. Doctors can extend the status up to 48 hours if necessary.
What is Observation?
FPL
What is the Federal Poverty Level?
The charges generated as patients receive care.
What is Revenue?
EHR
What is an Electronic Health Record?
EPIC screen used for recording the authorization activity for outpatient services.
What is a Referral Record?
DX
What is a Diagnosis?
501(r)
What are federal regulations regulating charity provided by a not for profit organization?
The amount of cash paid to the provider by the health insurance plan, another payor, and patient for healthcare services.
What is Reimbursement?
COBRA
Consolidated Omnibus Budget Reconciliation Act
- A federal law possibly allowing 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?