TPCP
CAR Code Acronym Meaning
What is Claims Adjustment Reason Code
CRS Acronym Meaning
Centralized Receivables Service
MAC Acronym
Medical Affirmative Claims
ABACUS Acronym
What is Armed Forces Billing and Collection Utilization Solution
Role-based tool that provides access to multiple applications without separate program logons
What is the App Bar
The percentage of the allowable amount that the patient is responsible for paying.
What is Co-insurance or Co-payment
Penalties are applied how many days after demand letter is mailed from CRS
What is 90 days
3 areas of liability insurance billed under the MAC program
What is auto, homeowner's, medical malpractice, & workers's compensation other than federal employees
UBO Cost Recovery Programs
What is TPC, MSA, & MAC
Main module of MHS GENESIS for acute (inpatient) and ambulatory (outpatient) documentation
PowerChart
Statement of payer allowed charges and what they will pay the provider, facility or patient
What is Explanation of Benefits
GFEBS & ADS Acronym Meaning
What is General Funds Enterprise Business System & Automated Disbursing System
Responsible for the assertion and compromise, waiver, or settlement of disputed claims
Who is the Recovery Judge Advocate
Serves as evidence of assigned benefits as well as patient’s insurance declaration form
What is DD2569
Unique number assigned to each encounter for billing purposes
Financial Identification Number (FIN)
Unique Identifier for health care providers assigned by the National Plan and Provider Enumeration System
National Provider Identifier (NPI)
Responsible for appointment of UBO Compliance Officer or equivalent
What is the MTF Commander
Act authorizes MTFs to recover the cost of health care to DoD beneficiaries injured or suffer an illness caused by a third party
What is the Federal Medical Care Recovery Act (FMCRA)
Formerly referred to as same day surgery
What is APV or Ambulatory Procedure Visit
Encounter that supports the processing of prescriptions (new and refill) throughout the patient’s lifetime
Lifetime Pharmacy Encounter (LPE)
Maintain TPC Claims on file for at least ____ years
What is 10years
Record of cash receipts and accounts receivable record for local collections
What is the I&R
MAC also includes collecting payments for lost time of Service members injured or suffering an illness caused by a third party? True or False
What is True
Equipment that can withstand repeated use, generally not useful in the absence of illness
Toolbar option that displays the user’s assigned role(s) within MHS GENESIS
What is MyExperience