CRCR GLOSSARY TERMS 2024
CRCR GLOSSARY TERMS 2024|LATEST UPDATE
AAR - Accurate AnswerAfter-hours activity report
ABN - Accurate AnswerAdvance Beneficiary Notice
ACC - Accurate AnswerAmbulatory care center
Access - Accurate AnswerAbility to receive hospital; physician or other medica...
CRCR GLOSSARY TERMS 2024
CRCR GLOSSARY TERMS 2024|LATEST UPDATE
AAR - Accurate Answer ✅✅After-hours activity report
ABN - Accurate Answer ✅✅Advance Beneficiary Notice
ACC - Accurate Answer ✅✅Ambulatory care center
Access - Accurate Answer ✅✅Ability to receive hospital; physician or other medical services without regard to an individual's ability to pay
Accounts receivable (A/R) - Accurate Answer ✅✅Money owed to an organization for goods or services furnished
Accounts receivable (A/R) collection period - Accurate Answer ✅✅Number of days in the accounting period divided by accounts receivable turnover. This ratio tells you the average time it takes to collect amounts due. Accounts receivable (A/R) turnover - Accurate Answer ✅✅Services rendered on credit during the period divided by the A/R balance. This ratio tells you how many times you collect your AR in a given cycle.
Accreditation - Accurate Answer ✅✅Formal process by which an agency or organization evaluates and recognizes a program as meeting certain predetermined criteria or standards. A formal process for certifying that providers and health plans meet predetermined standards.
Accredited Standards Committee X12 (ASC X12) - Accurate Answer ✅✅Group of industry members that creates electronic data interchange standards for submission to the American National Standards Institute for subsequent approval and dissemination.
ACS - Accurate Answer ✅✅Ambulatory care services
Acute care - Accurate Answer ✅✅Hospital care given to patients who generally require a stay up to seven days and that focuses on a physical or mental condition requiring immediate intervention and constant medical attention; equipment; and personnel
AD - Accurate Answer ✅✅Admitting diagnosis
ADC - Accurate Answer ✅✅Average daily census
Administrative services only (ASO) - Accurate Answer ✅✅Contract between an insurance company or claims administrator and a self-funded plan where the insurance company/claims administrator performs certain services but does not assume any risk; services usually include claims processing but may also include such services as group billing; actuarial analysis; utilization review; and provider network development
Admission - Accurate Answer ✅✅Formal registration of a patient who is to be provided with medical care by the provider
Admitting diagnosis - Accurate Answer ✅✅Diagnosis provided on admission; explaining the reason for admission and coded according to current diagnosis coding conventions ADP - Accurate Answer ✅✅Automated data processing
ADR - Accurate Answer ✅✅Average daily revenue
ADRG - Accurate Answer ✅✅Adjacent diagnosis-related group; alternative diagnosis related group
ADS - Accurate Answer ✅✅Alternative delivery system
ADSC - Accurate Answer ✅✅Average daily service charge
ADT - Accurate Answer ✅✅Admission/discharge/transfer
Advance Beneficiary Notice (ABN) - Accurate Answer ✅✅The mandated form required to be used for Medicare beneficiaries related to non-covered services. Waiver that a provider has a patient sign confirming the patient's understanding that certain provided services may not be reimbursable under Medicare and therefore are the patient's responsibility.
AFDC - Accurate Answer ✅✅Aid to Families with Dependent Children
AFDS - Accurate Answer ✅✅Alternative financing and delivery systems
Affiliation - Accurate Answer ✅✅Arrangement between organizations by which the named organizations
remain independent but have influence on each other; affiliations may or may not be permanent and may not result in common ownership or control of the affiliates.
After care - Accurate Answer ✅✅Services following hospitalization or rehabilitation
Aging - Accurate Answer ✅✅Process wherein accounts receivable or accounts payable are scheduled; listed; or arranged based on elapsed time from date of service or transaction
AHA - Accurate Answer ✅✅American Hospital Association AHP - Accurate Answer ✅✅Allied health professional
AHRQ - Accurate Answer ✅✅Agency for Healthcare Research and Quality
Aid to Families with Dependent Children (AFDC) - Accurate Answer ✅✅State-based federal cash assistance program for low-income families
AIDS Drug Assistance Programs (ADAP) - Accurate Answer ✅✅Joint federal-state sponsored programs that assist eligible HIV-positive patients in obtaining HIV medications
ALC - Accurate Answer ✅✅Alternate level of care
All inclusive rate - Accurate Answer ✅✅Charge rate established by a healthcare provider that covers all services a beneficiary may receive or be entitled to receive over a designated period of time
Allied health personnel - Accurate Answer ✅✅Specially trained and licensed health workers other than physicians; dentists; optometrists; chiropractors; podiatrists; and nurses
Allowable costs - Accurate Answer ✅✅Costs incurred by a provider in the course of providing services that are recognized as eligible for reimbursement by a third-party payer
Allowance for bad debts - Accurate Answer ✅✅An estimate of the amount of accounts receivable that a healthcare provider will be unable to collect; it reduces the value of accounts receivable.
Allowed amount - Accurate Answer ✅✅Maximum amount Medicare will pay in a given area for a covered service
ALOS - Accurate Answer ✅✅Average length of stay
Ambulatory care - Accurate Answer ✅✅Health services rendered outside the inpatient setting
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