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The Clinical Care Classification System was developed from a research study conducted by Dr. Virginia K. Saba and a research team through a contract with the Health Care Financing Agency (HCFA), [24] currently known as the Centers for Medicare and Medicaid Services (CMS). The objective was to develop a computerized method for assessing and ...
The Major Diagnostic Categories (MDC) are formed by dividing all possible principal diagnoses (from ICD-9-CM) into 25 mutually exclusive diagnosis areas.MDC codes, like diagnosis-related group (DRG) codes, are primarily a claims and administrative data element unique to the United States medical care reimbursement system.
An 834 file contains a string of data elements, with each representing a fact, such as a subscriber’s name, hire date, etc. The entire string is called a transaction set. The 834 is used to transfer enrollment information from the sponsor of the insurance coverage, benefits, or policy to a payer.
An electronic remittance advice (ERA) is an electronic data interchange (EDI) version of a medical insurance payment explanation.It provides details about providers' claims payment, and if the claims are denied, it would then contain the required explanations.
Sample view of an electronic health record. An electronic health record (EHR) also known as an electronic medical record (EMR) or personal health record (PHR) is the systematized collection of patient and population electronically stored health information in a digital format. [1]
Montana (/ m ɒ n ˈ t æ n ə / ⓘ mon-TAN-ə) [7] is a landlocked state in the Mountain West subregion of the Western United States.It borders Idaho to the west, North Dakota to the east, South Dakota to the southeast, Wyoming to the south, and the Canadian provinces of Alberta, British Columbia, and Saskatchewan to the north.
Patrick Joseph Toomey Jr. (born November 17, 1961) is an American businessman and politician who served as a United States senator from Pennsylvania from 2011 to 2023. [1] A member of the Republican Party, he served three terms as the U.S. representative for Pennsylvania's 15th congressional district, from 1999 to 2005.
Florida (/ ˈ f l ɒr ɪ d ə / ⓘ FLORR-ih-də; Spanish: [floˈɾiða]) is a state in the Southeastern region of the United States.It borders the Gulf of Mexico to the west, Alabama to the northwest, Georgia to the north, the Atlantic Ocean to the east, and the Straits of Florida and Cuba to the south.