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  2. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed.

  3. Physician assistant - Wikipedia

    en.wikipedia.org/wiki/Physician_assistant

    A physician assistant or physician associate (PA) is a type of healthcare professional.While these job titles are used internationally, there is significant variation in training and scope of practice from country to country, and sometimes between smaller jurisdictions such as states or provinces.

  4. Direct primary care - Wikipedia

    en.wikipedia.org/wiki/Direct_primary_care

    In the United States, direct primary care (DPC) is a type of primary care billing and payment arrangement made between patients and medical providers, without sending claims to insurance providers. It is an umbrella term , incorporating various health care delivery systems that involve direct financial relationships between patients and health ...

  5. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...

  6. List of professional designations in the United States

    en.wikipedia.org/wiki/List_of_professional...

    Doctor of Medical Science: DMSc, DMS A professional degree for physician assistants Doctor of Medicine: MD A professional doctoral degree for allopathic Physicians Doctor of Naturopathic Medicine: ND, NMD A professional doctoral degree for naturopathic Physicians Doctor of Nurse Anesthesia Practice: DNAP

  7. AAPC (healthcare) - Wikipedia

    en.wikipedia.org/wiki/AAPC_(healthcare)

    AAPC provides training, certification, [9] and other services to individuals and organizations across medical coding, medical billing, auditing, compliance, and practice management. These services include networking events such as medical coding seminars and conferences. [10]

  8. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    A 2009 report from the Medical Board of Georgia showed that as many as 800 medical services require prior authorizations. [ 12 ] According to Medical Economics in 2013, physicians have expressed frustration with the current prior authorization process with regards to time spent interacting with insurance providers and the costs incurred based ...

  9. Current Procedural Terminology - Wikipedia

    en.wikipedia.org/wiki/Current_Procedural_Terminology

    (99341–99350) Home health services (99354–99360) Prolonged services (99363–99368) Case management services (99374–99380) Care plan oversight services (99381–99429) Preventive medicine services (99441–99444) Non-face-to-face physician services (99450–99456) Special evaluation and management services (99460–99465) Newborn care ...

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