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  2. Evaluation and Management Coding - Wikipedia

    en.wikipedia.org/wiki/Evaluation_and_Management...

    Evaluation and management coding (commonly known as E/M coding or E&M coding) is a medical coding process in support of medical billing. Practicing health care providers in the United States must use E/M coding to be reimbursed by Medicare, Medicaid programs, or private insurance for patient encounters. [1]

  3. National Uniform Billing Committee - Wikipedia

    en.wikipedia.org/wiki/National_Uniform_Billing...

    The National Uniform Billing Committee (NUBC) is the governing body for forms and codes use in medical claims billing in the United States for institutional providers like hospitals, nursing homes, hospice, home health agencies, and other providers. The NUBC was formed by the American Hospital Association (AHA) in 1975. [3]

  4. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    A medical biller then takes the coded information, combined with the patient's insurance details, and forms a claim that is submitted to the payors. [2] Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [4]

  5. Clinical Care Classification System - Wikipedia

    en.wikipedia.org/wiki/Clinical_Care...

    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 ...

  6. Major Diagnostic Category - Wikipedia

    en.wikipedia.org/wiki/Major_Diagnostic_Category

    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.

  7. Template:United States Sentencing Guidelines - Wikipedia

    en.wikipedia.org/wiki/Template:United_States...

    The latest edition supported by this template is the 2012 Guidelines Manual, effective as of November 1, 2012. Optionally, the year of a previous edition may be specified instead, when one wants to cite the Sentencing Guidelines that were in effect on a given date. Each year's edition becomes effective on November 1 st of the specified year.

  8. ICMJE recommendations - Wikipedia

    en.wikipedia.org/wiki/ICMJE_recommendations

    The ICMJE recommendations (full title, "Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals") are a set of guidelines produced by the International Committee of Medical Journal Editors for standardising the ethics, preparation and formatting of manuscripts submitted to biomedical journals for publication. [1]

  9. Montana - Wikipedia

    en.wikipedia.org/wiki/Montana

    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.

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