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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. [1] This bill is called a claim. [2]
A number of sources provide lists of initialisms and acronyms commonly used in health care. The terms listed are used in the English language within the healthcare systems and by healthcare professionals of various countries. [3] Examples of terms include BP, COPD, [9] TIMI score, and SOAP. [10] There is no standardised list. [3]
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.
HCPCS was established in 1978 to provide a standardized coding system for describing the specific items and services provided in the delivery of health care. Such coding is necessary for Medicare , Medicaid , and other health insurance programs to ensure that insurance claims are processed in an orderly and consistent manner.
The Joint Commission is an independent, non-profit, non-governmental organization which offers accreditation to hospitals and other health care organizations in the United States. While their recommendations are not binding on U.S. physicians, they are required of organizations who wish accreditation by the Joint Commission.
Medical terms used by some doctors to describe cancer tumors or X-rays could be confusing to patients, a new survey finds. Jargon alert: How doctors speak could cause 'harm' for patients Skip to ...
Revenue cycle management (RCM) is the process used by healthcare systems in the United States and all over the world to track the revenue from patients, from their initial appointment or encounter with the healthcare system to their final payment of balance. It is a normal part of health administration. The revenue cycle can be defined as, "all ...
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