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In Multiprotocol Label Switching (MPLS), a P router or provider router is a label switch router (LSR) that functions as a transit router of the core network. [1] The P router is typically connected to one or more PE routers. Here's one scenario: A customer who has facilities in LA and Atlanta wants to connect these sites over an MPLS VPN ...
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
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]
In addition, payment to dental professionals is based on the CDT code(s) reported on the ADA Claim Form, so using the most current codes helps to maximize reimbursement and minimize audit liability. [6] In the near future, dental professionals will be required to use diagnosis codes in support of the procedures and services they provide.
A provider edge router (PE router) is a router between one network service provider's area and areas administered by other network providers. [1] A network provider is usually an Internet service provider as well (or only that). The term PE router covers equipment capable of a broad range of routing protocols, notably:
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]
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.
A circuit ID is a company-specific identifier assigned to a data or voice network connection between two locations. This connection, often called a circuit, may then be leased to a customer referring to that ID. In this way, the circuit ID is similar to a serial number on any product sold from a retailer to a customer.