THE CHAA EXAM STUDY


Glossary Of T Erms
  
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when provider agrees to accept the allowable charges as the full fee and cannot charge the patient the difference between the ins payment and the providers normal fee
 
accepting assignment
athe patients ability to obtain medical care
 
access
a number assigned to each account
 
ACCOUNT NUMBER
MEDICAL ATTENTION GIVEN TO PATIENTS WITH CONDITIONS OF SUDDEN ONSET THAT DEMAND URGENT ATTENTION OR CARE OF LIMITED DURATION WHEN THE PATIENTS HEALTH AND WELLNESS WOULD DETERIORATE WITHOUT TREATMENT
 
ACUTE CARE
A LEVEL OF HEALTH CARE DELIVERED TO PATIENTS EXPERIENCING ACUTE ILLNESS OR TRAUMA
 
ACUTE INPATIENT CARE
PATIENTS WHO ARE SCHEDULED FOR SERVICES LESS THAN 24 HRS IN ADVANCE OF THE ACTUAL SERVICE TIME
 
ADD-ONS
INSUREANCE COMPANY REPERSENTATIVE
 
ADJUSTOR
COSTS ASSOCIATED WITH CREATING AND SUBMITTING A BILL FOR SERVICES WHICH INCLUDEREGISTRATION UTILIZATION REVIEW CODING BILLING AND COLLECTION EXPENSES
 
ADMINISTRATIVE COSTS
THE PROCESS OF THIRD PARTY PAYOR NOTIFICATION OF URGENT EMERGENT INPATIENT ADMISSION WITHIN SPECIFIED TIME AS DETERMINED BY PAYORS
 
ADMISSION AUTHORIZATION
WORD, PHASE, OR INTERNATIONAL CLASSIFICATION OF DISEASE CODE (ICD9) CODE USED BY THE ADMITTING PHYSICAIN TO IDENTFY A CONDITION OR DISEASE FROM WHAT A PATIENT SUFFERS
 
ADMITTING DIAGNOSIS
THE PHYSICAIN WHO WRITES THE ORDER FOR THE PATIENT TO BE ADMITTED TO THE HOSPITAL
 
ADMITTING PHYSICIAN
A NOTICE THAT A CARE PROVIDER SHOULD GIVE A MEDICARE BENEFICIARY TO SIGN IF THE SERVICES BEING PROVIDEDMAY NOT BE CONDIDERED MEDICALLY NECESSARY AND MEDICARE MAY NOT PAY FOR THEM
 
ADVANCE BENEFICIARY NOTICE (ABN)
AN ADVANCE DIRECTIVE IS A WRITTEN INSTRUCTION RELATING TO THE PROVISION OF HEALTHCARE WHEN A PATIENT IS INCAPACITATED
 
ADVANCE DIERECTIVE

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