Companies that offer services to healthcare facilities that include billing processes and claims filing.
Data elements used to document uniformly the reasons why patients are seen and proceduces or service both are provided to them during their healthcare encounters.
Direct data entry claims
Claims that are submitted directly to an insurance carrier.
Electronic claims clearinghouse
A business entity that receives claims from serveral medical facilities and consolidates these claims so that one transmission containing multiple claims can be send to each insurance carrier.
Electronic data interchange
The electronic transfer of information in a standard format between two entities.
Electronic medical record
An electronic file wherein patients health information is stored in a computer system.
The numbers used in the administration of health care to distinguish individual health care providers, health plans, employers, and patients.
Intended to define what are appropriate and in appropirate disclosure of individually indetifiable health information.
Small provider of services
A hospital, critical access hospital, skilled nursing facility, comprehensive outpatient rehabililtaion facility, home health agency, or hospice program with less than 25 full-time equivalent employees.
The transmission of claim information over phone lines using a computer and a modem.