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admitting diagnosis

The patients condition determined by a physician to an inpatient facility

ambulatory care

Outpatient care

attending physician

the clinician primarily responsible for care of the patient from the beginnig of a hospitalization

charge master

a hospitals list of aodes and charges for its services

cms 1450

paper claim for hospital services;also known as the UB-92

diagnosis related group

a system of analyzing conditions and treatments for similar groups of patients used to establish Medicare fees for hospital inpatient services

837I claim

the HIPPA institututional claim transaction

emergency care

care received in a situtation which a delay in the treatment of a patient would lead to a significant increase in the threat to life or body part

health information management

hospital department that organizes and maintains patient medical records; also profession devoted to managing, analyzing, and utilizing data vital for patient care, making it accessibleto healthcare providers

inpatient

a person admitted to a medical facility for services that require an overnight stay

master patient index

a hospitals main patient database

MS-DRGs

Medicare Inpatient Prospective Payment System revision that takes into account whether certain conditions were present on admission

present on admission POA

Indicator required by Medicare that identifies whether a coded conditon was present at the time of hospital admission

principal diagnosis

the condition that after study established as chiefly responsible for a patients admission to a hospital

principal procedure

the main service performed for thje condition listed as the principal diagnosis for a hospital inpatient

Prospective Payment System

Medicare system for payment for institutional services

registration

the process of gathering personal insurance information about a patient during admission to a hospital

UB-92

Paper hospital claim for merely a Medicare required Part A hospital form; also known as the CMS 1450

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