51 terms

HIP CH 9

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ABC
Alternative Billing Codes
AMA
American Medical Association
APC
Ambulatory Payment Classification
CC
Complication Code
CPT-4
Current Procedural Terminology, Fourth Edition
DME
Durable Medical Equipment
DRG
Diagnosis-Related Group
EHR
Electronic Health Record
EOB
Explanation of Benefits
FECA
Federal Employee Compensation Act
GPCI
Geographic Practice Cost Indices
HAC
Hospital Acquired condition
HCPCS
Healthcare Common Procedure Coding System
HHA
Home Health Agency
HHRG
Home Health Resource Group
HHS
Health and Human Services
HIPAA
Health Insurance Portability and Accountability Act
HMO
Health Maintenance Organization
ICD-9-CM
International Classification of Diseases, Ninth Revision, Clinical Modification
ICD-10
International Classification of Diseases, Tenth Revision
ICD-10-PCS
International Classification of Diseases, Tenth Revision, Procedure Coding System
IDN
Integrated Delivery Network
IHS
Indian Health Service
IPA
Independent Practice Association
IPF
Inpatient Psychiatric Facility
IPPS
Inpatient Prospective Payment System
LOS
Length of Stay
LTCH
Long Term Care Hospital
MCC
Major Complication/ Comorbidity
MDC
Major Diagnosis Category
MDS
Minimum Data Set
MS-DRG
Medicare Severity-Diagnosis-Related Group
OASIS
Outcome and Assessment Information Set
OIG
Office of Inspector General
OPPS
Outpatient Prospective Payment System
OR
Operating Room
PCP
Primary Care Physician
POA
Present on Admission
PPO
Preferred Provider Organization
PPS
Prospective Payment System
RAI
Resident Assessment Instrument
RBRVS
Resource-Based Relative Value Scale
RUG-lll
Resource Utilization Group, Third Version
RVU
Relative Value Unit
RW
Relative Weight
SNF
Skilled Nursing Facility
UHDDS
Uniform Hospital Discharge Data Set
UR
Utilization Review
VA
Veterans Administration
WC
Workers' Compensation
WHO
World Health Organization