HFMA CRCR Exam: Glossary-Solved 100%

835 Record - ANSWER-A standard electronic message between a health plan and provider sending remittance data on a claim to the provider. 837 Record - ANSWER-A standard electronic message between a provider and a health plan sending data on a claim to the health plan. AAR - ANSWER-After-hours activity report ABN - ANSWER-Advanced Beneficiary Notice ACC - ANSWER-Ambulatory care center Access - ANSWER-Ability to receive hospital, physician or other medial services without regard to an individual's ability to pay. Accountable Care Organization (ACO) - ANSWER-A coordinated group of healthcare providers (including physicians, hospitals, and other types of providers) organized to improve quality and lower the costs of care to a defined group of patients. Accounting Identity - ANSWER-Also known as the accounting equation; assets = liabilities + equity Accounts payable - ANSWER-A current liability where funds are owed to suppliers. Accounts Payable Distribution - ANSWER-An accounting computer system report that details the amounts paid to vendors by date, purchase order, and expense classification. Accounts Receivable (A/R) - ANSWER-Money owed to an organization for goods or services furnished. Accounts Receivable (A/R) collections period - ANSWER-Number of days in the accounting period divided by accounts receivable turnover. This ration tells you the average time it takes to collect amounts due. Accounts Receivable (A/R) turnover - ANSWER-Services rendered on credit during the period divided by the A/R balance. This ration tells you how many times you collect your AR in a given cycle. Accounts Receivable (A/R) Aging - ANSWER-A report that summarizes accounts receivable from difference sources (such as Medicare or commercial insurance) by thirty day increments. Accreditation - ANSWER-Formal process by which an agency or organization evaluates and recognizes a program as meeting certain predetermined criteria or standards. A formal process for certifying that providers and health plans meet predetermined standards. Accreditation Standards Committee X12 (ASC X12) - ANSWER-Group of industry members that creates electronic data interchange standards for submission to the American National Standards Institute for subsequent approval and dissemination. Accrual - ANSWER-Accounting methodology that recognizes revenue when it is earned (not received) and expenses when they are incurred (not paid). Accrual Basis of Accounting - ANSWER-As opposed to the cash basis of accounting, the accrual basis of account uses estimates of revenue and expense to match revenue in the period they are earned with the expenses incurred in that same period. Accrual Payroll and Benefits - ANSWER-An estimate of salaries and associated benefit costs (such as payroll tax matching) earned by employees but not yet paid by the employer. Accumulated Depreciation - ANSWER-A balance sheet account where the total amount of depreciation recognized as expense over time is compiled. ACS - ANSWER-Ambulatory Care Services Activity-based costing (ABC) - ANSWER-A method of establishing a cost of a process or transaction based on the cost of the individual steps or activities in that process. Acuity - ANSWER-A measurement of the severity of an illness or the resources required to treat an illness or injury. Acute care - ANSWER-Hospital care given to patients who generally require to stay up to seven days and that focuses on a physical or mental condition requiring immediate intervention and constant medical attention, equipment, and personnel. AD - ANSWER-admitting diagnosis Administrative Cost - ANSWER-In a health plan, those expenses not paid for medical costs on behalf of plan members; but instead associated with administrative functions such as sales, customer service, claims processing, and finance.