Exam (elaborations)
CRCR Glossary Terms questions with best solutions
- Course
- Institution
CRCR Glossary Terms EXAM
[Show more]
Seller
Follow
SALVADO
Content preview
CRCR Glossary TermsAAR - answerAfter-hours activity report
ABN - answerAdvance Beneficiary Notice
ACC - answerAmbulatory care center
Access - answerAbility to receive hospital; physician or other medical services without
regard to an individual's ability to pay
Accounts receivable (A/R) - answerMoney owed to an organization for goods or
services furnished
Accounts receivable (A/R) collection period - answerNumber of days in the accounting
period divided by accounts receivable turnover. This ratio tells you the average time it
takes to collect amounts due.
Accounts receivable (A/R) turnover - answerServices rendered on credit during the
period divided by the A/R balance. This ratio tells you how many times you collect your
AR in a given cycle.
Accreditation - answerFormal 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.
Accredited Standards Committee X12 (ASC X12) - answerGroup of industry members
that creates electronic data interchange standards for submission to the American
National Standards Institute for subsequent approval and dissemination.
ACS - answerAmbulatory care services
,Acute care - answerHospital care given to patients who generally require a 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 - answerAdmitting diagnosis
ADC - answerAverage daily census
Administrative services only (ASO) - answerContract between an insurance company or
claims administrator and a self-funded plan where the insurance company/claims
administrator performs certain services but does not assume any risk; services usually
include claims processing but may also include such services as group billing; actuarial
analysis; utilization review; and provider network development
Admission - answerFormal registration of a patient who is to be provided with medical
care by the provider
Admitting diagnosis - answerDiagnosis provided on admission; explaining the reason for
admission and coded according to current diagnosis coding conventions
ADP - answerAutomated data processing
ADR - answerAverage daily revenue
ADRG - answerAdjacent diagnosis-related group; alternative diagnosis related group
ADS - answerAlternative delivery system
ADSC - answerAverage daily service charge
ADT - answerAdmission/discharge/transfer
Advance Beneficiary Notice (ABN) - answerThe mandated form required to be used for
Medicare beneficiaries related to non-covered services. Waiver that a provider has a
patient sign confirming the patient's understanding that certain provided services may
not be reimbursable under Medicare and therefore are the patient's responsibility.
AFDC - answerAid to Families with Dependent Children
AFDS - answerAlternative financing and delivery systems
Affiliation - answerArrangement between organizations by which the named
organizations remain independent but have influence on each other; affiliations may or
may not be permanent and may not result in common ownership or control of the
affiliates.
,After care - answerServices following hospitalization or rehabilitation
Aging - answerProcess wherein accounts receivable or accounts payable are
scheduled; listed; or arranged based on elapsed time from date of service or transaction
AHA - answerAmerican Hospital Association
AHP - answerAllied health professional
AHRQ - answerAgency for Healthcare Research and Quality
Aid to Families with Dependent Children (AFDC) - answerState-based federal cash
assistance program for low-income families
AIDS Drug Assistance Programs (ADAP) - answerJoint federal-state sponsored
programs that assist eligible HIV-positive patients in obtaining HIV medications
ALC - answerAlternate level of care
All inclusive rate - answerCharge rate established by a healthcare provider that covers
all services a beneficiary may receive or be entitled to receive over a designated period
of time
Allied health personnel - answerSpecially trained and licensed health workers other
than physicians; dentists; optometrists; chiropractors; podiatrists; and nurses
Allowable costs - answerCosts incurred by a provider in the course of providing services
that are recognized as eligible for reimbursement by a third-party payer
Allowance for bad debts - answerAn estimate of the amount of accounts receivable that
a healthcare provider will be unable to collect; it reduces the value of accounts
receivable.
Allowed amount - answerMaximum amount Medicare will pay in a given area for a
covered service
ALOS - answerAverage length of stay
Ambulatory care - answerHealth services rendered outside the inpatient setting
Ambulatory patient group (APG); Ambulatory Payment Classification (APC) -
answerInstitutional outpatient reimbursement system based on the methodology
developed by CMS; APCs/APGs are to outpatient visits/services what DRGs are to
inpatient hospital admissions; the payments are based on categories or groupings of
like or similar services requiring like or similar professional services and supply
utilization.
, Ambulatory setting - answerInstitution-based healthcare in which services are provided
in the outpatient setting.
AMCC - answerAutomated multi-channel chemistry
American National Standards Institute (ANSI) - answerParent organization of the ASC
X12 and the recognized coordinator and clearinghouse for information on United States
and Canadian national standards.
Ancillary service - answerThose services other than room; board; and medical and
nursing services; such as laboratory; radiology; pharmacy; and therapy services
ANSI - answerAmerican National Standards Institute
APC - answerAmbulatory payment classification
APG - answerAmbulatory patient group
APHP - answerAcute partial hospitalization program
Appeal - answerRequest by a provider or beneficiary to have coverage and/or payment
determination reconsidered
AR - answerAccounts receivable
AS - answerAdmission scheduling
ASC - answerAdministrative services contract; ambulatory surgical/surgery center
ASF - answerAmbulatory surgical facility
ASO - answerAdministrative services only
Assignment - answerAgreement in which a patient transfers to a provider the right to
receive payment from a third party for the service the patient has received
Attending physician - answerLicensed physician who supervises the care and treatment
of a patient
Attestation - answerPhysician's report attesting to the principal diagnosis; secondary
diagnosis; and names of the major procedures performed; which must be completed
shortly before or shortly after the patient is discharged; signature of authorized
representative affirming that information in a CMS enrollment application is true
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller SALVADO. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
82191 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now