CRCR Exam; Q’s & A’s
835 Record A standard electronic message between a health plan and
provider sending
remittance data on a claim to the provider.
837 Record A standard electronic message between a provider and health
plan sending data
on a claim to the health plan.
AAR After-hours...
sources (such as Medicare or commercial insurance) by thirty day increments.
Accreditation ✔✔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.
Accredited Standards Committee X12 (ASC X12) ✔✔A committee of the
American National
Standards Institute (ANSI) responsible for the development and maintenance of
electronic data
interchange (EDI) standards for many industries. The ASC 'X12N' is the
subcommittee of ASC
X12 responsible for the EDI health insurance administrative transactions such as
837
, CRCR Exam; Q’s & A’s
Institutional Health Care Claim and 835 Professional Health Care Claim forms
Accrual ✔✔An expense or a revenue that occurs before the business pays or
receives cash. An
accrual is the opposite of a deferral.
Accrual Basis Accounting ✔✔The method of accounting that recognizes revenue
when it is
earned and matches expenses to the revenues they helped produce
Accrued Payroll and Benefits ✔✔An estimate of salaries and associated benefit
costs (such as
payroll tax matching) earned by employees but not yet paid by the employer.
Accumilated Depreciation ✔✔A balance sheet account where the total amount
of depreciation
recognized as expense over time is compiled.
ACS ✔✔Ambulatory Care Services
Activity Based Costing ✔✔A technique to assign product costs based on links
between activities
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