ARRONYMS A - C

Question 1

837I

Answer 1

the dataset that is utilized to electronically submit hospital claims to the payer

Question 2

837P

Answer 2

the billing form used to electronically submit physician and professional service claims to the payer.

Question 3

ABN

Answer 3

Advance Beneficiary Notice

Question 4

ADRR

Answer 4

Average Days of Revenue in Accounts Receivable

Question 5

ACF

Answer 5

Administration for Children and Families

Question 6

ACL

Answer 6

Administration for Community Living

Question 7

ADC

Answer 7

average daily census # PATIENT INHOUSE

Question 9

ADRR

Answer 9

Average Days of Revenue in Accounts Receivable
aka Accounts Receivable Das Outstanding

Question 10

ABN

Answer 10

Advance Beneficiary Notice

Question 11

AHA

Answer 11

American Hospital Association

Question 12

AHRQ

Answer 12

Agency for Healthcare Research and Quality

Question 13

ALOS

Answer 13

average length of stay

Question 14

APC

Answer 14

ambulatory payment classification
payment methodology in which services paid under the PPS (prospective payment system) are classified into groups that are similar clinically and in terms of the resources they require; a payment rate is established for each APC.

Question 15

APR

Answer 15

annual percentage rate

Question 16

ATB

Answer 16

aged trial balance

Question 17

ATSDR Agency for Toxic Substances and Disease Registry

Answer 17

ATSDR Agency for Toxic Substances and Disease Registry

Question 18

average daily census

Answer 18

the average number of inpatients maintained in the hospital

Question 19

Average Days of Revenue in Accounts Receivable

Answer 19

also known as Accounts Receivable (AR) Days Outstanding

Question 20

birthday rule

Answer 20

a rule to determine coordination for benefits for a child covered by both parents;

Question 21

CAH

Answer 21

Critical Access Hospital

Question 22

capitation

Answer 22

a method of payment in which a provider is paid a set dollar amount for each patient for a specific time period, and that payment covers all care the group of patients receives for that period, no matter the actual charges

Question 23

Case Management

Answer 23

known as Utilization Review (UR)
rea that performs critical tasks during registration and a patient’s stay.

Question 24

CDC

Answer 24

Centers for Disease Control and Prevention

Question 25

CDM

Answer 25

Charge Description Master electronic file that resides in the provider's information system and that contains charges

Question 26

CHIP

Answer 26

the Children’s Health Insurance Program

Question 27

CLIA

Answer 27

Clinical Laboratory Improvement Amendment

Question 28

CMP

Answer 28

civil monetary penalty

Question 29

CMS

Answer 29

Centers for Medicare & Medicaid Services

Question 30

CMS-1450

Answer 30

another name for the UB-04 uniform bill form **Hospital form**

Question 31

CMS-1500

Answer 31

the paper billing form used to submit **physician and professional service** claims to Medicare.

Question 32

CO

Answer 32

compliance officer

Question 33

COB

Answer 33

coordination of benefits

Question 34

CWF

Answer 34

Common Working File a CMS file that contains Medicare patient eligibility and utilization data.

Question 35

CPT

Answer 35

Current Procedural Terminology