835 Record
A standard electronic message between a health plan and provider sending remittance data on a claim to the provider.
837 Record
A
... [Show More] standard electronic message between a provider and health plan sending data on a claim to the health plan.
AAR
After-hours activity report
ABN
Advanced Beneficiary Notice
ACC
ambulatory care center
Access
The ability to receive hospital, physician or other medical services without regard to an individuals ability to pay.
Accountable Care Organization (ACO)
A coordinated group of healthcare providers (including physicians, hospitals, and other types of providers) organized to improve quality and lower the cost of care to a defined group of patients.
Accounting Identity
Also known as the accounting equation; assets = liabilities + equity.
Accounts Payable
A current liability where funds are owed to suppliers.
Accounts Payable Distribution
An account computer system report that details the amounts paid to vendors by date, purchase order, and expense classification.
Accounts receivable (A/R)
Money owed to an organization for goods or services furnished.
A/R Collection Period
Number of days in the accounting period divided by accounts receivable turnover. This ratio tells you the average time it takes to collect amounts due.
A/R Turnover
Services 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.
Accounts Receivable Aging
A report that summarizes accounts receivable from different 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 Institutional Health Care Claim and 835 Professional Health Care Claim forms [Show Less]