Electronic Remittance Advice (ERA)

ERA = Electronic Remittance Advice (ERA) ERA transactions are sent based on the NPI/PTAN combination when the payee information is different than the rendering data •The zip codes entered on the claims are used to match to the appropriate PTAN ■Reports the final...

Electronic Funds Transfer (EFT)

EFT = Electronic Funds Transfer   Benefits of EFTs   ■Funds are available faster   ■Administrative costs are reduced   ■Accounting Department can reconcile receivables   ■Contribute to the Paper Reduction Act     Share...

Electronic Data Interchange (EDI)

  EDI= Electronic Data Interchange   EDI helps provide quick efficient exchange of healthcare information   •EDI provides access to HIPAA compliant transactions   ■270/271 Eligibility Response in real time from the CMS data center   ■276/277...

Medicare Acronyms

Medicare Acronyms searchable list Rural Health Clinics (RHC) Federally Qualified Health Clinics (FQHC) End Stage Renal Dialysis (ESRD) Fee-For-Service (FFS) Medicare benefits •QIO –Quality Improvement Organizations •COBC –Coordination of Benefits Contractor •QIC...