An Integrated Delivery Network (IDN) is a formal system of providers and sites of care that provides both health care services and a health insurance plan to patients in a defined geographic area. The functionalities included in an IDN vary, but can include acute care, long-term health, specialty clinics, primary care, and home care services—all […]
EAPG
Blue Cross Blue Shield Enhanced Ambulatory Patient Grouping (EAPG) methodology for calculating reimbursement for outpatient procedures http://www.okoha.com/OHA/Hotline/2015/April15/Taking_charge_of_the_EAPG__Improve_your_negotiations_with_BCBS.aspx
ERP
Enterprise Resource planning Enterprise resource planning (ERP) is an industry term for the broad set of activities that helps an organization manage its business. An important goal oF ERP is to facilitate the flow of information so business decisions can be data-driven. ERP software suites are built to collect and organize data from various […]
Medical Billing Acronym List
Here are some definitions for acronyms that may be helpful: http://bcbsmi.net/providers/help/faqs/medicare-advantage/provider-toolkit/acronym-list.html Acronym Definition ABN Advance beneficiary notice AIM American Imaging Management ASF Ambulatory surgical facilities BCN Blue Care Network BCBSM Blue Cross Blue Shield of Michigan BHC BlueHealthConnection® CAH Critical access hospital CCN CMS certification number CDTCLFS Current dental terminologyClinical Laboratory Fee Schedule CMS Centers […]
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