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  2. Current Procedural Terminology - Wikipedia

    en.wikipedia.org/wiki/Current_Procedural_Terminology

    These digits are not intended to reflect the placement of the code in the regular (Category I) part of the CPT codebook. Appendix H in CPT section contains information about performance measurement exclusion of modifiers, measures, and the measures' source(s). Currently there are 11 Category II codes. They are: (0001F–0015F) Composite measures

  3. Chargemaster - Wikipedia

    en.wikipedia.org/wiki/Chargemaster

    The chargemaster may be alternatively referred to as the "charge master", "hospital chargemaster", or the "charge description master" (CDM). [4] [5] It is a comprehensive listing of items billable to a hospital patient or a patient's health insurance provider. [3] [6] It is described as "the central mechanism of the revenue cycle" of a hospital ...

  4. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed.

  5. HCPCS Level 2 - Wikipedia

    en.wikipedia.org/wiki/HCPCS_Level_2

    HCPCS Level II codes are alphanumeric medical procedure codes, primarily for non-physician services such as ambulance services and prosthetic devices. [1] They represent items, supplies and non-physician services not covered by CPT-4 codes (Level I).

  6. St. Anthony Hospital (Colorado) - Wikipedia

    en.wikipedia.org/wiki/St._Anthony_Hospital...

    St. Anthony Hospital, previously known as St. Anthony Central Hospital, is one of six Level I Trauma Centers in Colorado. [1] The hospital is currently located at W. 2nd Pl and Routt St near the Denver Federal Center in Lakewood, Colorado. The hospital was previously located at W. 16th Ave and Raleigh St, in the West Colfax neighborhood of Denver.

  7. Experience modifier - Wikipedia

    en.wikipedia.org/wiki/Experience_modifier

    An experience modifier of 1 would be applied for an employer that had demonstrated the actuarially expected performance. Poorer loss experience leads to a modifier greater than 1, and better experience to a modifier less than 1. The loss experience used in determining the modifier typically comprises three years but excluding the immediate past ...

  8. 340B Drug Pricing Program - Wikipedia

    en.wikipedia.org/wiki/340B_Drug_Pricing_Program

    Two specific criteria are common to most of the 340B-eligible hospital types: the requirement for a "disproportionate share hospital (DSH) adjustment percentage" above a certain level; [27] and the requirement that the hospital: (a) be owned or operated by a state or local government; (b) be a private nonprofit hospital "formally granted ...

  9. Healthcare in the United States - Wikipedia

    en.wikipedia.org/wiki/Healthcare_in_the_United...

    Jackson Memorial Hospital in Miami, the primary teaching hospital of the University of Miami's Miller School of Medicine and the largest hospital in the US with 1,547 beds [91] In the US, ownership of the healthcare system is now mainly in private hands, though federal, state, county, and city governments also own certain facilities.