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  2. Healthcare Common Procedure Coding System - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Common...

    The acronym HCPCS originally stood for HCFA Common Procedure Coding System, a medical billing process used by the Centers for Medicare and Medicaid Services (CMS). Prior to 2001, CMS was known as the Health Care Financing Administration (HCFA).

  3. National Association for Behavioral Healthcare - Wikipedia

    en.wikipedia.org/wiki/National_Association_for...

    NABH issues policy guidelines with regard to mental and behavioral health issues at the state and federal level. [5] [6] Frank A. Ghinassi serves as the current president and CEO of the organization. [4] The NABH hosts annual conferences dedicated to mental health policy in the United States. [7] [8]

  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. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...

  6. Partial hospitalization - Wikipedia

    en.wikipedia.org/wiki/Partial_hospitalization

    Specific guidelines for assessment, treatment, facility maintenance, performance improvement, and client outcome studies are integral to partial hospitalization programs. The Association for Ambulatory Behavioral Healthcare is the premier national group, publishing the Standards and Guidelines for Partial Hospitalization Programs and Intensive ...

  7. National Provider Identifier - Wikipedia

    en.wikipedia.org/wiki/National_Provider_Identifier

    by health care providers on prescriptions (however, the NPI will not replace requirements for the DEA number or state license number); by health plans in their internal provider files to process transactions and communicate with health care providers; by health plans to coordinate benefits with other health plans;

  8. National Uniform Billing Committee - Wikipedia

    en.wikipedia.org/wiki/National_Uniform_Billing...

    The National Uniform Billing Committee (NUBC) is the governing body for forms and codes use in medical claims billing in the United States for institutional providers like hospitals, nursing homes, hospice, home health agencies, and other providers. The NUBC was formed by the American Hospital Association (AHA) in 1975. [3]

  9. Health Level 7 - Wikipedia

    en.wikipedia.org/wiki/Health_Level_7

    Health Level Seven, abbreviated to HL7, is a range of global standards for the transfer of clinical and administrative health data between applications with the aim to improve patient outcomes and health system performance.