Common Terms and Definitions Used in Case …

Common Terms and Definitions used in case management October 2013 Providing technologically supported physician advisory and case management services to healthcare providers and payors 1 Update: 10-09-13 Common CMS Terms Alphabetical order list TermDefinitionAdmission Order(n) a document used in a hospital to define the order to admit a patient to the hospital. As specified in CMS 42 CFR , no specific procedures or forms are required for certification and recertification statements. The provider may adopt any method that permits verification. The certification and recertification statements may be entered on forms, notes, or records that the appropriate individual signs, or on a special separate form. Except as provided for delayed certifications, there must be a separate signed statement for each certification or recertification. This is also called a "practitioner order" by Limits(acronym) Additional Document Request limits with regard to how many records can be audited by a RAC vendor during a specified periodCAH(acronym) Critical Access Hospital or also called a Skilled Nursing Facility (SNF)CERT(acronym) Comprehensive Error Rate Testing reporting process within CMS for tracking fraud and errors in billingCMS(org) Center for Medicare & Medicaid ServicesCMS-1599-F(rule notice) revising the Medicare hospital inpatient prospective pa

Common Terms and Definitions Used in Case Management October 2013 “Providing technologically supported physician advisory and case management services to healthcare providers and payors”

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