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| 4288649200 | Orthotics | is a branch of medicine that deals with the design and fitting of orthopedic devices. | 0 | |
| 4288649201 | Prosthetics | is a branch of medicine that deals with the design, production, and use of artificial body parts. | 1 | |
| 4288649202 | HCPCS Level II Temporary Codes | are maintained by the CMS and other members of the HCPCS National Panel, independent of permanent national codes. | 2 | |
| 4288649203 | Ambulatory Surgical Center (ASC) | is a state-licensed, Medicare-certified supplier (not provider) of surgical health care services that must accept assignment on Medicare claims. | 3 | |
| 4288649204 | Clinical Laboratory Fee Schedule | which is a data set based on local fee schedules (for outpatient clinical diagnostic laboratory services). | 4 | |
| 4288649205 | Case Mix | is a measure of the types of patients treated, and it reflects patient utilization of varying levels of health care resources. | 5 | |
| 4288649206 | Home Health Resource Groups (HHRGs) | classify patients into groups, which range in severity level. Each HHRG has an associated weight value that increases or decreases Medicare's payment for an episode of home health care. | 6 | |
| 4288649207 | Grouper Software | is used to determine the appropriate HHRG after Outcomes and Assessment Information Set (OASIS) data are input on each patient (to measure the outcome of all adult patients receiving home health services). | 7 | |
| 4288649208 | Home Assessment Validation and Entry (HAVEN) | data entry software is then used to collect OASIS assessment data for transmission to state databases. | 8 | |
| 4288649209 | Major Diagnostic Categories (MDCs) | Diagnosis-related groups are organized into mutually exclusive categories. | 9 | |
| 4288649210 | Intensity of Resources | the relative volume and types of diagnostic, therapeutic, and inpatient bed services used to manage an inpatient disease | 10 | |
| 4288649211 | IPPS Transfer Rule | states that certain patients discharged to a post- acute provider are treated as transfer cases, which means hospitals are paid a graduated per diem rate for each day of the patient's stay, not to exceed the prospective payment DRG rate. | 11 | |
| 4288649212 | Hospital-Acquired Conditions (HACs) | are medical conditions or complications that patients develop during inpatient hospital stays and that were not present at admission | 12 | |
| 4288649213 | Value-Based Purchasing (VBP) | is part of a long-standing CMS effort to link Medicare's inpatient prospective payment system (IPPS) to a value-based system for the purpose of improving health care quality | 13 | |
| 4288649214 | Wage Index | adjusts payments to account for geographic variations in hospitals' labor costs. | 14 | |
| 4288649215 | Inpatient Rehabilitation Validation and Entry (IRVEN) | software is the computerized data entry system used by inpatient rehabilitation facilities to create a file in a standard format that can be electronically transmitted to a national database. | 15 | |
| 4288649216 | Resident Assessment Validation and Entry (RAVEN) | is used to enter MDS data about SNF patients and transmit those assessments in CMS-standard format to individual state databases. | 16 | |
| 4288649217 | Medicare physician fee schedule (MPFS) | reimburses providers according to predetermined rates assigned to services and is revised by CMS each year. | 17 | |
| 4288649218 | Medicare Summary Notice (MSN) | which notifies Medicare beneficiaries of actions taken on claims. | 18 | |
| 4288649219 | Large Group Health Plan (LGHP) | is provided by an employer who has 100 or more employees or a multi-employer plan in which at least one employer has 100 or more full- or part-time employees. | 19 | |
| 4288649220 | Nurse Practitioner (NP) | is a registered nurse licensed to practice as an NP in the state in which services are furnished, is certified by a national association (e.g., American Academy of Nurse Practitioners), and has a master's degree in nursing. | 20 | |
| 4288649221 | Clinical Nurse Specialist (CNS) | is an advanced practice registered nurse licensed by the state in which services are provided, has a graduate degree in a defined clinical area of nursing from an accredited educational institution, and is certified as a CNS. | 21 | |
| 4288649222 | Physician Assistant (PA) | must be legally authorized and licensed by the state to furnish services, have graduated from a physician assistant educational program that is accredited by the Accreditation Review Commission on Education for the Physician Assistant, and have passed the national certification examination of the National Commission on Certification of Physician Assistants (NCCPA) | 22 | |
| 4288649223 | CMS Program Transmittals | communicate new or changed policies and/or procedures that are being incorporated into a specific CMS Internet-only program manual. | 23 | |
| 4288649224 | CMS Quarterly Provider Update (QPU) | is an online CMS publication that contains information about regulations and major policies currently under development, regulations and major policies completed or canceled, and new or revised manual instructions. | 24 | |
| 4288649225 | Chargemaster | is a document that contains a computer-generated list of procedures, services, and supplies with charges for each. | 25 | |
| 4288649226 | Chargemaster Maintenance | is the process of updating and revising key elements of the chargemaster (or charge description master [CDM]) to ensure accurate reimbursement. | 26 | |
| 4288649227 | Revenue Cycle Management | is the process by which health care facilities and providers ensure their financial viability by increasing revenue, improving cash flow, and enhancing the patient's experience. | 27 | |
| 4288649228 | Revenue Cycle Monitoring | involves assessing the revenue cycle to ensure financial viability and stability | 28 | |
| 4288649229 | Revenue Cycle Auditing | is an assessment process that is conducted as a follow-up to revenue cycle monitoring so that areas of poor performance can be identified and corrected. | 29 |
