EHR = Electronic Health Record Electronic Health Record (EHR) or Electronic Medical Record (EMR)? Sometimes people use the terms “Electronic Medical Record” or “EMR” when talking about Electronic Health Record (EHR) technology. Very often an Electronic Medical Record or EMR is just another way to describe an Electronic Health Record or EHR, and both providers […]

List of Medicare Terms (searchable) CMS Glossary of terms

IVR = Interactive Voice Response (IVR) System Part A Interactive Voice Response (IVR) System ■1-866-497-7857 •Claim Status •Beneficiary Eligibility •Check status •General information regarding the Medicare Program

MSP = Medicare Secondary Payer   Applies when Medicare is not the beneficiary’s primary insurance   ■More than $4.5 billion saved annually on claims paid by primary insurers Job-related illness or injury covered under Worker’s Compensation ■Accident injuries covered under no-fault and/or liability insurance ■Federal Black Lung Program ■Veteran’s Benefits program for service-related conditions ■Public […]

RTP = Return to Provider

ERA = Electronic Remittance Advice (ERA) ERA transactions are sent based on the NPI/PTAN combination when the payee information is different than the rendering data •The zip codes entered on the claims are used to match to the appropriate PTAN ■Reports the final claim(s) information •Covered charges •Non covered charges •Coinsurance Reports the adjustment to […]