Glossary

Acronyms
View:
1031-1034 of 1034
Glossary and Acronyms
Term Definition
ABUSE

A range of the following improper behaviors or billing practices including, but not limited to:

  • Billing for a non-covered service;
  • Misusing codes on the claim (i.e., the way the service is coded on the claim does not comply with national or local coding guidelines or is not billed as rendered); or
  • Inappropriately allocating costs on a cost report
ABSTRACT

Is the collection of information from the medical record via hard copy or electronic instrument.
A "TIER"

is a specific list of drugs. Your plan may have several tiers,and your copayment amount depends on which tier your drug is listed.Plans can choose their own tiers, so members should refer to their benefit booklet or contact the plan for more information.
508
508 Compliance 
 CMS is also bound to producing what’s called 508 compliant applications. Julie Shadoan is the CMS voice you will here when this topic comes up. This link addresses CMS 508 process:http://www.cms.gov/Research-Statistics-Data-and-Systems/CMS-Information-Technology/Section508/index.html.  On the left side there is a “Verification Process . . .” link that goes into more detail about how CMS verifies our applications are 508 compliant.