DOCUMENT
Alabama Medicaid Glossary of Terms
181 definitions by Alabama Medicaid Agency

Accounts PayableAccounts ReceivableAdjudicationAdjustment ReasonAdjustmentsAdministrative CostsAdmitsAlabama Estimated Acquisition CostAlabama Medicaid Management Information SystemAlcoholismAllowable CostsAlternative CareAmerican Medical AssociationAmerican National Standards Institute Standards BoardAncillaryAncillary ChargeAncillary ServicesAppealAttending Physician/Attending ProviderAuditAudit TrailAutomated Eligibility Verification and Claims Submission SystemAutomated Voice Response SystemBAY Health PlanBeneficiaryBenefitsBilled ClaimsBilling ProviderBlue Cross/Blue ShieldBoard CertifiedBoard EligibleBulletin Board SystemBuy-InCalendar YearCapitationCapitation RatesCarrierCase ManagementCase ManagerChronic Stable Medical ConditionCivilian Health and Medical Program of Uniformed ServicesClaimClaimsCoinsuranceConsolidated Omnibus Budget Reconciliation ActCopaymentCost EffectivenessCost SharingCrossover ClaimCurrent Procedural TerminologyCurrent Procedural Terminology CodeDate of ServiceDeductibleDeferred compensation administratorDenial of PaymentDependentDiagnosisDiagnosis-Related GroupDisabilityDispensing FeesDrug Price ReviewDual DiagnosisDurable Medical EquipmentDUR Review BoardEarly and Periodic Screening Diagnosis and TreatmentEditElectronic Claims SubmissionEOP MessageExplanation of PaymentFee-for-ServiceFee-for-Service ReimbursementFrequencyGatekeeper ModelGatekeepersGeneric DrugGeneric SubstitutionGraphical User InterfaceGroup PracticeHCFA Common Procedural Coding SystemHealth Care Quality Improvement ActHealth Information DesignsHealth Maintenance OrganizationHome Health AgencyHome Health ServicesHospiceHospital-based PhysicianHospital PrivilegesICD-9-CMImpairmentInpatientIntermediate Care FacilityInternal Control NumberInternational Classification of DiseasesJulian DateLength of StayLocal Code(S)Lock-InLong TermMaximum Allowable Cost ListMedicaidMedicaid EligibleMedical NecessityMedical SuppliesMedicareMental Health ProviderMental Health ServicesMorbidityNational Council for Prescription Drug Programs StandardsNational Drug CodeNational Provider IdentifierNon-emergency Transportation ProgramNon-Participating Provider (Non-Par)Omnibus Budget Reconciliation ActOptical Character RecognitionOutpatientOverrideOver-the-Counter DrugOverutilizationPA CriteriaPA DenialPaid ClaimsParticipating ProviderPatient 1stPay and ChasePer DiemPharmaceutical ServicesPharmacy and Therapeutics CommitteePhysicianPhysician's Current Procedural TerminologyPlace of ServicePoint of Sale DevicePrescription MedicationPrevailing ChargesPreventive CarePreventive ServicesPrimary Medical ProviderPrincipal DiagnosisPrior AuthorizationPrivate DutyProviderProviderProvider NetworksQualified Medicare BeneficiaryQualified Medicare BeneficiaryQuality AssuranceQuality AssuranceRecipientRecipientRecipient AidRecipient Aid CategoriesRecipient Identification NumberRecipient Identification NumberRecoupmentsRecoupmentsReferralReferralReferral ProviderReferral ProviderRemittance Advice CodeRemittance Advice CodeSkilled Nursing FacilitiesSkilled Nursing FacilitiesSocial Security ActSocial Security ActSpecialtySpecialtySpecialty HMOsSubrogationSuspendThird Party LiabilityThird-Party PayerTransactionUnderutilizationUniform Billing Code of 1992 (UB-92)Unstable Medical Condition (Long Term Care Admission Criteria)Usual and Customary ChargesUsual, Customary, and Reasonable FeesUtilization Control ProceduresUtilization ReviewVaccines for ChildrenValue Added Networks
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Date
2010-10-01
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