Healthcare IT Terms

Claim Submission
  1. Healthcare IT Terms
  2. Claim Submission

What is Claim Submission?

In the healthcare industry, claim submission is the process of sending patient care claims to insurance companies for reimbursement. The process can be manual or electronic, but either way, it is important to follow the proper procedures to ensure that claims are processed correctly and in a timely manner.

Capitation
Care Coordination
Care Management Data
Case Mix Index (CMI)
Catastrophic Health Plan
Centers for Medicare and Medicaid Services (CMS)
Certificate of Need (CON)
Certified Application Counselor
Certified Health Data Analyst (CHDA)
Certified in Healthcare Privacy and Security (CHPS)
Charge Entry
Chargemaster
Chief Digital Officer
Chief Information Officer (CIO)
Chief Medical Informatics Officer (CMIO)
Chief Nursing Informatics Officer (CNIO)
Children's Health Insurance Program (CHIP)
Civilian Health and Medical Program of the Uniformed Servicess
Claim Adjustment Group Codes
Claim Adjustment Reason Codes (CARCs)
Claim Denial
Claim Preparation
Claim Scrubbing
Claim Submission
Claims Data
Clearing Houses
Clinical Applications Analyst
Clinical Archive
Clinical Coder
Clinical Data Repository (CDR)
Clinical Decision Support Systems (CDSS)
Clinical Document Architecture (CDA)
Clinical Documentatiton Improvement (CDI)
Clinical Encounter
Clinical Pathway
Clinical Trials
Cloud-Based EHRs
CMS-1500 02/12 Form
Cognitive Computing
Coinsurance
Common Working File (CWF)
Community Mental Health Centers (CMHCs)
Community Rating
Competitive Bidding
Computer-Assisted Coding (CAC)
Computerized Provider Order Entry (CPOE)
Concierge Medicine
Connected Health
Consolidated Clinical Document Architecture (C-CDA)
Consolidated Health Informatics (CHI) Initiative
Continuity of Care
Continuity of Care Record (CCR)
Conversion
Copayment
Cost Accounting Systems
Cost-Sharing Reduction
Creditable Coverage
Critical Access Hospitals (CAHs)
Current Procedural Terminology (CPT)

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