Claim Submission - 314e

Healthcare IT Terms

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.

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)

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 Preparation

Claim Scrubbing

Claim Submission

Clearing Houses

Clinical Applications Analyst

Clinical Archive

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

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)

Cost Accounting Systems

Cost-Sharing Reduction

Creditable Coverage

Critical Access Hospitals (CAHs)

Current Procedural Terminology (CPT)

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