Anomaly or defect present since the time of birth.

Housing complexes designed and created to meet the special accommodation, dietary, and health needs of the elderly, disabled, or mentally retarded.

Individual apartments in which residents may receive some services such as a daily meal with other tenants. Buildings usually have some common areas such as a dining room and lounge and additional safety measures such as emergency call buttons. Such housing may be rent-subsidized, which is known as Section 8 housing .

Phrases or terms in ICD-9-CM diagnostic coding that indicate a relationship between the main term and the associated conditions or causes of a disease or illness.

Symbol used in the procedure code book titled Current Procedural Terminology (CPT) . It precedes a procedure code and identifies when conscious sedation with or without analgesia is used with a procedure.

Verbal or written agreement that gives approval to some action, situation, or statement.

Because of the Health Insurance Portability and Accountability Act (HIPAA), this document is not required before physicians use or disclose protected health information for treatment, payment, or routine health care operations of the patient. For other purposes, see authorization form.

Insurance policy section that states the reason an insurance company issues an insurance contract (i.e., the statements on the application and the payment of the insurance premium).
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Stipulation that states the basis on which an insurer issues an insurance contract.

Computer software screening system that identifies clinical, coding, billing, and data errors on insurance claims. Under the Medicare program, insurance claims must pass edits for all Medicare-required fields on both the Uniform Bill (UB-04) and CMS-1500 claim forms for payment.

Federal law requiring employers to offer continuation of health insurance coverage for at least 18 months to employees and their beneficiaries after any of the following: the death of a spouse, their current position has been terminated, work hours are reduced, left job voluntarily, or getting a divorce. Employees may have to pay both their share and the employer’s share of the premium. Generally, they may also have to pay an administrative fee. The law does not affect employers with fewer than 20 employees. However, some state laws may apply to employers with fewer than 20 employees. Legislation also includes protection for patients seeking emergency treatment in a hospital in that every hospital participating in the Medicare program must treat any patient in an emergency situation regardless of the patient’s ability to pay and the patient does not have to be on Medicare.