Incompatibility between one’s private interests and one’s business duties such as a relative of an incompetent patient who has wishes that are not in the patient’s best interests or when a physician is contracted with a managed care plan in which he or she makes more profit if less medical care is given to patients.

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.