Time period it takes an insurance carrier to process an insurance claim from when it is received by the carrier until it is approved for payment. Payment for manual claims is within 4 to 12 weeks and as little as 7 days when transmitted electronically.

Under Medicare Secondary Payer guidelines, the attorney fees and other costs that are related to obtaining a settlement that are borne by the individual against which the Centers for Medicare and Medicaid Services (CMS) seeks to recover.

New insurance policies (volume) or existing premiums that are ascribed to an insurance agent, broker, or group representative.

Measurement of the increased or deceased rate of resources that an organization uses to produce a unit of output.

Spending aimed at increasing contractor operational efficiency and production through improved work methods and application of technology.

Career that involves specialized training and requires individuals to study extensively to master a complex body of knowledge and have the ability to apply the knowledge.
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The word implies professed attainment in special knowledge as distinguished from mere skill. A practical dealing with affairs as distinguished from mere study or investigation, and an application of such knowledge to uses for others as a vocation, as distinguished from its pursuit for its own purposes.

Analysis and report performed regularly by the Commission on Professional and Hospital Activities and enumerated by average length of stay (ALOS) by region. Referred to as PAS norms. See also Commission on Professional and Hospital Activities (CPHA).

A nationwide organization dedicated to providing a strong professional network for health care office managers.

Group insurance plan offered by a professional organization composed of self-employed professionals (e.g., accountants, attorneys, educators, physicians). This type of plan may provide more benefits and is less expensive than an individual plan.

That portion of a test or procedure (containing both professional and technical components) for which the physician reads and interprets but does not perform the test (i.e., interpreting an electrocardiogram [ECG], reading an x-ray, or making an observation and determination using a microscope). In hospital billing, this component is billed separately from the inpatient hospital charges.