Domain
Finance
Revenue, costs, budgets, invoices and capitation
1,293 finance terms
The total expense incurred in delivering gynecological services related to female reproductive health care. Used in hospital cost accounting and specialty billing systems to measure departmental expenditures, support service line financial analysis, and inform reimbursement benchmarking for gynecological procedures.
The unique identifier assigned to an account linked to services billed using Healthcare Common Procedure Coding System codes. Used in claims processing and medical billing systems to track financial transactions associated with HCPCS-coded services, supplies, and durable medical equipment across payer submissions.
The outstanding amount owed on an account associated with Healthcare Common Procedure Coding System billed services after payments and adjustments. Used in claims and billing systems to monitor unpaid reimbursement for HCPCS-coded procedures, equipment, and supplies submitted to Medicare, Medicaid, and other payers.
The total dollar amount charged for services, supplies, or equipment identified by Healthcare Common Procedure Coding System codes on a claim. Used in medical billing and claims submission to represent the provider's charge for HCPCS-coded items submitted to Medicare, Medicaid, and commercial payers.
The expense incurred by a healthcare facility or practice in providing services, supplies, or equipment classified under Healthcare Common Procedure Coding System codes. Used in cost accounting and reimbursement analysis to compare actual costs against HCPCS-based reimbursement rates from Medicare and Medicaid.
The count or rate at which a specific Healthcare Common Procedure Coding System code is billed or utilized within a defined period. Used in claims analysis and utilization management to monitor procedure and supply usage patterns, identify billing anomalies, and support medical necessity reviews for HCPCS-coded services.
The unique identifier assigned to an account associated with hematology services, encompassing diagnosis and treatment of blood disorders. Used in hospital billing and laboratory systems to track financial transactions, claims, and service activity within the hematology department or specialty practice.
The total expense incurred in delivering hematology services, including blood disorder diagnosis, treatment, and laboratory analysis. Used in hospital cost accounting and specialty billing to measure departmental expenditures, support service line financial reporting, and benchmark costs for hematological procedures and therapies.
The unique identifier assigned to an account that captures a patient's past medical events, diagnoses, and treatments. Used in clinical data management and longitudinal patient record systems to link historical medical information to the correct patient account for continuity of care and retrospective clinical analysis.
The expense associated with documenting, managing, or analyzing a patient's past medical events and clinical history. Used in health information management and cost accounting systems to capture the resources expended in maintaining longitudinal medical records and historical clinical data within patient account workflows.
The unique identifier assigned to an account associated with vaccine administration services. Used in immunization registries, public health reporting systems, and billing platforms to track vaccination delivery, link immunization records to patient accounts, and process claims for administered vaccines and associated administration fees.
The total expense associated with administering a vaccine dose, including supply, storage, and administration fees. Used in clinical billing and population health systems to track vaccination program costs, reconcile charges, and support public health immunization reporting.
The unique account identifier assigned to a surgically placed medical device, such as a pacemaker, orthopedic implant, or cochlear device. Used in hospital billing and supply chain systems to track implant procurement, patient assignment, cost capture, and regulatory traceability requirements.
The total acquisition and procedural expense associated with a surgically placed medical device. Used in hospital cost accounting and claims processing to capture device pricing, reconcile vendor invoices, and support DRG-based reimbursement calculations for surgical encounters.
A boolean indicator identifying that a healthcare service was billed under the supervising physician National Provider Identifier rather than the non-physician practitioner who actually delivered the service, using Medicare incident-to billing rules that allow non-physician services to be reimbursed at the full physician fee schedule rate rather than the reduced non-physician practitioner rate when specific supervision and billing criteria are met. Medicare incident-to billing requires that the supervising physician is present in the office suite during service delivery, the non-physician practitioner is an employee or contractor of the physician practice, the service is part of the physician established plan of care, and the physician billed the initial service. Incident-to billing is a significant compliance risk area — incorrect application of incident-to rules when supervision requirements are not met constitutes improper billing. Healthcare data teams analyze incdt_to_bill_ind in claims compliance reviews to verify supervision documentation, identify potential incident-to billing errors, and calculate financial exposure from potentially improper incident-to claims.
The unique account identifier linked to a specific clinical or quality performance indicator within a healthcare measurement framework. Used in quality management and value-based care systems to associate financial transactions, reporting periods, and compliance tracking with defined performance benchmarks.
The outstanding financial amount remaining on an account associated with a specific clinical or quality performance indicator. Used in healthcare financial systems to monitor unpaid balances tied to quality program transactions, incentive payments, or penalty adjustments under value-based contracts.
The total dollar amount invoiced in connection with a specific clinical or quality performance indicator transaction. Used in value-based care and quality program billing to document charges submitted to payers or program administrators for services tied to defined performance measurement criteria.
The total expense incurred in measuring, reporting, or achieving a specific clinical or quality performance indicator. Used in healthcare analytics and value-based program management to assess resource utilization, calculate program ROI, and support financial planning for quality improvement initiatives.
The defined measurement or reporting interval at which a specific clinical or quality performance indicator is evaluated. Used in quality management systems and population health platforms to schedule assessments, trigger alerts, and ensure compliance with regulatory or contractual reporting cadences.