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OhioBWC - Basics:  (Medical Provider Glossary)

Medical Provider Glossary

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

A Top

Alternative Dispute Resolution (ADR)

Authorized Representative

B Top

Billing and Reimbursement

Billing and Reimbursement Manual
E-Codes
Fee Schedule
Group Affiliations/Pay-to Number
Health Care Finance Administration (HCFA)
Health Care Procedure Coding System (HCPCS)
Inpatient and Outpatient Bills
Managed Care Organization (MCO) Panel Amount
Medical Bill
Payment
Provider Bill Look-Up
Resource Based Relative Value Scale (RBRVS)
Remittance Advice
Unbundle Charges
V-Codes

BWC Order

C Top

Claims

Accident Description
Additional Conditions/Subsequent Decision
Alleged Condition/Alleged Injury
Allowances/Allowed Conditions/Allowed Diagnosis
BWC-Required Data Elements
Case Management
Causality/Causally Related
Causal Relationship
Claim Allowance
Claim History
Claim Number
Claim Status
Date(s) of Injury
Date of Death
Date of Diagnosis
Date of Disability
Diagnosis
Diagnosis Code
Inactive
Injury Description
Life Cycle of a Claim
Lost-Time Claim
Medical-Only Claim
Motion
Party
Primary Diagnosis/Principal Diagnosis
Self-Insured Claims
Type of Accident
Work-Related

Comprehensive General Liability Insurance

Consultation

D Top

Disability Evaluators' Panel

Behavioral Medicine
Board Certified
C-92 Quality Assurance (QA) Program
Clinical Experience
Diplomate Status
Health Psychology
Minimum Coverage
Minimum Requirements

District Hearing Officer

OhioBWC.com

Claim Documents
Guided Tour
Primary E-Account/Secondary Users

Due Process

E Top

Examinations and Reviews

90-Day Examination
200-Week Examination
American Medical Association's (AMA's) Guide to the Evaluation of Permanent Impairment
BWC Physician Review/Exam
C-92 Examinations
C-92 Medical File Review
Concurrent and Retro Review
Independent Medical Examinations (IME)
Medical File Review (Non C-92-A)
Medical Review
Utilization Review

Emergency/Emergency Services

F Top

Forms

BWC Service Invoice
First Report of Injury, Occupational Disease or Death (FROI)
Health Care Finance Administration (HCFA-1500)
Percentage of Permanent Partial Disability Determination/Increase (C-92)
Physician's Request for Medical Service or Recommendation for Additional Conditions for Industrial Injury or Occupational Disease (C-9)
Physician's Report of Work ABILITY (MEDCO-14)
Provider Forms

G Top
H Top

Health Partnership Program (HPP)

House Bill 107
Managed Care Programs
Managed Care Organization (MCO) Managed Claim
Managed Care Organization (MCO) Panel Provider
Managed Care Organization (MCO) Standard Prior Authorization Table
Provider Network

Hearing

I Top

International Classification of Diseases (ICD)

ICD-9

ICD-9-CM

Industrial Commission of Ohio

Industrial Accident

Initial Treating Provider

Initial Treatment/Initial Visit

Injury

J Top
K Top
L Top
M Top

Managed Care Organization (MCO)

Managed Care Organization (MCO) Directory

Medical Documentation

Initial reports
Subsequent reports

Medically Necessary

Modified Duty

N Top

Non-Covered Services

Non-Emergency Services

Non-Occupational Disease

O Top

Occupational Disease (OD)

Ohio Workers' Compensation System

Black Lung
Customer Service Team
Marine Fund
Marine Industrial Fund
State Fund

P Top

Pharmacy Benefits Manager

Accept Assignment
Pharmacy Benefits Program
Pharmacy Prior Authorization

Peer Review

Physical Capabilities

Physician of Record

Pre-Existing Condition

Presumptive Authorization

Prior Authorization

Proactive Allowance

Provider Enrollment and Certification

BWC/HPP-Certification
BWC-Certified Provider
Enrollment
Non-BWC Certified Provider
Provider Agreement
Provider Enrollment
Provider Type
Provider/Physician of Record (POR)
Provider Number

Q Top
R Top

Representatives

Retroactive Treatment Request

Return to Work

Return-to-Work Programs

S Top

Self-Insuring Employer

State Fund Employer

Substantial aggravation

T Top

Transitional Work

Treating Provider

Treatment Guidelines

Treatment Plan

U Top
V Top

Vocational Rehabilitation

W Top

Work/Non-Work Limitations

X Top
Y Top
Z Top

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z



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