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)

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 look-up
Resource Based Relative Value Scale (RBRVS)
Remittance Advice
Unbundle Charges
V-Codes

Black lung

BWC Order

C Top

Claims

Accident description
Additional conditions/Subsequent decision
Alleged condition/Alleged injury
Allowances/Allowed conditions/Allowed diagnoses
BWC-required data elements
Case management
Causality/Causally related
Causal relationship
Claim allowance
Claim history
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
Parties to the claim
Primary diagnosis/Principal diagnosis
Self-insured claims
Type of accident
Work-related

Comprehensive General Liability Insurance

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

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 examination (IME)
Medical file review (Non C-92-A)
Medical review
Utilization review

Emergency/Emergency Services

F Top
G Top
H Top

Hearing

I Top

International Classification of Diseases (ICD)

Industrial Commission

Injury

J Top
K Top
L Top
M Top

Managed care

Managed care organization (MCO)

Marine Industrial Fund

MCO Directory

MCO standard prior authorization table

Medical documentation

Initial reports
Subsequent reports

Medically necessary

Modified duty

N Top

Non-covered services

Non-emergency services

O Top

Occupational disease (OD)

P Top

Pharmacy Benefits Program

Accept assignment
Prior authorization

Peer review

Physician of record

Pre-existing condition

Presumptive authorization

Prior authorization

Proactive allowance

Provider enrollment and certification

Q Top
R Top

Reporting an injury

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
X Top
Y Top
Z Top


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