AAHAM Certified Revenue Cycle Professional (CRCP) Terms - 2015 (KD)

3-Day Rule - ANSWER a requirement that all diagnostic or outpatient services furnished in connection with the principle admitting diagnosis within three days prior to the hospital admission are bundled with the inpatient services for Medicare billing 837I - ANSWER the American National Standards Institute transaction for an institutional claim; as a result of HIPAA, it is replacing the electronic UB-04. 837P - ANSWER a former American National Standards Institute transaction for a professional claim (the electronic equivalent of the CMS 15000), since replaced by the 5010A1 838 - ANSWER quarterly Medicare Credit Balance Report CMS 1450 - ANSWER another name for the UB-04 Uniform Bill form. CMS 1500 - ANSWER the billing form used to submit physician and professional service claims to Medicare.