Successful managers don't just happen; they're created. To become one, you'll need dedication, experience, and a willingness to grow both professionally and personally. All managers started where you are right now. Be...[ For more details and to view the Webcast, click here.]

AAPCC - see Adjusted Average Per Capita Cost.

ABC - see Activity-Based Costing.

Abuse - When used as a legal term in the business of healthcare, it normally r...[ For more details and to view the Webcast, click here.]

Balance Billing - The practice of billing a patient for the fee amount remaining after insurer payment and co-payment have been made. Under Medicare, the excess amount cannot be more than 15 percent above the approved charge. For more details and to view the Webcast, click here.]

Cafeteria Plan - Arrangements under which employees may choose their own benefit structure. Sometimes these are varying benefit plans or add-ons provided through the same insurer or 3rd party administrator, oth...[ For more details and to view the Webcast, click here.]

Data Aggregation ?Combining of sets of protected health information by a business associate to permit data analysis.

Database Management System (DBMS) - The separation of data from the computer application that allows e...[ For more details and to view the Webcast, click here.]

EAP - See Employee Assistance Program

Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) - A Medicaid program for recipients younger than 21 that provides screening, vision...[ For more details and to view the Webcast, click here.]

Fail First Requirements (also called Step Therapy) - Drug plans may require an enrollee to try one drug before the plan will pay for another drug. Step therapy aims to control costs by requiring that enrollees...[ For more details and to view the Webcast, click here.]

Gag Clause - A provision of a contract between a managed care organization and a health care provider that restricts the amount of information a provider may share with a beneficiary or that limits the circumst...[ For more details and to view the Webcast, click here.]

HAI - See Hospital-Acquired Infection.

HCFA 1500 - The Health Care Finance Administration's standard form for submitting provider service claims to third party companies or insurance c...[ For more details and to view the Webcast, click here.]

IBNR - See Incurred But Not Reported, below.

ICD-9-CM or ICD-10-CM - See International Classification of Diseases, below.

IDS or ISN - see Integrated Delivery...[ For more details and to view the Webcast, click here.]