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PBO - Physicians' Billing Office
Glossary
Charge Documents
Development & Administration
Definitions
Policies
Provider Enrollment Government Payor Tables
Contact Us
Policies
Adjustments (Non-Contractual)
Charge Credits
Claims Management
Coding
Compliance
Denial Management
Guarantor Accounts Receivable
Non-Physician Practitioner Billing
Payment Posting and Refunds
Quality Development
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PBO - Physicians' Billing Office
Policies
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ADJUSTMENTS (NON-CONTRACTUAL)
A101 - Unbillable Services and Items
CHARGE CREDITS
C-300 - Charge in Error
CLAIMS MANAGEMENT
C401 - By Report Claims
C403 - Workers' Compensation Claims
CODING
C502 - CMS Consultation Billing
C505 - Medically Unlikely Edits
Modifiers
COMPLIANCE
C600 - Medical Coding Audit
C601 - "Red Flags Rule"
C604 - Recovery Audit Contractor (RAC) Refund Requests
C606 - Place of Service (POS) Billing
DENIAL MANAGEMENT
D103 - Medical Record Requests
D104 - Authorization Denials and Adjustments
GUARANTOR ACCOUNTS RECEIVABLE
G100 - AB-75
G101 - Agreed Settlements
G102 - Bankruptcy Adjustments
G103 - Budget and Payment Plan
G113 - Collection Agency Recalls
G104 - Deceased Patient Balance Adjustments
G105 - Fiancial Hardship
G106 - Guarantor Balances
G108 - No Professional Courtesy Discounts and Waivers
G115 - Payment Processing for UCLA East-West Center Patients
G114 - Payment Processing for UCLA Risk Factor Obesity Patients
G109 - Prompt Pay Discounts
G110 - Small Balance Adjustments
G111 - Special Administrative Adjustments
NON-PHYSICIAN PRACTIONER BILLING
C207 - Certified Nurse Midwife Billing
C205 - Nurse Practitioner Billing
C206 - Physician Assistant Billing
PAYMENT POSTING AND REFUNDS
P101 - Refunds
QUALITY DEVELOPMENT
Q100 - Quality Review Cycle
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