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PBO - Physicians' Billing Office
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Definitions
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Adjustments (Non-Contractual)
A101 - Unbillable Services and Items
Charge Credits
C300 - Charge in Error
Claims Management
C401 - By Report Claims
C403 - Workers' Compensation Claims
Coding
C502 - CMS Consultation Billing
C505 - Medically Unlikely Edits
Compliance
C606 - Place of Service (POS) Billing
C600 - Medical Coding Audit
C601 - Red Flags Rule
C604 - Recovery Audit Contractor Refund Requests
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 - Financial Hardship
G106 - Guarantor Balances
G108 - No Professional Courtesy Discounts and Waivers
G115 - Payment Processing for UCLA East-West Medicine 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 Practitioner 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
Provider Enrollment Government Payor Tables
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Giving and Receiving Feedback Course
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CHARGE DOCUMENTS - UROLOGY
