Healthcare RCM & Medical Billing Glossary
Plain-English definitions for 405 revenue cycle, medical-billing, coding, denial, payer, and compliance terms. Every entry leads with a 40–60 word answer block, followed by a formula (where one exists), an industry benchmark, and a worked example — reviewer-authored, cited inline.
Reviewed by QuickIntell Editorial Team · Last reviewed
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Showing 21 terms in Clinical Docs. Clear filters.
A
- AI Medical ScribeClinical Docsaka AI Scribe, Digital Scribe, Virtual Medical Scribe
An AI medical scribe is an AI system that generates clinical documentation from patient-clinician encounters, typically via passive audio c…
- Ambient Clinical DocumentationClinical Docsaka Ambient AI Documentation, Passive Clinical Scribe, Conversational AI Scribe
Ambient clinical documentation is AI-generated clinical notes created from passive audio capture during patient-clinician encounters. AI sy…
C
- CDI ProgramClinical Docsaka Clinical Documentation Program, CDI Department
A CDI Program is the organized unit — staff, workflows, technology, and governance — that operationalizes Clinical Documentation Improvemen…
- CDI Query ProcessClinical Docsaka CDI Query, Provider Query, Compliant Query
The CDI query process is the formal workflow by which clinical documentation improvement specialists request clarification or additional do…
- Chronic Care ManagementClinical Docsaka CCM, Medicare CCM
Chronic Care Management (CCM) is a Medicare Part B program that reimburses providers for non-face-to-face care coordination activities — me…
- Clinical Documentation ImprovementClinical Docsaka CDI, CDI Program, Clinical Documentation Integrity
Clinical Documentation Improvement (CDI) is the organized program of reviewing clinical documentation concurrently or retrospectively to en…
- Computer-Assisted Physician Documentation (CAPD)Clinical Docsaka CAPD, CDI Software, Physician Documentation Support
Computer-Assisted Physician Documentation (CAPD) is software that prompts physicians during documentation to add specificity, include requi…
- Consultation NoteClinical Docsaka Consult Note, Specialist Consultation, Consultation Report
A consultation note documents a specialist's evaluation and recommendations when a patient is referred by another provider for specialized…
H
- Hierarchical Condition CategoryClinical Docsaka HCC, HCC Coding, CMS-HCC
A Hierarchical Condition Category (HCC) is a CMS-defined grouping of related ICD-10 diagnosis codes used in risk-adjustment payment models…
- History and PhysicalClinical Docsaka H&P, Admission H&P
A History and Physical (H&P) is a comprehensive clinical assessment performed on admission or at initial evaluation, documenting the patien…
P
- Problem List ManagementClinical Docsaka Problem List Maintenance, Active Problem List, EHR Problem List
Problem list management is the discipline of maintaining an accurate active-condition list in the EHR, including adding new diagnoses, reso…
- Progress NoteClinical Docsaka Daily Progress Note, Visit Progress Note, Clinical Progress Note
A progress note is a clinical document recording a patient encounter — inpatient daily progress, outpatient visit, or consultation — includ…
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