ECA definitions Flashcards
VisitID
Unique patient ID representing each surgery (visit)
InsertDatetime
When the visit was created in HST
UpdateDatetime
When the visist was updated in HST
UdmDatetime
The date stamp of the last time the data was updated in the UDM. This does not tie back to HST.
SourceSystem
The patient accounting system
LocalFacilityID
This field is for centers with multiple patient accounting system instances (Example: Mt. Pleasant 50016 has local facility 1 for its ASC, local facility 2 for its Anesthesia billing, and local facility 3 for its CRNA billing)
FacilityID
Unique numeric identifier for each facility
BusinessUnitID
Unique numeric identifier for each facility (same as facility ID)
LocalFacility
Unique numeric identifier for each facility (same as facility ID)
PatientID
This is a join field from multiple patient accounting tables in HST
PatientKey
This is a join field from multiple patient account tables in HST
LocalPatientID
The patient ID from HST
VisitNumber
How you differentiate in between different visits. (Example: 2= visit #2 for the patient)
AccountNumber
The same as LocalPatientID. The patient ID from HST
DateOfService
Day the surgery occurred
DateOfServiceYear
Year the surgery occurred
DateOfServiceMonth
Month the surgery occurred
DateOfServiceAccountingPeriod
The month and year of the surgery (Shown as 202201= January 2022)
ScheduledRoom
Room the surgery occurred in (examples: OR 1, OR 2)
BillingNumber
How you differentiate in between different visits that were billed. This shows which visit we are billing for. (Example: 2= visit #2 for the billed for the patient)
TotalCharges
The total billed charges on a case inclusive of all CPT and HCPCS codes. Pulled from HST/ patient accounting system.
TotalPayments
The total payments on a case inclusive of all payments (insurance and patient). Pulled from HST/ patient accounting system.
TotalContAdjustments
The total adjustments we need to take on a case based on our contract. Pulled from HST/ patient accounting system.
TotalRefunds
The total amount of money refunded to a patient or insurance provider.
TotalBaddebt
The total amount that a patient did not pay. This debt is written off and goes to collections.
TotalOtherAdjustments
An adjustment taken on an account which does not fall into any other category.
BalanceDue
The balance on the account in HST
PhysicianCode
The code assigned to a physician when a teammate at the center creates a profile for them in HST.
PhysicianName
The name of the physician performing the surgery
PhysicianSpecialtyCode
The abbreviation of the physician’s specialty performing the surgery (Examples: ORT, POD, ANS)
PhysicianSpecialtyDescription
The specialty of the physician performing the surgery (Examples: Orthopaedics, Podiatry, Pain Management)
FinancialClass
The number that correlates with a payer type. (example: 6= BCBS)
FinancialClassDescription
A grouping of different payors into similar categories for billing purposes. Rev Cycle recommends using this for analytics.
PayerAccountCode
The number that correlates with the payer name in the HST hierarchy. (example: 221= BCBS of TX HMO)
PayerName
The specific type of insurance provided by the patient. (Example: BCBS of Texas)
PayerPriority
This ranks the payers in the order they were billed. Primary payer = priority 1, secondary payer = priority 2
PayerType
A grouping of payors that shows federal health insurance, private insurance, and patient pay. (Examples: Commercial, Medicare, Medicaid, Self Pay)
PayerProduct
The same as Payer Type.
FundingPayer
The entity processing the claim.
PayerParentNatl
A mapped field of individual payers at the BUCAH level, as defined by Payer Analytics; similar to ContractedPayer, just at the higher level
ContractedPayer
A mapped field of individual payers that aligns with Funding Payer
PrimaryCPT
The five digit number representing the primary surgery being performed. Current Procedural Terminology(CPT)- used to describe the procedure performed by the healthcare provider on a patient)
PrimaryCPTDescription
The description of the primary surgery being performed
PrimaryCPTSpecialtyCode
The abbreviation of the specialty of the surgery being performed
PrimaryCPTSpecialtyDescription
The specialty of the surgery being performed
ORStartTime
The time the surgery starts in the OR
OREndTime
The time the surgery ends in the OR
ORMinutes
The number of minutes the patient is in the OR
PreparationStartTime
The time the preparation for surgery starts
PreparationEndTime
The time the preparation for surgery ends
PreparationMinutes
The number of minutes a patient is being prepared for surgery
RecoveryRoomStartTime
The time recovery starts
RecoveryRoomEndTime
The time recovery ends
RecoveryRoomMinutes
The number of minutes a patient is in recovery
CPT01_BilledCPTCode
The 1st CPT being billed to insurance based on a coder’s recommendation. This CPT is meant to encompass the core aspect of the surgery and will drive total reimbursement for the case.
CPT02_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT03_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT04_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT05_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT06_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT07_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT08_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT09_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT10_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT11_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT12_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT13_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT14_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT15_BilledCPTCode
CPT 2-15 are the 5 number codes that represent the additional procedures performed during surgery
CPT01_BilledCPTDescription
The 1st CPT description being billed to insurance based on a coder’s recommendation. This CPT is meant to encompass the core aspect of the surgery and will drive total reimbursement for the case.
CPT02_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery
CPT03_BilledCPTDescription
CPT 2-15 are the procedure descriptions that represent the additional procedures performed during surgery