Write$-$off

Medicare Physician Fee Schedule $($MPFS$)$

Code linkage

Conversion factor

X modifiers

OIG Work Plan

Adjustment

Prospective audit

Allowed charge

Downcoding

A computerized system that identifies improper or incorrect codes

A payer's review and reduction of a procedure code to a lower value than reported by the provider

The contractually set periodic prepayment amount to a provider for specified services to each enrolled plan member

Fee for a service or procedure that is charged by a provider for most patients under typical circumstances

The maximum charge allowed by a payer for a specific service or procedure

An internal audit conducted before claims are reported to payers

A change to a patient's account

The amount that a participating provider must deduct from a patient's account because of a contractual agreement to accept a payer's allowed charge

Dollar amount used to multiply a relative value unit to arrive at a charge

The OIG's annual list of planned projects under the Medicare Fraud and $hicaInitistiva$