Reference Library

Healthcare Analytics Glossary

200+ terms explained in the context of clinical data and analytics — from MIPS to HCC coding to FHIR interoperability.

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Browse by Category

Clinical Measures

Clinical scoring tools, outcome metrics, and patient-level measurements used in care delivery and quality reporting.

12 terms

Revenue Cycle

Billing codes, payment models, AR metrics, and financial workflows from registration through payment posting.

15 terms

Regulatory & Compliance

Federal and international regulations, compliance frameworks, HIPAA requirements, and reporting mandates.

6 terms

Technology

Health IT standards, interoperability frameworks, data exchange protocols, and clinical informatics concepts.

4 terms

Quality Programs

Quality measurement programs, pay-for-performance models, benchmarking frameworks, and population health management.

14 terms

All Terms A–Z

50 terms across clinical measures, revenue cycle, compliance, technology, and quality programs.

A B C D E F G H I L M N P Q R S V

A

Accountable Care Organization (ACO)Quality A1C (HbA1c)Clinical Annual Wellness Visit (AWV)Clinical

B

Business Associate Agreement (BAA)Regulatory BenchmarkQuality Bundled PaymentsRevenue

C

CapitationRevenue Care CoordinationClinical Care GapQuality Case Mix Index (CMI)Revenue Chronic Care Management (CCM)Clinical Claim DenialRevenue Clean Claim RateRevenue Clinical Decision Support (CDS)Technology CMS Quality ReportingRegulatory CPT CodeRevenue

D

Days in ARRevenue Decile RankingQuality Denial RateRevenue Diagnosis-Related Group (DRG)Revenue

E

E&M CodingRevenue

F

Fee-for-Service (FFS)Revenue FHIRTechnology

G

H

HCAHPSQuality HCC CodingRevenue HEDISQuality HL7Technology Hospital Readmissions Reduction Program (HRRP)Regulatory

I

ICD-10Regulatory InteroperabilityTechnology

L

LACE ScoreClinical Length of Stay (LOS)Clinical

M

MACRARegulatory MIPSQuality

N

NPS / Patient SatisfactionQuality

P

Patient AcuityClinical Patient-Centered Medical Home (PCMH)Quality Protected Health Information (PHI)Regulatory PHQ-9Clinical Population HealthQuality Prior Authorization (PA)Revenue

Q

Quality and Outcomes Framework (QOF)Quality Quality MeasureQuality

R

RAF ScoreRevenue Readmission RateClinical Revenue CycleRevenue Risk StratificationQuality Remote Patient Monitoring (RPM)Clinical

S

Social Determinants of Health (SDOH)Clinical

V

Value-Based CareQuality

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