- Отрасли: Government
- Number of terms: 15199
- Number of blossaries: 0
- Company Profile:
The federal agency that runs the Medicare program. In addition, CMS works with the States to run the Medicaid program. CMS works to make sure that the beneficiaries in these programs are able to get high quality health care.
Jednotlivec, ktorý sa vzťahuje Medicaid program, však teraz označovaná ako príjemca.
Industry:Insurance
Medzinárodný EDI formát. Interaktívna X 12 transakcií použite syntax správu EDIFACT.
Industry:Insurance
V rámci tejto správy, Alternatívny názov pre "kvalifikované opatrovateľské služby zariadenia."
Industry:Insurance
The EMT-Basic has the knowledge and skills of the First Responder but is also qualified to function as minimum staff for an ambulance. Example: At the scene of a cardiac arrest, the EMT-Basic would be expected to defibrillate and ventilate the patient with a manually operated device and supplemental oxygen.
Industry:Insurance
Means any specialty, inpatient, outpatient or laboratory services that are ordered or arranged, but not furnished directly. Certain situations may exist that should be considered referral services for purposes of determining if a physician/group is at substantial financial risk. For example, an MCO may require a physician group/physician to authorize "retroactive" referrals for emergency care received outside the MCO's network. If the physician group/physician's payment from the MCO can be affected by the utilization of emergency care, such as a bonus if emergency referrals are low, then these emergency services are considered referral services and need to be included in the calculation of substantial financial risk. Also, if a physician group contracts with an individual physician or another group to provide services that the initial group cannot provide itself, any services referred to the contracted physician group/physician should be considered referral services.
Industry:Insurance
A MCO is a health maintenance organization, an eligible organization with a contract under §1876 or a Medicare-Choice organization; a provider sponsored organization or any other private or public organization, which meets the requirements of §1902(w). These MCOs provides comprehensive services to both commercial and/or Medicare, as well as Medicaid enrollees.
Industry:Insurance
Mesačné prémie vyplácané tých jednotlivcov, ktorí sa zapísal do dobrovoľného programu SMI.
Industry:Insurance
Produkovať očakávané výsledky tejto PRASNICU, definované v časti 1.B., účel zmluvy.
Industry:Insurance
Súkromná spoločnosť, že zmluvy s Medicare platiť účty pre zdravotníckych zariadení dlhodobej spotreby.
Industry:Insurance
Náklady na službu, keď bola platba skôr než kedy bola vykonaná služba.
Industry:Insurance
