- 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.
Toll-free telephone lines, usually staffed by the State or enrollment broker that beneficiaries may call when they encounter a problem with their MCO/PHP. The people who staff hotlines are knowledgeable about program policies and may play an "intake and triage" role or may assist in resolving the problem.
Industry:Insurance
A group of data elements that represent core items of a comprehensive assessment for an adult home care patient and form the basis for measuring patient outcomes for purposes of outcome-based quality improvement (OBQI). This assessment is performed on every patient receiving services of Home Health agencies that are approved to participate in the Medicare and/or Medicaid programs.
Industry:Insurance
Dodávateľ hostí Medicare nárokov na zabezpečenie, že služby bolo potrebné a vhodné.
Industry:Insurance
Dodávateľ hostí Medicare nárokov na zabezpečenie, že služby bolo potrebné a vhodné.
Industry:Insurance
Údaje týkajúce sa finančného stavu riadenej starostlivosti subjektov (napr. lekárskych strata pomer).
Industry:Insurance
Niečo urobiť, aby pomohol s zdravotný problém. Napríklad, medicíny a chirurgie sú liečby.
Industry:Insurance
CALs is an abbreviated process, similar to the NCD process, for making changes to the coding component of the negotiated laboratory NCDs. The process is used for adjusting the list of covered (or non-covered) ICD-9-CM diagnosis codes and coding guidance in the NCDs when there is a question regarding whether the code flows from the narrative indications in the NCD. A tracking sheet is posted opening a CAL and a 30-day public comment period follows. A decision memorandum announcing and explaining the decision is posted following the comment period. Changes are implemented in the next available quarterly update of the laboratory edit module. More details regarding the process can be found in 68 FR 74607.
Industry:Insurance
Očakávané úrovne dosiahnutia alebo špecifikácií, proti ktorému je možné posúdiť výkon.
Industry:Insurance
Zdravotníckych služieb počas určitého obdobia času, zvyčajne počas pobytu v nemocnici.
Industry:Insurance
Účely identifikovateľné údaje môžu byť zhromažďované a oprávnenie poskytnúť identifikačné údaje.
Industry:Insurance
