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Medicare & Medicaid

Medical insurance programs administered by the U.S. federal government that provide health care coverage for the elderly (people over 65) and certain people and families with low incomes and resources.

Contributors in Medicare & Medicaid

Medicare & Medicaid

nursing home deficiency

Insurance; Medicare & Medicaid

A finding that a nursing home failed to meet one or more federal or state requirements.

ESRD network

Insurance; Medicare & Medicaid

All Medicare approved ESRD facilities in a designated geographic area specified by CMS.

assigned claim

Insurance; Medicare & Medicaid

A claim submitted for a service or supply by a provider who accepts Medicare assignment.

state survey agency

Insurance; Medicare & Medicaid

Agency that inspects dialysis facilities and makes sure that Medicare standards are met.

contractor

Insurance; Medicare & Medicaid

An entity that has an agreement with CMS or another funding agency to perform a project.

self-insured

Insurance; Medicare & Medicaid

An individual or organization that assumes the financial risk of paying for health care.

incurred basis

Insurance; Medicare & Medicaid

The costs based on when the service was performed rather than when the payment was made.

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