7 Terms
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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.
Industry: Insurance
Add a new termContributors in Medicare & Medicaid
Medicare & Medicaid
ambulatory care
Insurance; Medicare & Medicaid
All types of health services that do not require an overnight hospital stay.
National Association of Insurance Commissioners
Insurance; Medicare & Medicaid
An association of the insurance commissioners of the states and territories.
gaps
Insurance; Medicare & Medicaid
The costs or services that are not covered under the Original Medicare Plan.
full capitation (FUL)
Insurance; Medicare & Medicaid
A plan is paid for providing services to enrollees solely through capitation.
manual claim review
Insurance; Medicare & Medicaid
Review, pre- or postpayment, that requires the intervention of PSC personnel.
federal medical assistance percentage
Insurance; Medicare & Medicaid
The portion of the Medicaid program, which is paid by the Federal government.
data element
Insurance; Medicare & Medicaid
Under HIPAA, this is the smallest named unit of information in a transaction.
