17 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
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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