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
state medical assistance office
Insurance; Medicare & Medicaid
A State agency that is in charge of the State?s Medicaid program and can give information about programs to help pay medical bills for people with low incomes. Also provides help with prescription ...
X12
Insurance; Medicare & Medicaid
An ANSI-accredited group that defines EDI standards for many American industries, including health care insurance. Most of the electronic transaction standards mandated or proposed under HIPAA are ...
amendments and corrections
Insurance; Medicare & Medicaid
In the final privacy rule, an amendment to a record would indicate that the data is in dispute while retaining the original information, while a correction to a record would alter or replace the ...
X12 837
Insurance; Medicare & Medicaid
The X12 Health Care Claim or Encounter transaction. This transaction can be used for institutional, professional, dental, or drug claims. Version 4010 of this transaction has been included in the ...
business associate
Insurance; Medicare & Medicaid
A person or organization that performs a function or activity on behalf of a covered entity, but is not part of the covered entity's workforce. A business associate can also be a covered entity in ...
data use agreement
Insurance; Medicare & Medicaid
Legal binding agreement which CMS requires to obtain identifiable data. It also delineates the confidentiality requirements of the Privacy Act of 1974 security safeguards, and CMS's data use policy ...
X12N/TG2/WG10
Insurance; Medicare & Medicaid
The Health Care Services Review Work Group (WG10) of the Health Care Task Group (TG2) of the Insurance Subcommittee (N) of X12. This group maintains the X12 278 Referral Certification and ...
