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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
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Medicare & Medicaid
Provider survey data
Insurance; Medicare & Medicaid
Data collected through a survey or focus group of providers who participate in the Medicaid programme and have provided services to enrolled Medicaid beneficiaries. The State or a contractor of the ...
Coordination of benefits
Insurance; Medicare & Medicaid
A programme that determines which plan or insurance policy will pay first if two health plans or insurance policies cover the same benefits. If one of the plans is a Medicare health plan, Federal law ...
Summarised income rate
Insurance; Medicare & Medicaid
The ratio of (1) the present value of the tax revenues incurred during a given period (from both payroll taxes and taxation of OASDI benefits), to (2) the present value of the taxable payroll for the ...
Medicare handbook
Insurance; Medicare & Medicaid
The Medicare Handbook provides information on such things as how to file a claim and what type of care is covered under the Medicare program. This handbook is given to all beneficiaries when first ...
Internal revenue service/social security administration/health care financing administration data match
Insurance; Medicare & Medicaid
A process by which information on employers and employees is provided by the IRS and SSA and is analysed by CMS for use in contacting employers concerning possible periods of MSP. This information is ...
Health Care Code Maintenance Committee
Insurance; Medicare & Medicaid
An organisation administered by the BCBSA that is responsible for maintaining certain coding schemes used in the X12 transactions and elsewhere. These include the Claim Adjustment Reason Codes, the ...
General fund of the treasury
Insurance; Medicare & Medicaid
Funds held by the Treasury of the United States, other than revenue collected for a specific trust fund (such as SMI) and maintained in a separate account for that purpose. The majority of this fund ...