11 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
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Medicare & Medicaid
Risk adjustment
Insurance; Medicare & Medicaid
The way that payments to health plans are changed to take into account a person's health status.
Affiliated provider
Insurance; Medicare & Medicaid
A health care provider or facility that is paid by a health plan to give service to plan members.
Abstract
Insurance; Medicare & Medicaid
Is the collection of information from the medical record via hard copy or electronic instrument.
Prevalence
Insurance; Medicare & Medicaid
The number of existing cases of a disease or condition in a given population at a specific time.
Tricare
Insurance; Medicare & Medicaid
A health care programme for active duty and retired uniformed services members and their families.
Office for civil rights
Insurance; Medicare & Medicaid
This office is part of HHS. Its HIPPA responsibilities include oversight of the privacy requirements.
Managed care plan with a point of service option (POS)
Insurance; Medicare & Medicaid
A managed care plan that lets you use doctors and hospitals outside the plan for an additional cost.
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