9 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
Review of claims
Insurance; Medicare & Medicaid
Using information on a claim or other information requested to support the services billed, to make a determination.
Regional home health intermediary (RHHI)
Insurance; Medicare & Medicaid
A private company that contracts with Medicare to pay home health bills and cheque on the quality of home health care.
Social security administration
Insurance; Medicare & Medicaid
The Federal agency that, among other things, determines initial entitlement to and eligibility for Medicare benefits.
Fiscal intermediary
Insurance; Medicare & Medicaid
A private company that has a contract with Medicare to pay Part A and some Part B bills. (Also called "Intermediary.")
Occupational therapy
Insurance; Medicare & Medicaid
Services given to help you return to usual activities (such as bathing, preparing meals, housekeeping) after illness.
Year of exhaustion
Insurance; Medicare & Medicaid
The first year in which a trust fund is unable to pay benefits when due because the assets of the fund are exhausted.
State certification
Insurance; Medicare & Medicaid
Inspections of Medicare provider facilities to ensure compliance with Federal health, safety, and programme standards.
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