Medicare & Medicaid

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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Contributors in Medicare & Medicaid

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Medicare & Medicaid

Offset

Insurance; Medicare & Medicaid

The recovery by Medicare of a non-Medicare debt by reducing present or future Medicare payments and applying the amount withheld to the indebtedness. (Examples are Public Health Service debts or ...

Service area

Insurance; Medicare & Medicaid

The area where a health plan accepts members. For plans that require you to use their doctors and hospitals, it is also the area where services are provided. The plan may disenroll you if you move ...

Claim status category codes

Insurance; Medicare & Medicaid

A national administrative code set that indicates the general category of the status of health care claims. This code set is used in the X12 277 Claim Status Notification transaction, and is ...

Inpatient hospital

Insurance; Medicare & Medicaid

A facility, other than psychiatric, which primarily provides diagnostic, therapeutic (both surgical and nonsurgical) and rehabilitation services by or under the supervision of physicians, to patients ...

Business relationships

Insurance; Medicare & Medicaid

The term agent is often used to describe a person or organisation that assumes some of the responsibilities of another one. This term has been avoided in the final rules so that a more HIPAA-specific ...

Coinsurance for medicare private fee-for-service plan

Insurance; Medicare & Medicaid

The percentage of the Private Fee-for-Service Plan charge for services that you may have to pay after you pay any plan deductibles. In a Private Fee-for-Service Plan, the coinsurance payment is a ...

Military treatment facility

Insurance; Medicare & Medicaid

A medical facility operated by one or more of the Uniformed Services. A Military Treatment Facility (MTF) also refers to certain former U.S. Public Health Services (USPHS) facilities now designated ...