5 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
EMT-basic
Insurance; Medicare & Medicaid
The EMT-Basic has the knowledge and skills of the First Responder but is also qualified to function as minimum staff for an ambulance. Example: At the scene of a cardiac arrest, the EMT-Basic would ...
Hospitalist
Insurance; Medicare & Medicaid
A doctor who primarily takes care of patients when they are in the hospital. This doctor will take over your care from your primary doctor when you are in the hospital, keep your primary doctor ...
Local medical review policy (LMRP)
Insurance; Medicare & Medicaid
LMRP is an administrative and educational tool to assist providers, physicians and suppliers in submitting correct claims for payment. Local policies outline how contractors will review claims to ...
Lifetime reserve days
Insurance; Medicare & Medicaid
In the Original Medicare Plan, 60 days that Medicare will pay for when you are in a hospital more than 90 days during a benefit period. These 60 reserve days can be used only once during your ...
Authorization
Insurance; Medicare & Medicaid
MCO approval necessary prior to the receipt of care. (Generally, this is different from a referral in that, an authorization can be a verbal or written approval from the MCO whereas a referral is ...
Consolidated Omnibus Budget Reconciliation Act (COBRA)
Insurance; Medicare & Medicaid
A law that lets some people keep their employer group health plan coverage for a period of time after: the death of your spouse, losing your job, having your working hours reduced, leaving your job ...
NNPI enumerator
Insurance; Medicare & Medicaid
An organisation under contract with the centres for Medicare & Medicaid Services whose responsibility includes, but is not limited to, the processing of applications for, and deactivations of, ...
