20 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
CMS agent
Insurance; Medicare & Medicaid
Any individual or organization, public or private, with whom CMS has a contractual arrangement to contribute to or participate in the Medicare survey and certification process. The State survey ...
CMS directed improvement process
Insurance; Medicare & Medicaid
A CMS directed improvement project is any project where CMS specifies the subject, size, pace, data source, analytic techniques, educational intervention techniques, or impact measurement model. ...
Recipient
Insurance; Medicare & Medicaid
An individual covered by the Medicaid program, however, now referred to as a beneficiary.
Durable medical equipment regional carrier (DMERC)
Insurance; Medicare & Medicaid
A private company that contracts with Medicare to pay bills for durable medical equipment.
Extended care services
Insurance; Medicare & Medicaid
In the context of this report, an alternate name for "skilled nursing facility services."
Measurement
Insurance; Medicare & Medicaid
The systematic process of data collection, repeated over time or at a single point in time.
United Nations Rules for Electronic Data Interchange for Administration, Commerce, and Transport
Insurance; Medicare & Medicaid
An international EDI format. Interactive X12 transactions use the EDIFACT message syntax.
