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
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Medicare & Medicaid
Utah health information network
Insurance; Medicare & Medicaid
A public-private coalition for reducing health care administrative costs through the standardisation and electronic exchange of health care data.
Certificate of medical necessity
Insurance; Medicare & Medicaid
A form required by Medicare that allows you to use certain durable medical equipment prescribed by your doctor or one of the doctor?s office staff.
Multiple employer plan
Insurance; Medicare & Medicaid
A health plan sponsored by two or more employers. These are generally plans that are offered through membership in an association or a trade group.
Side effect
Insurance; Medicare & Medicaid
A problem caused by treatment. For example, medicine you take for high blood pressure may make you feel sleepy. Most treatments have side effects.
Medicare exclusions
Insurance; Medicare & Medicaid
Items or services that Medicare does not cover, such as most prescription drugs, long-term care, and custodial care in a nursing or private home.
Profiles
Insurance; Medicare & Medicaid
Data segregated by specific time period (e.g. quarterly, annually) and target area (e.g. facility, State) for the purpose of identifying patterns.
Status location
Insurance; Medicare & Medicaid
An indicator on a claim record describing the queue where the claim is currently situated and the action that needs to be performed on the claim.
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