3 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
Long-term care insurance
Insurance; Medicare & Medicaid
A private insurance policy to help pay for some long-term medical and non-medical care, like help with activities of daily living. Because Medicare generally does not pay for long-term care, this ...
First responder
Insurance; Medicare & Medicaid
The First Responder uses a limited amount of equipment to perform initial assessment and intervention and is trained to assist other Emergency Medical Services (EMS)providers. Example: At the scene ...
Coordinated care plan
Insurance; Medicare & Medicaid
A plan that includes a CMS-approved network of providers that are under contract or arrangement with the M+C organisation to deliver the benefit package approved by CMS. Coordinated care plans ...
Nursing facility
Insurance; Medicare & Medicaid
A facility which primarily provides to residents skilled nursing care and relate services for the rehabilitation of injured, disabled, or sick persons, or on a regular basis, health related care ...
Present value
Insurance; Medicare & Medicaid
The present value of a future stream of payments is the lump-sum amount that, if invested today, together with interest earnings would be just enough to meet each of the payments as it fell due. At ...
Coverage analysis for laboratories (CALS)
Insurance; Medicare & Medicaid
CALs is an abbreviated process, similar to the NCD process, for making changes to the coding component of the negotiated laboratory NCDs. The process is used for adjusting the list of covered (or ...
Substantial financial risk
Insurance; Medicare & Medicaid
Means an incentive arrangement that places the physician or physician group at risk for amounts beyond the risk threshold, if the risk is based on the use or costs of referral services. The risk ...
