- Sektör: Government
- Number of terms: 15199
- Number of blossaries: 0
- Company Profile:
The federal agency that runs the Medicare program. In addition, CMS works with the States to run the Medicaid program. CMS works to make sure that the beneficiaries in these programs are able to get high quality health care.
A standard for communicating images, such as x-rays, in a digitized form. This standard could become part of the HIPAA claim attachments standards.
Industry:Insurance
Refers to the exchange of routine business transactions from one computer to another in a standard format, using standard communications protocols.
Industry:Insurance
The recovery by Medicare of any Medicare debt by reducing present or future Medicare payments and applying the amount withheld to the indebtedness.
Industry:Insurance
A medical code set or an administrative code set that is required to be used by the adopted implementation specification for a standard transaction.
Industry:Insurance
The good and bad parts of treatment for a health problem. For example, a medicine may help your pain (pro), but it may cause an upset stomach (con).
Industry:Insurance
A data dictionary that defines and cross-references the contents of all X12 transactions included in the HIPAA mandate. It is maintained by X12N/TG3.
Industry:Insurance
An insurer of a GHP is an entity that, in exchange for payment of a premium, agrees to pay for GHP-covered services received by eligible individuals.
Industry:Insurance
Data that are aggregated by the capitated managed care entity (e.g. the number of primary care visits provided by the plan during the calendar year).
Industry:Insurance
Payment codes for services or items in FL 42 of the UB-92 found in Medicare and/or NUBC (National Uniform Billing Committee) manuals (42X, 43X, etc.)
Industry:Insurance
The difference between the percentage increases before rounding in (1) the average annual wage in covered employment, and (2) the average annual CPI.
Industry:Insurance
