- 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.
An entity that provides for or arranges for the provision of care and contracts on a prepaid capitated risk basis to provide a comprehensive set of services.
Industry:Insurance
A document that outlines a strong research design, which clearly states the objectives, background, methods and the significance of the study being proposed.
Industry:Insurance
A facility, which provides room, board, and other personal assistance services, generally on a long-term basis and which does not include a medical component.
Industry:Insurance
A prepaid managed care entity that provides less than comprehensive services on an at risk basis or one that provides any benefit package on a non-risk basis.
Industry:Insurance
A professional organization that promotes the development and use of medical informatics for patient care, teaching, research, and health care administration.
Industry:Insurance
A type of group living arrangement designed to meet the needs of people who cannot live on their own. These homes offer help with some personal care services.
Industry:Insurance
A situation in which Private Fee-for-Service Plan providers (doctors or hospitals) can charge and bill you 15% more than the plan's payment amount for services.
Industry:Insurance
Claim review and determination made using system logic (edits). Automated claim reviews never require the intervention of a human to make a claim determination.
Industry:Insurance
Usually a drug or vaccine made from a live product and used medically to diagnose, prevent, or treat a medical condition. For example, a flu or pneumonia shot.
Industry:Insurance
A facility that provides a variety of services including physicians' services, physical therapy, social or psychological services, and outpatient rehabilitation.
Industry:Insurance
