- Industry: 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.
The contractor that handles all Medicare direct billing payments for direct billed beneficiaries. MPCC is located in Pittsburgh, Pennsylvania.
Industry:Insurance
A CMS contractor that provides free assistance to academic and non-profit research interested in using Medicare and Medicaid data for research.
Industry:Insurance
A stipulated dollar amount established for certain health care services while other services are reimbursed on a cost or fee-for-service basis.
Industry:Insurance
A type of Medigap policy that may require you to use hospitals and, in some cases, doctors within its network to be eligible for full benefits.
Industry:Insurance
Activities to prevent and recover inappropriate Medicare benefit payments including MSP, MR/UR, provider audits, and fraud and abuse detection.
Industry:Insurance
An organization which HHS has designated for oversight of the business data content of one or more of the HIPAA-mandated transaction standards.
Industry:Insurance
The HIPAA Liaison Special Task Group of the Insurance Subcommittee (N) of X12. This group's responsibilities have been assumed by X12N/TG3/WG3.
Industry:Insurance
A letter that is required with CMS Administrator's signature when Medicare beneficiaries will be contacted to participate in a research project.
Industry:Insurance
A Medicaid program that pays for Medicare Part B premiums for individuals who have Medicare Part A, a low monthly income, and limited resources.
Industry:Insurance
A structured program of active treatment for psychiatric care that is more intense than the care you get in your doctor?s or therapist?s office.
Industry:Insurance
