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In the US a certificate of medical necessity is a document required by Centers for Medicare and Medicaid Services to substantiate in detail the medical necessity of an item of durable medical equipment or a service to a Medicare beneficiary. [1]
the service performed—the date of the service, the description and/or insurer's code for the service, the name of the person or place that provided the service, and the name of the patient the doctor 's fee, and what the insurer allows—the amount initially claimed by the doctor or hospital, minus any reductions applied by the insurer
HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12] In April 2014, CMS released raw claims data from 2012 that gave a look into what types of doctors billed Medicare the most. [13]
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
A survey issued in 2009 by America's Health Insurance Plans found that patients going to out-of-network providers are sometimes charged extremely high fees. [117] [118] Network-based plans may be either closed or open. With a closed network, enrollees' expenses are generally only covered when they go to network providers.
Stop-loss insurance is a form of reinsurance that insures self-funded plans and their assets. Due to the limited assets at the disposal of an average employer as compared to an insurance company, an employer could easily bankrupt itself if its employees incur a large number of high-dollar claims and the employer is unable to fund them all. This ...
The ABN facilitates and streamlines many Australian business-to-government and government-to-business processes, such as Australian Tax Office transactions involving the collection and remittance of GST. If a company has an ABN, it may use the ABN in place of the ACN on documents, preceded by the letters ABN.
assuming room temperature (that is, the patient has died) assisted reproductive technology: ARVC: arrhythmogenic right ventricular cardiomyopathy: ARVD: arrhythmogenic right ventricular dysplasia: AS: aortic stenosis atherosclerosis ankylosing spondylitis: ASA: acetylsalicylic acid American Society of Anesthesiologists (physical status class) ASB
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