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A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
To find a doctor who accepts Medicare, a person can visit the Medicare website and search using their location and either the name of the doctor or a keyword related to the doctor’s specialty
Include sufficient primary care ACO professionals for its Medicare fee-for-service beneficiaries Accept at least 5,000 beneficiaries Provide the Secretary with such information as the Secretary determines necessary to support the assignment of Medicare fee-for-service beneficiaries, the implementation of quality and other reporting requirements ...
Unlike PPOs, however, HMOs often require members to select a primary care physician (PCP), a doctor who acts as a gatekeeper to direct access to non-emergency medical services, and are required to first obtain a referral from their PCP in order to be reimbursed for the cost of medical services inside of their network of designated doctors and ...
Medicare is a federal health insurance program designed for people aged 65+ and older, as well as younger individuals with certain disabilities or medical conditions. More than 66 million people ...
A primary care physician is usually the first medical practitioner contacted by a patient because of factors such as ease of communication, accessible location, familiarity, and increasingly issues of cost and managed care requirements. In many countries residents are registered as patients of a (local) family doctor and must contact that ...
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