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The X12 834 EDI Enrollment Implementation Format is a standard file format in the United States for electronically exchanging health plan enrollment data between employers and health insurance carriers.
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]
This is the primary application of ReqIF, as development across organizations is happening more and more often. ReqIF allows for sharing of requirements between partners, even if different tools are used. In contrast to formats like Word, Excel or PDF, ReqIF allows for a loss-free exchange.
Lyndon B. Johnson signing the Medicare amendment (July 30, 1965). Former president Harry S. Truman (seated) and his wife, Bess, are on the far right.. Originally, the name "Medicare" in the United States referred to a program providing medical care for families of people serving in the military as part of the Dependents' Medical Care Act, which was passed in 1956. [6]
The Physician Quality Reporting System (PQRS), formerly known as the Physician Quality Reporting Initiative (PQRI), is a health care quality improvement incentive ...
Supplier evaluation is a continual process within purchasing departments, [4] and forms part of the pre-qualification step within the purchasing process, although in many organizations, it includes the participation and input of other departments and stakeholders. Most experts or firms experienced in collecting supplier evaluation information ...
Although the federal Medicare program and the federal-state Medicaid programs possess some monopsonistic purchasing power, the highly fragmented buy side of the U.S. health system is relatively weak by international standards, and in some areas, some suppliers such as large hospital groups have a virtual monopoly on the supply side. [103]
According to a BSI document "Principles of PAS standardization" "The term PAS was originally an acronym derived from "publicly available specification". However, not all PAS documents are structured as specifications and the term is now sufficiently well established not to require any further amplification."