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  2. National coverage determination - Wikipedia

    en.wikipedia.org/wiki/National_coverage...

    It is a form of utilization management and forms a medical guideline on treatment. Medicare coverage is limited to items and services that are considered "reasonable and necessary" for the diagnosis or treatment of an illness or injury (and within the scope of a Medicare benefit category). [2]

  3. Clinical documentation improvement - Wikipedia

    en.wikipedia.org/wiki/Clinical_documentation...

    Clinical documentation improvement (CDI), also known as "clinical documentation integrity", is the best practices, processes, technology, people, and joint effort between providers and billers that advocates the completeness, precision, and validity of provider documentation inherent to transaction code sets (e.g. ICD-10-CM, ICD-10-PCS, CPT, HCPCS) sanctioned by the Health Insurance ...

  4. Emergency Medical Treatment and Active Labor Act - Wikipedia

    en.wikipedia.org/wiki/Emergency_Medical...

    The Hill-Burton Act of 1946, which provided federal assistance for the construction of community hospitals, established nondiscrimination requirements for institutions that received such federal assistance—including the requirement that a "reasonable volume" of free emergency care be provided for community members who could not pay—for a period for 20 years after the hospital's construction.

  5. Emergency medical services in the United States - Wikipedia

    en.wikipedia.org/wiki/Emergency_medical_services...

    In this option, rather than being an integral part of (or in some cases, an "add-on" to) one of the traditional "emergency" services (fire and police), the service is organized as a separate, free-standing, municipal department, with organization that may be similar to, but operated independently from, either the fire or police departments. [5]

  6. American College of Emergency Physicians - Wikipedia

    en.wikipedia.org/wiki/American_College_of...

    In early 2021, ACEP received an $8,000 grant from Pfizer to fund a public service announcement on vaccine confidence. [7] On March 19, 2021, ACEP published a joint statement in support of COVID-19 vaccines alongside the American College of Medical Toxicology and the American Academy of Emergency Medicine. [8]

  7. 50 Real-Life Insurance Horror Stories That Might Leave You ...

    www.aol.com/americans-share-55-insurance-horror...

    Image credits: En-TitY_ #6. My brother was murdered by UnitedHealthcare. They fought him and denied every single test, treatment, and prescription until it was too late and he was terminal.

  8. Baby Has $5 Million Surgery to Remove Left Side of Brain at ...

    www.aol.com/lifestyle/baby-5-million-surgery...

    Never miss a story — sign up for PEOPLE's free daily newsletter to stay up-to-date on the best of what PEOPLE has to offer , from celebrity news to compelling human interest stories. The Mesa Family

  9. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.