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  2. Preferred provider organization - Wikipedia

    en.wikipedia.org/wiki/Preferred_provider...

    Another near-universal feature is a pre-certification requirement, in which scheduled (non-emergency) hospital admissions, and in some instances, outpatient surgery, must have the prior approval of the insurer and must often undergo "utilization review" in advance. [5]

  3. Certificate of medical necessity - Wikipedia

    en.wikipedia.org/wiki/Certificate_of_medical...

    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]

  4. National Provider Identifier - Wikipedia

    en.wikipedia.org/wiki/National_Provider_Identifier

    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 ...

  5. What Documents Do I Need to Apply for Medicare? - AOL

    www.aol.com/lifestyle/applying-medicare...

    To enroll in Medicare, you need to prove your eligibility by submitting documents that verify your age, citizenship, military service (if applicable), and work history.

  6. Medicare (United States) - Wikipedia

    en.wikipedia.org/wiki/Medicare_(United_States)

    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. [7]

  7. Credentialing - Wikipedia

    en.wikipedia.org/wiki/Credentialing

    The Centers for Medicare and Medicaid Services (CMS) Conditions of Participation (CoPs) allow an originating site facility to use proxy credentialing when telemedicine services are provided by a practitioner affiliated with and credentialed by either a Medicare-participating distant site hospital or an entity that qualifies as a distant site telemedicine entity; and when there is a written ...

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    Get AOL Mail for FREE! Manage your email like never before with travel, photo & document views. Personalize your inbox with themes & tabs. You've Got Mail!