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  2. 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.

  3. Medicare Improvements for Patients and Providers Act of 2008

    en.wikipedia.org/wiki/Medicare_Improvements_for...

    Medicare Improvements for Patients and Providers Act of 2008; Long title: An Act to amend Titles XVIII and XIX of the Social Security Act to extend expiring provisions under the Medicare Program, to improve beneficiary access to preventive and mental health services, to enhance low-income benefit programs, and to maintain access to care in rural areas, including pharmacy access, and for other ...

  4. Direct primary care - Wikipedia

    en.wikipedia.org/wiki/Direct_primary_care

    In the United States, direct primary care (DPC) is a type of primary care billing and payment arrangement made between patients and medical providers, without sending claims to insurance providers. It is an umbrella term , incorporating various health care delivery systems that involve direct financial relationships between patients and health ...

  5. Assisted living - Wikipedia

    en.wikipedia.org/wiki/Assisted_living

    ALF providers aiming for Medicare or Medicaid reimbursement for home health services need to comply with federal home health agency standards. ALFs can enter into contracts with Medicare or Medicaid providers to deliver covered home health, personal care, and other specified LTSS within their facilities for participating residents.

  6. Patient navigators - Wikipedia

    en.wikipedia.org/wiki/Patient_navigators

    [8] [9] The billing codes for reimbursement require that the patients served by patient navigators must possess any "serious, high-risk disease" that necessitates continuous supervision for a minimum of three months, such as cancer or HIV. The monetary rates of each billing code vary depending on the services provided.

  7. Health care provider - Wikipedia

    en.wikipedia.org/wiki/Health_care_provider

    A health care provider is an individual health professional or a health facility organization licensed to provide health care diagnosis and treatment services including medication, surgery and medical devices. Health care providers often receive payments for their services rendered from health insurance providers.

  8. Accreditation Association for Ambulatory Health Care - Wikipedia

    en.wikipedia.org/wiki/Accreditation_Association...

    The Accreditation Association for Ambulatory Health Care (AAAHC), founded in 1979, is an American organization which accredits ambulatory health care organizations, including ambulatory surgery centers, office-based surgery centers, endoscopy centers, and college student health centers, as well as health plans, such as health maintenance organizations and preferred provider organizations.

  9. Medicare Payment Advisory Commission - Wikipedia

    en.wikipedia.org/wiki/Medicare_Payment_Advisory...

    The Medicare Payment Advisory Commission (MedPAC) is an independent, non-partisan legislative branch agency headquartered in Washington, D.C. MedPAC was established by the Balanced Budget Act of 1997 (P.L. 105–33). The BBA formed MedPAC by merging two predecessor commissions, the Prospective Payment Assessment Commission (ProPAC), established ...