Glossary

Glossary of Health Care and Medical Terms

In many cases,
You can click on the healthcare related term below to get a more in-depth description of that glossary term. On the extended definition page, you will be shown the longer description, plus a list of articles related to that term or topic.

Medicare - A federal health benefit program for people over 65 and disabled and disabled that covers 35 million Americans - or about 14 percent of the population - for an annual cost of over $120 billion. Medicare pays for 25 percent of all hospital care and 23 percent of all physician services.

• Physicians Alert: Is The Cardiologist Lying About Heart Bypass Surgery?
• How Can Medicare Physicians Get MIPPA e-Prescribing Incentive Payments?
• MIPPA e-Prescribing Incentive Program: How to Avoid Medicare 2011 eRx Penalty?
• EHR Software: What’s The Best Meaningful Use EHR Software?
• What Are The Meaningful Use Electronic Health Record Deadlines?
• Regional Extension Centers: Why The HITECH Act Provided Funding For RECs?
• Medicaid Health Care Providers Alert: Want to Get Paid An Easy $21,000?
• What’s This Health Care Legislation Called The HITECH Act?
• Health Care Providers Get CMS Incentive Payments: Are You Eligible?
• Electronic Prescriptions: Is Medicare Slapping You With An E-Prescribing Penalty?

Medicare Advantage Plans, sometimes called "Medicare+Choice",

Also see: Medicare, Medicare Part C

In 2003, Congress amended the federal Medicare Act, confirming that when a personal injury plaintiff receives Medicare benefits for treatment of his or her injuries, Medicare’s right to recover those payments trumps everybody else’s rights. Thus, under the amendments, Medicare can get its money from either the plaintiff or the settling defendants, even when those defendants have already paid the plaintiff.

Part A Medicare - Medical Hospital Insurance (HI) under Part A of Title XVIII of Social Security Act, which covers patients for inpatient hospital, home health, hospice, and limited skilled nursing facility services. Beneficiaries are responsible for deductibles and co-payments.

Also see: Medicare

Part B Medicare - Medicare Supplement Medical Insurance (SMI) under Part B of Title XVII of the Social ecurity Act, which covers Medicare beneficiaries for physician services, medical supplies, and other outpatient treatment. Beneficiaries are responsible for monthly premiums, co-payments, deductibles, and balance billing.

Also see: Medicare

see Medicare Advantage

Also see: Medicare

Medicare Physician Fee Schedule (MPFS) is a system whereby Medicare pays for covered physicians. It provides more than 10,000 physician services, the associated relative value units, a fee schedule status indicator and various payment policy indicators needed for payment adjustment.

• How Can Medicare Physicians Get MIPPA e-Prescribing Incentive Payments?

Also see: MPFS

A Medicare Private Fee-for-Service Plan is a Medicare Advantage Plan offered by a private insurance company. In a Medicare Private Fee-for-Service Plan, Medicare pays a set amount of money every month to the private insurance company to provide health care coverage. Medicare Private Fee-for-Service Plans must cover all medically-necessary services covered by Medicare Part A and Part B. It is not the same as a Medigap (Medicare Supplement Insurance) policy, Medicare SELECT, or Medicare Prescription Drug Plan.
Also see: Medicare, Medicare Advantage, FFS

see Medicare Advantage

Also see: Medicare

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