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2 edition of Glossary of Managed Care Medical Terms, Abbreviations and Acronyms found in the catalog.

Glossary of Managed Care Medical Terms, Abbreviations and Acronyms

Glossary of Managed Care Medical Terms, Abbreviations and Acronyms

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Published by Apollo Managed Care Consultants .
Written in English


The Physical Object
FormatRing-bound
ID Numbers
Open LibraryOL12218965M
ISBN 101893826554
ISBN 109781893826557

Managed care The term managed care or managed health care is used in the United States to describe a variety of techniques intended to reduce the cost of providing health benefits and improve the quality of care for organizations that use those techniques or provide them as services to other organizations, or to describe systems of financing and delivering health care to enrollees organized. HCEARA - Health Care and Education Affordability Reconciliation Act of HCPCS - Healthcare Common Procedure Coding System HCP - New York State Association of Health Care Providers.

Glossary of Acronyms and Terms Commonly Used in Informatics Last updated: 04/17/ AHRQ: Agency for Healthcare Research and Quality - A federal agency within the US Department of Health and Human Services (HHS) with a mission to improve the quality, safety, efficiency, and effectiveness of health care for all Americans. This glossary of medical terms is a list of definitions about medicine, its sub-disciplines, and related fields.. Most of the terms listed in Wikipedia glossaries are already defined and explained within Wikipedia itself. However, glossaries like this one are useful for looking up, comparing and reviewing large numbers of terms list: Medical specialty.

Glossary of Commonly Used Healthcare Terms B Program: The B Drug Pricing Program enables eligible health care organizations (known as covered entities) File Size: KB.   Medical Terms Glossary. PDF download: Glossary of Health Coverage and Medical Terms – Glossary of Health Coverage and Medical Terms.. • This glossary has many commonly used terms, but isn't a full glossary terms and definitions are intended to be educational and may be different from the terms and definitions in your plan.


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Glossary of Managed Care Medical Terms, Abbreviations and Acronyms Download PDF EPUB FB2

Glossary of Managed Care Medical Terms, Abbreviations and Acronyms [MD Margaret D. Bischel] on *FREE* shipping on qualifying offers. Great resource for any health care facility. Medicare, Managed Care, Vision Glossary of Managed Care Medical Terms and healthcare-related Legal terms & acronyms are Abbreviations and Acronyms book.

Do Not Use list of abbreviations. Links to many online glossaries. Common managed care terms and their meaning. Adherence (also called Compliance) The ability of a patient to take a medication or follow a treatment protocol according to the prescriber’s instructions; a patient taking the prescribed dose of medication at the prescribed frequency for the prescribed length of time for at least 80% of the time.

57 rows    Appendix C: Glossary Of Health Care Terms And Acronyms. Appendix C:. Agent - A person who is authorized by an MCO or an insurer to act on its behalf to negotiate, sell, and service managed care contracts.

Aggregate stop-loss coverage - A type of stop-loss insurance that provides benefits when a group's total claims during a specified period exceed a stated amount. Ambulatory care facility (ACF) - A medical care center that provides a wide range of healthcareFile Size: KB.

Primary Care Network (PCN)–A group of primary care physicians who share the risk of providing care to members of a given health plan. Primary Care Provider (PCP)–The provider that serves as the initial interface between the member and the medical care system. The PCP is usually a physician, selected by the member upon enrollment, who is.

Glossary of Acronyms, Abbreviations and Terms for Recipients The following is a listing of acronyms and abbreviations that one may encounter while interacting with the Human Services Department. This listing is only intended to be used as a resource, and may not be a comprehensive list of all terms.

This comprehensive book includes a complete glossary of managed care terms, acronyms, and initialisms to help health care workers navigate this complex vocabulary. Written in plain English, even the lay person can understand and apply the by: 1.

Vermont Health Care Resources 2 Health Care Terms A academic medical center A group of related institutions including a teaching hospital or hospitals, a medical school and its affiliated faculty practice plan, and other health professional schools. access An individual’s ability to obtain appropriate health care services.

Barriers to. The Medicaid and CHIP Payment and Access Commission is a non-partisan legislative branch agency that provides policy and data analysis and makes recommendations to Congress, the Secretary of the U.S. Department of Health and Human Services, and the states on a wide array of issues affecting Medicaid and the State Children’s Health Insurance Program (CHIP).

L.A. Care Health Plan hopes that this first edition of the English-Spanish Managed Care Glossary of Termsis used to improve communication with Spanish speakers. Although this glossary is not exhaustive, it reflects an attempt to unify the usage of words that are consis-tently used in a managed care setting.

Many of the terms included in this glos-File Size: KB. Common managed care terms and definitions. each company pays the correct portion of the charges and doesn't reimburse the claimant for more than the cost of the medical care. This term refers to insurance plans that include little or no managed care components and simply pay a portion of medical bills incurred by the member.

Managed care--Health care systems that integrate the financing and delivery of appropriate health care services to covered individuals by arrangements with selected providers to furnish a comprehensive set of health care services, explicit standards for selection of the care providers, formal programs for ongoing quality assurance and.

Glossary of Pharmaceutical Terms and Acronyms This glossary provides brief descriptions of selected terms and concepts related to the pharmaceutical industry. It is not intended to be a comprehensive list of relevant terms or to provide a complete explanation of the included terms and concepts.

AAC: Actual Acquisition Cost. Usually a surveyed. Glossary. This glossary is intended to define terms commonly encountered throughout this workshop summary as well as some terms that are commonly used in the managed care industry.

This glossary is not all-inclusive. New terms and new usages of existing terms will emerge with time and advances in by: 7. Department of Health and Human Services (HHS) Dependent Coverage. Domestic Partnership.

Donut Hole, Medicare Prescription Drug. Durable Medical Equipment (DME) Early and Periodic Screening, Diagnostic, and Treatment Services (EPSDT) Eligibility Assessment. Eligible Immigration Status. Emergency Medical Condition. Emergency Medical Transportation. Health Care Abbreviations, Acronyms and Definitions A AAHP - American Association of Health Plans AAPCC - Adjusted Average Per Capita Cost The estimated average cost of Medicare benefits for an individual in a county, based on factors of age, sex, institutional status, Medicaid, disability, and end stage renal disease status.

HCFA uses the. A list of acronyms and glossary terms likely to be found within Department of Health (DoH) information. This list of acronyms and glossary terms was compiled by the Departmental Library from Departmental websites, annual reports and lists prepared by various Divisions within the Department.

Where a term has a broader general meaning, the. Glossary of Commonly Used Healthcare Terms B Program: The B Drug Pricing Program enables eligible health care organizations (known as covered entities) to purchase drugs from manufacturers at reduced prices.

It is called B since that is the section of. The care manager typically acts as an advocate, a point of contact and a liaison with the family of the person receiving care.

Most professional care managers have a background in social work, nursing, psychology, geriatrics, long-term care or other fields related to aging or to people with special needs.

Acronyms, Glossary, And Reference Terms Glossary Glossary and Reference Terms A Abatement of nuisances: El m nat ng or reduc ng the effect of a pollutant or other health hazard. Th s phrase s often used as a term of law. Academic Health Departments: A File Size: 1MB. Chapter: Appendix A: Glossary, Acronyms, and Abbreviations Get This Book Visit to get more information about this book, to buy it in print, or to download it as a free PDF.Managed Health Care Terms and Abbreviation.

STUDY. Flashcards. Learn. Write. Spell. Test. PLAY. Match. Gravity. Created by. Son_Dang Terms in this set (38) Abuse. Abuse is defined as any action that intentionally harms or injures another person.

Abuse also encompasses inappropriate use of any substance, especially those that alter.The abbreviations, acronyms, and words included in this glossary represent medical device and procedure terminology found in everyday practice.

Also included are many colloquial terms and abbreviations frequently encountered on requisitions for radiologic services or in daily conversation. These terms were purposely included be.