CMS Centers for Medicare and

CMS (Center for Medicare and Medicaid Services). 2005. CLIA Approved Proficiency Testing Programs-2005 [online]. Available http //new.cms.hhs.gov/CLIA/downloadsptlist.pdf [accessed Feb. 1, 2006]. 

CMS Centers for Medicare and Medicaid Services DOS denial of service... 

The Centers for Medicare and Medicaid Services reimbursement criteria for ICDs (http //www.cms.hhs. gov/mcd/viewimplementation.asp id= 148) include patients with either ischemic or nonischemic... 

In recent years, numerous studies have evaluated the use of [ F]-FDG-PET for staging and restaging of tumor patients. Based on this data, the Centers for Medicare and Medicaid Services (CMS) have approved Medicare reimbursement for [ F]-FDG-PET imaging in 10 oncological conditions so far (Table 2). 

Figure 16-1. U.S. Prescription Drug Expenditures by Source of Payment, 1990-2005. Source Data were obtained from the Centers for Medicare and Madicaid Service at http //www.cms.hhs.gov/NationalHealthExpendData/ Note PT OOP is direct spending by consumers for prescriptions drugs. It includes prescriptions not covered by a third party and patient cost-sharing for third parly prescriptions.

Medicare is a government-administered insurance program that is offered to people who are older than 65 years of age, have specific disabilities, or have kidney failure (DHHS, 2002a). The Centers for Medicare and Medicaid Services (CMS) oversees the Medicare program. For services provided in the outpatient setting,... 

Centers for Medicare and Medicaid Services (CMS). 2006. Guidelines for Payment for Diabetes Self-Management Training (DSMT) February 6, 2006. Available at www. crus.hhs.gov/ContractorI earningResources/Downloads/... 

U.S. Department of Health and Human Services (DHHS). 2003a. Covered Entity Decision Tools, Centers for Medicare and Medicaid Services, modified July 24, 2003 available at www.cms.hhs.gov/hipaa/hipaa2/ support/tools/decisionsupport/default.asp. 

Centers for Medicare and Medicaid Services, Conditions of participation. Pharmaceutical Services (482.25). Available at cms.hhs.gov/cop/default.asp, accessed August 4, 2002. 

PricewaterhouseCoopers LLP (2001). HCFA Study of the Pharmaceutical Benefit Management Industry. Washington, D.C. Centers for Medicare and Medicaid. Available at www.cms.hhs.gov/researchers/reports/2001/CMS.pdf. 

Medicare is a federal health care program, and its recipients include people over the age of 65, the disabled, and those with end-stage renal disease. Medicare is administered by the Centers for Medicare and Medicaid Services (CMS), formerly known as the Health Care Financing Administration. The Medicare program consists of two parts (parts A and B), but is funded by four different sources (1) general tax revenues, (2) beneficiaries premiums, (3) mandatory contributions from employers and employees, and (4) deducf-ibles and copayments paid by patients. ... 

The Centers for Medicare and Medicaid Services (CMS) universal claim form is used by health care providers for third-party billing related to the provision of services. This form is required by Medicare and other third-party payers in the United States and uses... 

Healthcare providers (physicians, hospitals, clinics, etc.) operate and are sustained by the reimbursement or payment for care they provide to patients. In the United States, revenue for healthcare services comes from a variety of sources including the patient, insurance companies (i.e., Blue-Cross/BlueShield, Cigna, Aetna), and the Centers for Medicare and Medicaid Services (CMS), formerly the Health Care Financing Administration (HCFA). The CMS provides healthcare insurance for Medicare and Medicaid beneficiaries. When interfacing with an insurance company or the CMS, there are three fundamental reimbursement concepts that must be considered to assure appropriate revenue for services provided. These include the concepts of coverage, coding, and payment. 

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