Health Care Financing Administration HCFA

AA = African-Americans, HCFA = Health Care Financing Administration (now CMS)... 

Fig. 2 This figure represents the career options for individuals interested in the clinical pharmaceutical sciences. Abbreviations PhaRMA, Pharmaceutical Research Manufacturers CROs, Contract Research Organizations SMOs, Site Management Organizations NIH, National Institutes of Health CDC, Center for Disease Control and Prevention HCFA, Health Care Financing Administration FDA, Food and Drug Administration EPA, Environmental Protection Agency CDER, Center for Drug Evaluation Research CBER, Center for Biological Evaluation Research.

HCFA Health Care Financing Administration, www.hcfa. gov. September 2000. 

Health Care Financing Administration website. National Health Care Expenditures, www.hcfa.gov. Sept. 2000. 

PBMs reduce administrative costs of managing drug benefits by using a highly automated environment. According to a study sponsored by the Health Care Financing Administration (HCFA), over 99% of all claims are processed elecfronically at the pharmacy where the prescription is dispensed, at an average cost of 0.30 to 0.40 per claim. 

The National Association of Home Care estimates that more than 20,000 providers deliver home care services to approximately 8 million individuals each year. According to the Health Care Financing Administration (HCFA), the average number of home health visits a year per Medicaid beneficiary was 80, compared to 27 visits in 1989. Additionally, the number of home health agencies participating in Medicare has increased from almost 5000 in 1988 to over 10,000 in 1997. Care of patients in home settings is likely to expand as data further suggest reduced cost for such... 

Health Care Financing Administration US Health and Human Services, www.hcfa gov/stats/stats.htm. 

A laboratory performing only waived tests must register with Health Care Finance Administration (HCFA) and obtain a certificate of waiver. However, laboratories operating under a certificate of waiver are only required to permit inspections and follow manufacturers instructions... 

The Health Care Financing Administration (HCFA), an agency of the federal government, recognizes residency accreditation bodies within the health professions. 

The primary responsibilities of CMS, formerly known as Health Care Financing Administration (HCFA), include administration of Medicare and Medicaid programs. Since 1965, Medicaid has provided health coverage for low-income persons, while Medicare has provided for the elderly and disabled. Medicaid currently provides coverage for more than 34 million people, including nearly 18 million children. Medicare currently provides coverage for more than 39 million elderly and disabled Amer-... 

Medicare is the health insurance program for people 65 years of age or older, certain younger individuals with disabilities, and citizens with End-Stage Renal Disease (permanent kidney failure with dialysis or a transplant, sometimes called ESRD). This program is administered by the Department of Health and Human Services through the Health Care Financing Administration (HCFA) of the United States federal government. 

Medicare and You 2001, HCFA-10050, Health Care Financing Administration Maryland, 2000 Vol. 14 1-73. 

Several different types of billing mechanisms have been used to gain compensation from third parties for services that are not tied directly to dispensing a drug product. Examples include fee-for-service, capitation payment, and the Health Care Financing Administration (HCFA) 1500 claim form. Each method has inherent advantages and disadvantages and may not be a suitable method for compensation for a comprehensive pharmaceutical care practice. 

Both pharmacists and pharmacies use Health Care Finance Administration (HCFA) Form 855, Provider/ Supplier Enrollment Application, to request a provider number. This form may be obtained from medicare part B carriers or provided by the previously mentioned training programs. This is a cursory review of medicare policies. Training programs will provide additional details, or contact your local medicare part B carrier, HCFA regional office, or other pharmacy reimbursement publications. 

ASHP, in cooperation with its professional association partners, administers the only process that grants accreditation status to practice sites conducting residencies. ASHP s authority to grant accreditation is recognized by the Health Care Financing Administration (HCFA). The accreditation process requires that each site demonstrate compliance with established standards of practice and offer a residency that meets the requirements for training. 

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. 

By law, Medicare does not cover any drugs administered outside of the hospital or a physician s office, and the program does not pay for clinical research (487). Furthermore, to be covered by Medicare, drugs must be reasonable and necessary, a criterion that the Health Care Financing Administration (HCFA) has interpreted. .. to exclude. .. those medical and health care services that are not demonstrated to be safe and effective by clinical evidence (487). HCFA has taken this to mean that experimental and investigational drugs are not covered. 

U.S. Department of Health and Human Services, Health Care Financing Administration, Health Care Financing Program Statistics Medicare and Medicaid Data Book, 1990, HCFA Publication No. 03314 (Washington, DC U.S. Government Printing Office, 1991). 

The federal agency responsible for the Medicaid program is the Centers for Medicare and Medicaid Services (CMS, formerly known as the Health Care Financing Administration or HCFA), which is part of the Department of Health and Hiunan Services. A state may receive between 50 and 77% of the cost of providing Medicaid care from the federal government depending on the state s per capita income. 

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