Medicare Easyclaim definition

Medicare Easyclaim means the electronic process for electronic bulk billing and patient claiming.
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Examples of Medicare Easyclaim in a sentence

  • With Medicare Easyclaim, a patient assigns their right to a Medicare benefit to the practitioner by pressing the OK or YES button on the EFTPOS terminal in the practice.

  • Public employees, for instance, could be allowed to carry over their established pension credit to the private contractor's pension program or could rollover their vested pension credit into an Individual Retirement Account (IRA).xxiv Another possibility is to give displaced public employees annuities, worth their invested credit, that could be cashed out upon retirement.

  • Medicare Easyclaim makes references to both patients and claimants.

  • Omission of this information may result in either a rejection or Medicare Australia contacting you for clarification.Examples of optional fields include, Item Override Code, Equipment Identification Number, Self Deemed Code, Account Reference Number and Location Specific Practice Number (LSPN).Please refer to your Medicare Easyclaim Reference Guide to view definitions of the above optional fields.

  • Medicare Easyclaim is designed to make claiming Medicare benefits quick and efficient.

  • Medicare Easyclaim Claims are processed through our arrangements with Medicare.

  • If the claimant does not enter a PIN, the transaction will be cancelled and a ‘Cancelled by Practitioner Receipt’ will be produced.Scenario 3 - Bulk BillIf the Medicare Easyclaim operator pauses for more than approximately 30 seconds during the entry of patient claim details at any point prior to the Assign benefits screen, the terminal will time-out.When a time-out occurs in this scenario, the terminal will return to the ANZ Idle screen and the claim details will need to be entered again.

  • Approved Medicare Easyclaim benefits are to be paid directly to your patient through theirnominated debit card.

  • For more information about Medicare Easyclaim, including services that are not supported by Medicare Easyclaim, please refer to the Medicare Easyclaim Reference Guide, or visit www.medicareaustralia.gov.au and click on the link for Health Professionals.

  • The values displayed will vary depending on the options previously selected as well as the options entered during Setup (see Customising Medicare Easyclaim).

Related to Medicare Easyclaim

  • Medicare benefit means the Medicare benefit payable within the meaning of Part II of the Health Insurance Act 1973 with respect to a professional service.

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Medicare Provider Agreement means an agreement entered into between CMS or other such entity administering the Medicare program on behalf of CMS, and a health care provider or supplier under which the health care provider or supplier agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • Medicare means the “Health Insurance for the Aged Act,” Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended.

  • Medicaid means that government-sponsored entitlement program under Title XIX, P.L. 89-97 of the Social Security Act, which provides federal grants to states for medical assistance based on specific eligibility criteria, as set forth on Section 1396, et seq. of Title 42 of the United States Code.

  • Health care entity means any health care provider, health plan or health care clearinghouse.

  • Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Medicare Levy Surcharge means an extra charge payable by high income earners beyond the standard Medicare Levy if they do not have qualifying private hospital insurance coverage. This charge is assessed as part of an individual or family’s annual tax return.

  • child care element of working tax credit means the element of working tax credit prescribed under section 12 of the Tax Credits Act 2002 (child care element).

  • Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

  • Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;

  • Health care expenses means, for purposes of Section 14, expenses of health maintenance organizations associated with the delivery of health care services, which expenses are analogous to incurred losses of insurers.

  • Medicare eligible expenses means expenses of the kinds covered by Medicare Parts A and B, to the extent recognized as reasonable and medically necessary by Medicare.

  • TRICARE means, collectively, a program of medical benefits covering former and active members of the uniformed services and certain of their dependents, financed and administered by the United States Departments of Defense, Health and Human Services and Transportation, and all laws applicable to such programs.

  • Health care coverage means any plan providing hospital, medical or surgical care coverage for

  • Home Health Care Agency means an agency or organization which provides a program of home health care and which:

  • Licensed health care practitioner means a physician, as defined in Section 1861(r)(1) of the Social Security Act, a registered professional nurse, licensed social worker or other individual who meets requirements prescribed by the Secretary of the Treasury.

  • Health Care Law means any Applicable Law regulating the acquisition, construction, operation, maintenance or management of a health care practice, facility, provider or payor, including without limitation, 42 U.S.C. ss.1395nn and 42 U.S.C. ss. 1320a-7b.

  • Licensed health care provider means a physician, physician assistant, chiropractor, advanced registered nurse practitioner, nurse, physical therapist, or athletic trainer licensed by a board.

  • Indian Health Care Provider means a health care program operated by the Indian Health Service (IHS) or by an Indian Tribe, Tribal Organization, or Urban Indian Organization (otherwise known as an I/T/U) as those terms are defined in § 4 of the Indian Health Care Improvement Act (25 USC § 1603). Indian Health Care Provider includes a 638 Facility and provision of Indian Health Service Contract Health Services (IHS CHS).

  • Hospice patient s family" means a hospice patient's immediate family members, including a spouse, brother, sister, child, or parent, and any other relative or individual who has significant personal ties to the patient and who is designated as a member of the patient's family by mutual agreement of the patient, the relative or individual, and the patient's interdisciplinary team.

  • Health care provider or "provider" means:

  • Primary care physician means a physician qualified to be an attending physician according to ORS 656.005(12)(b)(A) and who is a general practitioner, family practitioner, or internal medicine practitioner.

  • Centers for Medicare and Medicaid Services or “CMS” means the federal office under the Secretary of the United States Department of Health and Human Services, responsible for the Medicare and Medicaid programs.