Medicare FFS Beneficiary definition

Medicare FFS Beneficiary means an individual who is enrolled in Medicare Part A and/or B.
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Medicare FFS Beneficiary means an individual who is enrolled in Medicare Part A and/or B.
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Examples of Medicare FFS Beneficiary in a sentence

  • These terms include, but are not limited to, the following: Allowable CRP Interventions, Approved Track Implementation Protocol, Care Partner, Care Partner Arrangement, CRP Intervention, CRP Track, Downstream Care Partner, Downstream Care Partner Arrangement, Downstream Incentive Payment, Hospital, Incentive Payment, Incentive Payment Methodology, Incentive Payment Pool, Intervention Resource, Intervention Resource Allocation, Medicare FFS Beneficiary, Performance Period, PGP Care Partner, and PGP Member.

  • A determination by CMS that the State has taken any action that threatens the health or safety of a Medicare FFS Beneficiary or other patient.

  • Using the prevalence of OUD among the overall 2018 Medicare FFS Beneficiary population as a benchmark (2.8%), we examined the prevalence of OUD among subgroups of beneficiaries to describe the extent to which certain populations were disproportionately represented.

  • Medicare FFS Beneficiary normalized HCC scores will be weighted using the number of months each beneficiary resided in the State to construct the State’s average normalized HCC score.

  • CMS will calculate the National Medicare TCOC per Beneficiary by adding together the following two fractions: (a) Medicare Part A expenditures per Medicare FFS Beneficiary with Part A; and (b) Medicare Part B expenditures per Medicare FFS Beneficiary with Part B.

  • If the State loses its status as a Health Oversight Agency, CMS will consider this to be a Triggering Event subject to an enforcement action, as described in Section 20, and CMS will no longer share Medicare FFS Beneficiary data with the State.

  • Percent of Medicare FFS Beneficiary Population by Female by CountyCountyP* Due to rounding, the absolute change may not be the same as the difference subtracted from the two time frames shown.rior to Superstorm Sandy, females made up 56.63% of the entire Medicare FFS population in Somerset County and males 43.37%.

Related to Medicare FFS Beneficiary

  • 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.

  • Income beneficiary means a person to whom net income of a trust is or may be payable.

  • Alternate Payee means any spouse, former spouse, child, or other dependent of a Participant who is recognized by a DRO as having a right to receive all, or a portion of, the benefits payable under the Plan with respect to such Participant.

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

  • Surviving Spouse means the widow or widower, as the case may be, of a Deceased Participant or a Deceased Beneficiary (as applicable).

  • Retiree means any person who has begun accruing a retirement

  • Covered Dependent means a Dependent whose coverage is in effect. It does not include a Dependent whose coverage has ended.

  • Designated Beneficiary means the beneficiary or beneficiaries the Participant designates, in a manner the Administrator determines, to receive amounts due or exercise the Participant’s rights if the Participant dies or becomes incapacitated. Without a Participant’s effective designation, “Designated Beneficiary” will mean the Participant’s estate.

  • 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.

  • Eligible Dependent means a child of an Eligible Retiree who satisfies the requirements for eligibility described in the Eligibility section of this document.

  • 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.

  • Pharmacy benefit manager means a person, business, or

  • Health care facility or "facility" means hospices licensed

  • 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.