Medicare FFS Beneficiary definition

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

  • 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.

  • 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.

  • 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.

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.

  • Qualified beneficiary means a beneficiary who, on the date the beneficiary's qualification is determined:

  • 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:

  • 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.

  • Qualified Beneficiaries has the meaning set forth in Section 4.12.