When.com Web Search

  1. Ads

    related to: medicaid reimbursement forms to print out pdf

Search results

  1. Results From The WOW.Com Content Network
  2. Enhanced Primary Care Case Management Program - Wikipedia

    en.wikipedia.org/wiki/Enhanced_Primary_Care_Case...

    Primary Care Case Management (PCCM), is a program of the United States government healthcare service Medicaid.It oversees the United States system of managed care used by state Medicaid agencies in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for ...

  3. Medicaid - Wikipedia

    en.wikipedia.org/wiki/Medicaid

    In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...

  4. Primary care case management - Wikipedia

    en.wikipedia.org/wiki/Primary_care_case_management

    Primary Care Case Management (PCCM) is a system of managed care in the US used by state Medicaid agencies, in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment. [1]

  5. Bundled payment - Wikipedia

    en.wikipedia.org/wiki/Bundled_payment

    A 1998 report to the Health Care Financing Administration (now known as the Centers for Medicare and Medicaid Services) noted that in the five years of the demonstration project, the seven hospitals would have had expenditures of $438 million for coronary artery bypasses for Medicare beneficiaries, but the change in reimbursement methodology ...

  6. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    A medical biller then takes the coded information, combined with the patient's insurance details, and forms a claim that is submitted to the payors. [ 2 ] Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [ 4 ]

  7. Provisions of the Affordable Care Act - Wikipedia

    en.wikipedia.org/wiki/Provisions_of_the...

    The Medicaid drug rebate for brand name drugs, paid by drug manufacturers to the states, is increased to 23.1% (except for the rebate for clotting factors and drugs approved exclusively for pediatric use, which increases to 17.1%), and the rebate is extended to Medicaid managed care plans; the Medicaid rebate for non-innovator, multiple source ...