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  2. Credentialing - Wikipedia

    en.wikipedia.org/wiki/Credentialing

    While healthcare accreditation organizations have largely aligned their standards with CMS regulations, each state has its own regulations regarding hospital licensure and many states’ regulations include regulations governing the structure and/or operation of the medical staff, including credentialing requirements. [3] A healthcare facility ...

  3. What Is the Scope of Appointment in Medicare? - AOL

    www.aol.com/scope-appointment-medicare-013900601...

    Medicare brokers have to fill out a Scope of Appointment form before any marketing appointments with you as a potential enrollee. This rule is in place to help protect you from scams and unfair ...

  4. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.

  5. Medical practice management software - Wikipedia

    en.wikipedia.org/wiki/Medical_practice...

    Medical practice management software (PMS) is a category of healthcare software that deals with the day-to-day operations of a medical practice including veterinarians. Such software frequently allows users to capture patient demographics, schedule appointments, maintain lists of insurance payors, perform billing tasks, and generate reports.

  6. Qualified Intellectual Disability Professional - Wikipedia

    en.wikipedia.org/wiki/Qualified_Intellectual...

    In December 2013, Centers for Medicare & Medicaid Services (CMS) formally updated Appendix J to change the language used to describe developmental disabilities. [ 16 ] It is possible that, as facilities start to phase out or convert to other programs (such as waiver-type settings) for people with disabilities, the terms QMRP, QDDP, and QIDP may ...

  7. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...

  8. Computerized physician order entry - Wikipedia

    en.wikipedia.org/wiki/Computerized_physician...

    The application responding to, i.e., performing, a request for services (orders) or producing an observation.The filler can also originate requests for services (new orders), add additional services to existing orders, replace existing orders, put an order on hold, discontinue an order, release a held order, or cancel existing orders.

  9. AOL Mail

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    Get AOL Mail for FREE! Manage your email like never before with travel, photo & document views. Personalize your inbox with themes & tabs. You've Got Mail!