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  2. Physician Quality Reporting System - Wikipedia

    en.wikipedia.org/wiki/Physician_Quality...

    As of 2015, CMS included the following health care practitioners under eligible providers: [4] Medicare providers (Physicians (Doctors of Medicine, Osteopathic Medicine), Podiatry, Optometry, Oral Surgery, Dentistry, and Chiropractic)

  3. Medicare (United States) - Wikipedia

    en.wikipedia.org/wiki/Medicare_(United_States)

    While the majority of providers accept Medicare assignments, (97 percent for some specialties), [72] and most physicians still accept at least some new Medicare patients, that number is in decline. [73] While 80% of physicians in the Texas Medical Association accepted new Medicare patients in 2000, only 60% were doing so by 2012. [74]

  4. National Provider Identifier - Wikipedia

    en.wikipedia.org/wiki/National_Provider_Identifier

    The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. As outlined in ...

  5. Medicare dual eligible - Wikipedia

    en.wikipedia.org/wiki/Medicare_dual_eligible

    Dual-eligible beneficiaries ( Medicare dual eligibles or "duals") refers to those qualifying for both Medicare and Medicaid benefits. In the United States, approximately 9.2 million people are eligible for "dual" status. [ 1][ 2] Dual-eligibles make up 14% of Medicaid enrollment, yet they are responsible for approximately 36% of Medicaid ...

  6. Patient portal - Wikipedia

    en.wikipedia.org/wiki/Patient_portal

    Patient portal. Patient portals are healthcare -related online applications that allow patients to interact and communicate with their healthcare providers, such as physicians and hospitals. Typically, portal services are available on the Internet at all hours of the day and night. Some patient portal applications exist as stand-alone web sites ...

  7. 'Deny, deny, deny': By rejecting claims, Medicare Advantage ...

    www.aol.com/news/deny-deny-deny-repeatedly...

    Medicare payments to the plans will total $27 billion more in 2023 than if patients were enrolled in traditional Medicare, the report projected. A new enrollment period for the plans began this month.

  8. Medicare Improvements for Patients and Providers Act of 2008

    en.wikipedia.org/wiki/Medicare_Improvements_for...

    The Medicare Improvements for Patients and Providers Act of 2008 (" MIPPA "), is a 2008 statute of United States Federal legislation which amends the Social Security Act. On July 15, 2008, President George W. Bush vetoed the bill. [1] On that same day the House of Representatives and the Senate voted to overturn the veto. [1][2]

  9. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Medical billing is a payment practice within the United States healthcare system. The process involves the systematic submission and processing of healthcare claims for reimbursement. Once the services are provided, the healthcare provider creates a detailed record of the patient's visit, including the diagnoses, procedures performed, and any ...

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