Medicare Knowledge - Page 21

The CMS Star Rating is a quality rating system implemented by the Centers for Medicare & Medicaid Services (CMS) to assess and

In the healthcare context, a claim is a formal request submitted by a healthcare provider to an insurance company, Medicare, or Medicaid

A Certificate of Medical Necessity (CMN) is an official document used in the healthcare system to justify the need for specific medical

The Centers for Medicare & Medicaid Services (CMS) is a crucial federal agency within the U.S. Department of Health and Human Services

A caregiver is an individual who provides compassionate and essential support to individuals with physical, emotional, or medical needs. Caregivers play a

A benefit period refers to a specific time frame during which an individual’s healthcare expenses are eligible for coverage under insurance policies

In the healthcare context, a beneficiary refers to an individual eligible to receive healthcare benefits through government programs such as Medicare and

Balance billing is a billing practice in the healthcare system that occurs when a healthcare provider bills a patient for the difference

An Assisted Living Facility (ALF) is a specialized residential setting designed to provide supportive care and assistance for senior adults who require

An annual in-network deductible is a specific type of deductible in health insurance plans that applies only to covered medical services received