Medicare carrier, fiscal intermediary (FI), or other contractor such as a durable medical equipment regional carrier (DMERC) that shares some or all of the provider service carrier’s (PSC’s) jurisdiction in which the affiliated contractor performs non-PSC Medicare functions such as claims processing or education.
Tag: MEDICAL
Affiliated entities
Under the privacy rule, allows several entities to be treated as a single covered entity. Only one consent is necessary, which binds all of the affiliated entities.
Affiliated health care provider
See: participating provider (par) or participating physician.
Affiliated hospital
See: hospital affiliation.
Affiliation period
Length of time managed care plan members must wait before receiving benefits. It is an alternative to preexisting condition exclusions seen in insurance plans. Under the Health Insurance Portability and Accountability Act (HIPAA), an affiliation period may not last longer than 2 months or, if a late enrollee, 3 months. It begins on the member’s date of enrollment. If a member changes coverage more than 3 months after the enrollment date, the new plan cannot impose an affiliation period.
Aforesaid
As previously stated.
AFS
See: alternative financing system (AFS).
AG
HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating services performed by a primary physician. Use of this modifier affects Medicare payment.
Against medical advice (AMA)
Discharge status of a patient who leaves the hospital before being released by a physician.
Age analysis
Procedure of systematically arranging the accounts receivable, by age, from the date of service.