Abbreviation for medical-surgical. See medical-surgical nursing and medical-surgical procedures .

Reference medical terminology classification system created by the National Committee on Vital Health and Statistics that is used to code text data after they are captured by an electronic health record (EHR) system. It assists in the standardization of clinical point of care terminology used in EHRs.

California’s version of the nationwide program known as Medicaid . See Medicaid (MCD) .

Sometimes referred to as a Care/Caid case . See Medicare/Medicaid (Medi-Medi) . Also see crossover patient .

Medical assistance program established in 1965 by Title XIX of the Social Security Act that is jointly funded by the federal government and the states. It provides medical benefits for certain low-income persons in need of health and medical care. Recipients’ benefits, data for claims processing, and payments vary from state to state. Medicaid is jointly funded by the federal and state governments to assist states in providing long-term care assistance to people who meet certain eligibility criteria. California’s Medicaid program is known as Medi-Cal .

Lets providers electronically access the state’s eligibility file using a point-of-sale device, computer software, and automated voice response system. Also called recipient eligibility verification system (REVS) .

Any federal or state health insurance program that receives funds via the Medicaid legislation with the intent to provide additional health services to Medicaid recipients.

Organization under contract to the state to process claims for a state Medicaid program.

Federal program created by the Deficit Reduction Act of 2005 to track and prevent Medicaid fraud. Government contractors will review the actions of those seeking payment from Medicaid, conduct audits, identify overpayments, and educate providers and others on program integrity and quality of care.