HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating service performed by a specialty physician. Use of this modifier affects Medicare payment.
Tag: USA
AFDC
See: Temporary Assistance to Needy Families (TANF) (formerly Aid to Families with Dependent Children ) .
Affiliate
Corporation in which a majority of the stock is owned by any or all of the stockholders, directors, or officers of another corporation. These individuals also own a majority of the stock in that other corporation.
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Is a company that controls, or is controlled by another company, or is one of two or more commonly controlled companies.
Affiliated contractor (AC)
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.
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).