Formal request submitted for processing at the beginning of a 60-day home health episode after a physician evaluates a Medicare beneficiary’s condition and assigns him or her to a case-mix group. The RAP payment is the first of the two payments required during an episode under the home health prospective payment system.

Entity who formally requests access to the Centers for Medicare and Medicaid Services (CMS) data.

Under the Health Insurance Portability and Accountability Act (HIPAA), mandate contained in law that compels a covered entity to make use or disclosure of protected health information and that is enforceable in a court of law such as court orders and subpoenas.

Situation when a requestor formally requests permission to rerelease Centers for Medicare and Medicaid Services (CMS) data that has been formatted into statistical or aggregated information by the recipient. CMS is responsible for reviewing the files and reports to ensure that they contain no data elements or combination of data elements that could allow for the disclosure of the identity of the Medicare beneficiary or a physician and that the level of cell size aggregation meets the stated requirement.

Latin for “the thing speaks for itself.”
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UK: ‘The thing speaks for itself. The maxim applies whenever it is improbable that an accident would have occurred without negligence on the part of the defendant. The court infers negligence and the defendant has to disprove it.

MEDICAL,USA: Act of voiding an insurance contract because of misrepresentation on the insurance application.
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An equitable remedy which declares the contract void from its inception, thus, restoring the parties to the position they would have held in the absence of such a contract.
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US: Termination of an insurance contract by the insurer on the grounds of material misstatement on the application for insurance. The action of rescission must take place within the contestable period or Time Limit on Certain Defenses but takes effect as of the date of issue of the policy, thus voiding the contract from its inception.

Centers for Medicare and Medicaid Services (CMS) contractor who provides free assistance to academic and nonprofit research interested in using Medicare and Medicaid data for research.

Document that outlines a strong research design, which clearly states the objectives, background, methods, and significance of the study being proposed.