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Resource-based relative value scale. Resource-based relative value scale ( RBRVS) is a schema used to determine how much money medical providers should be paid. It is partially used by Medicare in the United States and by nearly all health maintenance organizations (HMOs). RBRVS assigns procedures performed by a physician or other medical ...
Fee-for-service. Fee-for-service ( FFS) is a payment model where services are unbundled and paid for separately. [ 1] In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. However evidence of the effectiveness of FFS in improving health ...
e. Primary Care Case Management (PCCM) is a system of managed care in the US used by state Medicaid agencies, in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment. [1]
CISA – Certified Information Systems Auditor. CISO – Chief Information Security Officer. CLO – Chief Legal Officer. CMA – Certified Management Accountant. CMFB – Committee on monetary, finance and balance of payments statistics. CMO – Chief Marketing Officer. COB – Close of Business. COC – Cost of Credit [ 2] or Cost of Capital ...
The Florida Board of Accountancy is authorized by Florida Statutes Chapter 455 Professions [5] and Chapter 473 Public Accountancy. [6] These laws establish authority to create the Board of Accountancy and create, amend and repeal administrative rules. The Administrative Rules are contained in the Florida Administrative Code, Chapter 61H1-19 ...
The Centers for Medicare & Medicaid Services ( CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
Municipal health coverage. v. t. e. An accountable care organization ( ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care. ACOs in the United States are formed from a group of coordinated health-care practitioners. They use alternative payment models, normally, capitation.
The Federally Facilitated Marketplace (FFM) is an organized marketplace for health insurance plans operated by the U.S. Department of Health and Human Services (HHS). The FFM opened for enrollments starting October 1, 2013. [ 1] The Federally Facilitated Marketplace is established in a state by the HHS Secretary for states that chose not to set ...