Term
|
Definition
| Acute Care Facility (ACF): A healthcare facility that provides continuous professional medical care to patients who are in an acute phase of illness. |
|
|
Term
|
Definition
| Clinic: An outpatient facility that provides scheduled diagnostic, curative, rehabilitative, and education services for ambulatory patients. |
|
|
Term
|
Definition
| Center for Medicare & Medicaid Services (CMS): United States government agency that proposes rules and pays claims for Medicare and Medicaid medical services. |
|
|
Term
|
Definition
| Comprehensive Outpatient Rehabilitation Facility (CORF): A physical rehabilitation facility that provides, at least, physician services, physical therapy services and social, or psychological services. |
|
|
Term
|
Definition
| DMEPOS: Durable Medical Equipment, Prosthetic, and Orthotic supplies. |
|
|
Term
|
Definition
| Emergency Medical Treatment and Active Labor Act (EMTALA): Requires any Medicare-participating hospital that operates a hospital ED to provide an appropriate medical screening examination to any patient that requests such an examination. |
|
|
Term
|
Definition
| Medicare Physician Fee Schedule (MPFS): Fee schedule set up by CMS to pay physician services and other fees paid under the Physician Fee Schedule. |
|
|
Term
|
Definition
| Outpatient Services: Medical and other services provided by the hospital or other qualified supplier, which are either diagnostic or aid the provider in treating the patient. |
|
|
Term
| Which part of Medicare covers outpatient services? |
|
Definition
| Medicare part B covers outpatient services, which include the rental or purchase of DME prescribed by a doctor for use in the home; devices, other than dental, to replace all or part of an internal body organ; certain ambulance services; laboratory services; X-ray and other radiology services; ER and outpatient clinic services; medical supplies, splints, and casts; other diagnostic services; physical, occupational therapies, and speech pathology services; dialysis in the facility or home and outpatient surgery. |
|
|
Term
|
Definition
| Urgent Care: Facilities that offer medical services to patients who need acute but not highly complex services, or minor procedures (for example, wound repairs). These facilities offer services for extended hours rather than 24-hours-a-day, as provided by a hospital ED. |
|
|
