The standard claim format used by health plans on which to consider payment to the medical provider.
Healthcare Common Procedure Coding System. Alphanumeric codes in the Common Procedure Coding System used by the Centers for Medicarei and Medicaidi Services to report services provided to Medicare and Medicaid beneficiaries. BCBSM uses these codes for nonphysician procedures, such as ambulance services, durable medical equipment and medical supplies.
High Dose Rate. Treatment delivery is at higher dose rates. It involves high-intensity radioelements with source radioactivity and energy too great to allow manual handling.
A federal law affecting all participants in the country's health care system, the Health Insurance Portability and Accountability Act of 1996 was developed to improve the portability of coverage for people who lose or change employment, to promote administrative simplification through the use of electronic transactions and to ensure the security and privacy of member information.
Health Maintenance Organization. A state-licensed health maintenance organization that delivers physician and hospital services to members directly or through contracts with affiliated providers. The plan requires members to choose a network provider (a primary care physician) to coordinate their health care.
A prospective payment system (PPS) under Medicarei for hospital outpatient services, certain Part B services furnished to hospital inpatients who have no Part A coverage, and partial hospitalization services furnished by community mental health centers. The provisions of this section were further modified by sections 201 and 202 of the Balanced Budget Refinement Act of 1999 (BBRA).
A treatment center aligned in a hospital that treats inpatient and outpatient patients.
Occurs when radiation treatment is delivered more than once in a single day.
A type of treatment in which body tissue is exposed to high temperatures to damage and kill cancer cells or to make cancer cells more sensitive to the effects of radiation and certain anticancer drugs.