Florida Medicaid

August 2017 Definitions Policy Agency for Health Care Administration August 2017 Florida Medicaid Florida Medicaid Definitions Policy August 2017 1 Introduction This policy contains definitions of commonly used terms that are applicable to all sections of Rule Division 59G, Florida Administrative code ( ), unless specifically stated otherwise in a service-specific coverage policy or rule. This policy is intended for use by all providers that render services to Florida Medicaid recipients. This policy must be used in conjunction with Florida Medicaid s general policies and any applicable service-specific and claim reimbursement policies with which providers must comply. All Florida Medicaid policies are promulgated in Rule Division 59G, Coverage policies are available on the Agency for Health Care Administration s (AHCA) Web site at Definitions Abuse As defined in section , Florida Statutes ( ). Activities of Daily Living (ADLs) ADLs include: Bathing Dressing Eating (oral feedings and fluid intake) Maintaining continence (examples include taking care of a catheter or colostomy bag or changing a disposable incontinence product when the recipient is unable to control bowel or bladder functions) Toileting Transferring Adjudicate Make an official decision regarding a claim submitted to AHCA, or its designee, for payment.

As defined in Title 42, Code of Federal Regulations (CFR), section 435.923. 2.12 Beneficiaries Persons receiving medical benefits under Medicare. 2.13 Billing Agent Florida Medicaid-enrolled entity that offers claims submission services to providers. 2.14 Business Records

Loading..

Tags:

  Code, Title, Florida

Information

Related search queries