Services (such as meals, supervision, and transportation) are usually provided by the owner or manager. (Also called board and care home or group home.) Residence which offers housing and personal care services for 3 to 16 residents. Also, they have a marketing advantage over non-admitted carriers because some brokers, facility providers and lenders value state oversight and participation in the guaranty fund. They can participate in state guaranty funds, which help protect policyholders in the case of insurer insolvency. These carriers enjoy some advantages over non-admitted carries. (Also called regulated insurance carriers.) Commercial insurers whose nursing home liability insurance products are regulated by state departments of insurance. Admission may occur before the beginning of a Medicaid-financed nursing home spell if a person entered the nursing home with other insurance coverage before Medicaid began covering the nursing facility care. The average monthly amount received per enrollee is currently calculated as 95% of the average costs to deliver medical care in the fee-for-service sector.Īdministrative Services Organization (ASO)Īn entity that contracts with a state or other purchaser to provider designated administrative services, such as billing or utilization tracking.ĭate at which an individual was reported to have been admitted to a nursing home for which a Medicaid claim has been paid. The basis for HMO or CMP reimbursement under Medicare-risk contracts. ![]() Illness that is usually short-term and that often comes on quickly. While acute diseases are frequently distinguished form chronic diseases, there is no standard definition or distinction. Acute care facilities are those hospitals that mainly serve persons with short-term health problems.Ī disease that is characterized by a single episode of a relatively short duration from which the patient returns to his/her normal or previous level of activity. Medical treatment rendered to individuals whose illnesses or health problems are of a short-term or episodic nature. This type of care can include short-term hospital stays, doctor's visits, surgery, and X-rays. ADLs are used to measure how dependent a person may be on requiring assistance in performing any or all of these activities.Ĭare that is generally provided for a short period of time to treat a certain illness or condition. Accreditation may either be permanent or may be given for a specified period of time.Īn error that occurs at the level of the front line operator and whose effects are felt almost immediately.īasic personal activities which include bathing, eating, dressing, mobility, transferring from bed to chair, and using the toilet. Public or private payment programs often require accreditation as a condition of payment for covered services. The state or federal governments can recognize accreditation in lieu of, or as the basis for licensure or other mandatory approvals. Accreditation is often carried out by organizations created for the purpose of assuring the public of the quality of the accredited institution or program. For facilities, accreditation standards are usually defined in terms of physical plant, governing body, administration, and medical and other staff. Required restructuring of the facility cannot cause undue hardship for the employer.Ī process whereby a program of study or an institution is recognized by an external body as meeting certain predetermined standards. ![]() Efforts to improve access often focus on providing/improving health coverage.Īs required by the Americans with Disabilities Act, removal of barriers that would hinder a person with a disability from entering, functioning, and working within a facility. Barriers to access can be financial, geographic, organizational and sociological. TermĪn individual's ability to obtain appropriate health care services. HHS is not responsible for the contents of any "off-site" web page referenced from this server. Reference in this website to any specific commercial products, service, manufacturer, or company does not constitute its endorsement or recommendation by the U.S. You are subject to that site's privacy policy when you leave our site. A list of acronyms is also available (links are available throughout this page).ĭisclaimer: This website has links to many other federal agency and private organizations. To find a term, select the first letter of the word/term you are seeking. Many sources have been used to compile this list, and there may be more than one "definition" for a word/term. This glossary is available to give you general information about words and terms associated with aging, disability or long-term care.
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