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Medicare definition of healthcare provider

  1. #1
    Default Medicare definition of healthcare provider
    Medical Coding Books
    The office I work for is doing a large ALJ appeal and my boss wants Medicare's definition of healthcare provider or professional. I need to know where I can find this. All I am getting at CMS website is the definition in Federal Register Friday January 23, 2004 in regards for NPI. I need the definition that applies to Medicare in general. In the IOM I can find a definition for about any other provider except for healthcare provider. Thank you for any help.
    Last edited by TammyHF; 09-17-2009 at 12:58 PM.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

  2. #2
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    http://www.ssa.gov/OP_Home/ssact/title18/1861.htm

    Hopefully this will help,

    Laura, CPC, CEMC

  3. #3
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    Laura how do you keep all the links(web address) on your fingertips. Gi..rl I am impressed

  4. #4
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    I found the definition. It is on CMS website under glossary. "HEALTH CARE PROVIDER A person who is trained and licensed to give health care. Also, a place that is licensed to give health care. Doctors, nurses, and hospitals are examples of health care providers."
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

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