Glossary

To settle differences between two parties.

Toll-free telephone lines, usually staffed by the State or enrollment broker that beneficiaries may call when they encounter a problem with their MCO/PHP. The people who staff hotlines are knowledgeable about program policies and may play an "intake and triage" role or may assist in resolving the problem.

Transplant drugs used to reduce the risk of rejecting the new kidney after transplant. Transplant patients will need to take these drugs for the rest of their lives.

Treasury accounts established by the Social Security Act for the receipt of revenues, maintenance of reserves, and disbursement of payments for the HI and SMI programs.

Treasury notes and bonds guaranteed by the federal government, and cash held by the trust funds for investment purposes.

Treatment of injury and disease by mechanical means, such as heat, light, exercise, and massage.

Under §1864 of the Act, CMS has entered into agreements with agencies of State governments, typically the agency that licenses health facilities within the State Health Departments, to conduct surveys of Medicare participating providers and suppliers for purposes of determining compliance with Medicare requirements for participation in the Medicare program.

Under HIPAA this is a list of any entities that have received personally identifiable health care information for uses unrelated to treatment and payment.

Under HIPAA, this is a change adopted by the Secretary, through regulation, to a standard or an implementation specification.

Under HIPAA, this is a group of related data elements in a transaction.