Glossary

Legal binding agreement which CMS requires to obtain identifiable data.  It also delineates the confidentiality requirements of the Privacy Act of 1974 security safeguards, and CMS's data use policy and procedures.

A form used to provide pertinent information about the data request and
identifies the identifiable data being processed.

The day of the mailing (as evidenced by the postmark) or hand-delivery of materials, unless otherwise defined.

The date on the return receipt of "return receipt requested" mail, unless otherwise defined.

The amount you must pay for health care before Medicare begins to pay, either for each benefit period for Part A, or each year for Part B. These amounts can change every year. (See Benefit Period; Medicare Part A; Medicare Part B.)

Providers are “deemed” when they know, before providing services, that you are in a Private Fee-for-Service Plan, and they agree to give you care. Providers that are “deemed” agree to follow your plan’s terms and conditions of payment for the services you get.

Designation that an M+C organization has been reviewed and determined "fully accredited" by a HCFA-approved accrediting organization for those standards within the deeming categories that the accrediting organization has the authority to deem.

See "Non-contributory or deemed wage credits."

The authority granted by CMS to accrediting organizations to determine, on CMS's behalf, whether a M+CO evaluated by the accrediting organization is in compliance with corresponding Medicare regulations.

A finding that a nursing home failed to meet one or more federal or state requirements.