Glossary

A Third Party Use occurs when a third party from another organization is given permission to use data originally obtained from CMS by the original requestor.

External entity with whom business is conducted, i.e. customer. This relationship can be formalized via a trading partner agreement. (Note: a trading partner of an entity for some purposes, may be a business associate of that same entity for other purposes.)

Under HIPAA, this is the exchange of information between two parties to carry out financial or administrative activities related to health care.

A system established under HIPAA for accepting and tracking change requests for any of the adopted HIPAA transaction standards via a single web site. See www.hipaa-dsmo.org.

Patients who receive treatments on an episodic basis and are not part of a facilities regular caseload (i.e. patients who have not been permanently transferred to a facility for ongoing treatments).

The surgical procedure that involves removing a functional organ from either a deceased or living donor and implanting it in a patient needing a functional organ to replace their nonfunctional organ.

An MSP investigation process triggered by receipt of a Medicare claim with a diagnosis indicating traumatic injury.

Something done to help with a health problem. For example, medicine and surgery are treatments.

The choices you have when there is more than one way to treat your health problem.

A health care program for active duty and retired uniformed services members and their families.