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Appendix A: Glossary
Pages 335-346

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From page 335...
... Written, legally sanctioned advance directives include living wills and durable powers of attorney for health care. Agreement A written document executed between an ESRD facility and another facility in which the other facility agrees to assume responsibil335
From page 336...
... (See Continuous Ambulatory Peritoneal Dialysis.) Automated Peritoneal Dialysis Method A method where fluid exchanges are performed by a preset peritoneal dialysis cycling machine after connection by the patient or other operator.
From page 337...
... Continuous Ambulatory Peritoneal Dialysis (CAPD) A type of peritoneal dialysis whereby the patient dialyzes at home, being continuously filled with dialyzing fluid and making three to five exchanges of fluid per day.
From page 338...
... . Dialysis Center A hospital unit that is approved to furnish the full spectrum of diagnostic, therapeutic, and rehabilitative services required for the care of ESRD dialysis patients, including inpatient and outpatient dialysis.
From page 339...
... Dialysis Station The single functional unit of a dialysis facility which is needed to provide therapy to one patient. Durable Power of Attorney for Health Care A form of advance directive by which an individual delegates, in a legally valid document, decisionmaking authority to some other person to act in his or her behalf regarding medical care when the individual has lost the capacity to decide or to communicate especially regarding life-sustaining treatment.
From page 340...
... Margins Percentage of Medicare payments remaining after accounting for Medicare costs. The aggregate margin for a group of outpatient dialysis facilities is defined as total Medicare payments for the group minus total Medicare costs for the group, divided by total Medicare payments for the group.
From page 341...
... Medicare A nationwide, federally administered health insurance program authorized in 1965 as Title XVIII of the Social Security Act, to cover the cost of hospitalization, medical care, and some related services for most people over age 65, people receiving Social Security Disability Insurance payments for 2 years, and people with ESRD. Medicare consists of two separate but coordinated programs Part A (Hospital Insurance)
From page 342...
... Part B (Medicare) Medicare's Supplementary Medical Insurance program, which covers physician services, hospital outpatient services, outpatient physical therapy and speech pathology services, and various other limited ambulatory services and supplies such as prosthetic devices and durable medical equipment.
From page 343...
... Physician Payment Review Commission The commission reviews physician payment in the Medicare program, describing a comprehensive proposal for reform of Medicare payment to physicians including a Medicare fee schedule, balance-billing limits, expenditure targets, and a program of effectiveness research and development of practice guidelines. Prevailing Charge One of the factors determining a physician's payment for a service under Medicare.
From page 344...
... Rebasing Method for calculating the base payment rate using most recent cost and charge information. Renal Dialysis Center See Dialysis Center.
From page 345...
... Supplementary Medical Insurance A voluntary insurance program (also known as Medicare Part B) that provides insurance benefits for physician and other medical services in accordance with the provisions of Title XVIII of the Social Security Act, for aged and disabled individuals who elect to enroll under such program.
From page 346...
... Transplant The surgical procedure that involves removing an organ from a cadaver or a living donor and implanting it in another individual. Transplant Center A hospital unit that is approved to furnish direct transplantation and other medical and surgical specialty services for the care of the ESRD transplant patient, including inpatient dialysis furnished directly or under arrangement.


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