101 CMR, § 337.02 - Definitions
Terms used in 101 CMR 337.00 have the meanings set forth in 101 CMR 337.02.
Acute Kidney Injury (AKI) . A sudden and often reversible reduction in the kidney function, as measured by increased creatinine or decreased urine volume.
Calcimimetics . A class of drugs used to treat hyperparathyroidism, a condition in which the parathyroid glands produce a high amount of parathyroid hormone in patients with chronic kidney disease.
Center
. The
Centers for Medicare & Medicaid Services (CMS). The federal agency in the Department of Health and Human Services that is responsible for the determination of reimbursement for the provision of services to Medicare-covered patients.
Chronic Maintenance Dialysis Treatment . Dialysis treatment provided on an outpatient basis for a stabilized patient. The treatment may take the form of hemodialysis, hemofiltration, intermittent peritoneal dialysis, continuous ambulatory peritoneal dialysis, or continuous cycling peritoneal dialysis and may occur in a facility or at home.
Dialysis Program Rate(s)
. A
EOHHS . The Executive Office of Health and Human Services, established under M.G.L. c. 6A.
Established Charge . The lowest rate paid by any payer for treatment.
Governmental Purchaser . The Commonwealth of Massachusetts and any of its departments, agencies, boards, commissions, and political subdivisions, which purchase dialysis services.
Home Dialysis Supplies . Supplies used in conjunction with home dialysis treatment identified in 101 CMR 322.00: Rates for Durable Medical Equipment, Oxygen and Respiratory Therapy Equipment.
Industrial Accident Patient . A person who receives medical services for which persons, corporations, or other entities are in whole or part liable under M.G.L. c. 152.
Provider . Any independent outpatient dialysis facility licensed by the Department of Public Health and certified by the MassHealth agency.
Publicly Aided Individual . A person who receives health care and other services for which a governmental unit is in whole or in part liable under a statutory program of public assistance.
Purchaser under M.G.L. c. 152 . An insurance company, self insurer, or worker's compensation agent of a department of the Commonwealth, county, city, or district that purchases medical services subject to M.G.L. c. 152, § 1.
Notes
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