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Title XVIII of the Social Security Act

The section of federal law that established the Medicare program, which provides health insurance for Americans aged 65 or older, some younger people with disabilities, and people with End-Stage Renal Disease.

Skilled Nursing Facility (SNF)

A facility that provides round-the-clock nursing care and other health services, often for a short period, to help people recover from an illness, injury, or surgery before returning home.

Clinical Social Worker Services

Mental health services provided by a licensed clinical social worker, which can include assessment, diagnosis, and treatment of mental health conditions, as well as counseling.

Prospective Payment System (PPS)

A method by which Medicare pays a set, predetermined amount for services, regardless of the actual costs. For skilled nursing facilities, this means a lump sum payment that is supposed to cover a resident's total care.

HCPCS codes

Healthcare Common Procedure Coding System codes are a set of standardized codes used to identify medical procedures, services, and supplies for billing purposes with health insurance programs like Medicare.

Health and Behavior Assessment and Intervention

A type of service focused on the psychological, behavioral, emotional, cognitive, and social factors that influence a person's physical health, illness, or disability, often involving counseling or therapy.