Glossary


South Carolina Medicaid terminology: SC Web Tool, Screening Requirements, Credit Balance Reporting, Third-Party Liability, Adjustments



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F

Fee-For-Service

(FFS) A system for the payment of professional services in which the practitioner is paid for the particular service rendered; separate payment to a health-care provider for each medical service rendered to a patient; a payment mechanism.

File Transfer Protocol

(FTP) This is the method used to send in your claims electronically.

fraud

An instance in which deliberate deceit is used by a provider to obtain payment for services not actually delivered or received, or by a beneficiary to claim program eligibility.

Freedom of Information Act

(FOIA) - A law that requires the U.S. Government to give out certain information to the public when it receives a written request. FOIA applies only to records of the Executive Branch of the federal government, not to those of the Congress or federal courts, and does not apply to state governments, local governments or private groups.