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LCFS Glossary*
* Unless otherwise noted all entries are from the Medicare Glossary

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N  |  O  |  P  |  Q  |  R  |  S  |  T  |  U  |  V  |  W  |  X  |  Y  |  Z

SECOND OPINION - This is when another doctor gives his or her view about what you have and how it should be treated.
SECONDARY PAYER - An insurance policy, plan, or program that pays second on a claim for medical care. This could be Medicare, Medicaid, or other insurance depending on the situation.
SELF-EMPLOYMENT - is where a person works for themselves rather than someone else or a company that they do not own. To be self-employed, an individual is normally highly skilled in a trade or has a niche product or service for their local community. With the creation of the Internet the ability for an individual to become self-employed has increased dramatically. The amount of money spent on self-help, self-improvement and training materials has reached the billions in the past decade.

Self-employed people can also be referred to as a person who works for himself/herself instead of an employer, but drawing income from a trade or business that they operate personally.

To be self-employed is not the same as being a business owner: A business owner is not required to be hands-on with the day-to-day operations of his or her company, while a self-employed person has to utilize a very hands-on approach in order to survive.

* Wikipedia.org
SENSORY INTERGRATION* - A form of occupational therapy in which special exercises are used to strengthen the patient's sense of touch (tactile), sense of balance (vestibular), and sense of where the body and it's parts are in space (proprioceptive). It appears to be effective for helping patients with movement disorder or severe under- or over- sensitivity to sensory input.

* Our Special Kids.Org
SIDE EFFECT - A problem caused by treatment. For example, medicine you take for high blood pressure may make you feel sleepy. Most treatments have side effects.
SKILLED CARE - A type of health care given when you need skilled nursing or rehabilitation staff to manage, observe, and evaluate your care.
SKILLED NURSING CARE - A level of care that includes services that can only be performed safely and correctly by a licensed nurse (either a registered nurse (RN) or a licensed practical nurse (LPN)).

Static number - Since 1990 the number of assisted living facilities has risen dramatically, while the total of 16,400 Medicare / Medicaid certified nursing homes, has remained relatively unchanged.

Certification - A nursing home, certified as a nursing facility under Medicare or Medicaid, identified as a nursing care unit of a retirement center, or determined to provide nursing or medical care. Meanwhile, the number of hospitals in the United States has constantly decreased from its earlier 6,000 to 5,300.

Statutory definition - The following is the statutory definition at §§1819(a) and 1919(a) of the Social Security Act (the Act) for an SNF:
"Skilled nursing facility" is defined as an institution (or a distinct part of an institution) which is primarily engaged in providing skilled nursing care and related services for residents who require medical or nursing care, or rehabilitation services for the rehabilitation of injured, disabled, or sick persons, and is not primarily for the care and treatment of mental diseases; has in effect a transfer agreement (meeting the requirements of §1861(1) with one or more hospitals having agreements in effect under §1866; and meets the requirements for a SNF described in subsections (b), (c), and (d) of this section.
Highest acuity level in the industry - Nursing facilities offer the highest intensity level of long term care and are characterized primarily by the need for 24-hour nursing care. Few persons enter a nursing facility as a matter of choice.

* Long Term Education.com
SKILLED NURSING FACILITY CARE - This is a level of care that requires the daily involvement of skilled nursing or rehabilitation staff. Examples of skilled nursing facility care include intravenous injections and physical therapy. The need for custodial care (for example, assistance with activities of daily living, like bathing and dressing) cannot, in itself, qualify you for Medicare coverage in a skilled nursing facility. However, if you qualify for coverage based on your need for skilled nursing or rehabilitation, Medicare will cover all of your care needs in the facility, including assistance with activities of daily living.
SOCIAL INTERACTION - is a dynamic, changing sequence of social actions between individuals (or groups) who modify their actions and reactions according to those of their interaction partner(s). In other words, they are events in which people attach meaning to a situation, interpret what others are meaning, and respond accordingly.

Social interactions can be differentiated into:
  • Accidental (also known as social contact) - not planned and likely not repeated. For example, asking a stranger for directions or shopkeeper for product availability.
  • Repeated - not planned, bound to happen from time to time. For example, accidentally meeting a neighbor when walking on your street;
  • Regular - not planned, but very common, likely to raise questions when missed. Meeting a doorman or a security guard every workday in your workplace, dining every day in the same restaurant, etc.
  • Regulated - planned and regulated by customs or law, will definitely raise questions when missed. Interaction in a workplace (coming to work, staff meetings, playing a game, etc.), family, etc.
In sociological hierarchy, social interaction is more advanced than behavior, action, social behavior, social action and social contact, and is in turn followed by more advanced concept of social relation. In other words, social interactions, which consist of social actions, form the basis for social relations.

* Wikipedia.org
SPECIALIST - A doctor who treats only certain parts of the body, certain health problems, or certain age groups. For example, some doctors treat only heart problems.
SPECIFIED DISEASE INSURANCE - This kind of insurance pays benefits for only a single disease, such as cancer, or for a group of diseases.
SPECIFIED LOW-INCOME MEDICARE BENEFICIARIES (SLMB) - A Medicaid program that pays for Medicare Part B premiums for individuals who have Medicare Part A, a low monthly income, and limited resources.
SPEECH-LANGUAGE THERAPY - Treatment to regain and strengthen speech skills.
SPINA BIFIDA* - Spina bifida is a birth defect in which the bones of the spine (vertebrae) do not form properly around the spinal cord. This can occur anywhere along the spine. Spina bifida is the most common of a group of birth defects called neural tube defects.

Spina bifida develops in a fetus early in pregnancy, often before a woman knows she is pregnant. In the United States, about 1 in every 2,000 children is born with spina bifida.1 It is one of the most common birth defects, although the rates have steadily declined in recent years.

There are two main types of spina bifida: spina bifida occulta and spina bifida manifesta.
  • Spina bifida occulta is the mildest and most common form. The spinal defect is hidden under the skin and does not usually cause problems or need treatment. Doctors estimate that 10% to 24% of the general population unknowingly have this spinal defect.2, 3 In some cases, a dimple, depression, birthmark, or hairy patch forms over the skin where more than one vertebrae is affected. This is referred to as occult spinal dysraphism (OSD).
  • Spina bifida manifesta is the severe but rare form of this birth defect. It often is associated with nerve damage that can result in problems with walking, bladder control, and coordination. It can be separated into two classes, meningocele and myelomeningocele.
    • In meningocele, fluid leaks out of the spinal canal, causing a swollen area over the baby's spine.
    • In myelomeningocele, a segment of the spinal nerves pushes out of the spinal canal against the underside of the skin. The nerves are often damaged. In the worst cases, the skin is open and the nerves are exposed to the outside of the body.
* WebMD Medical Library
STATE CHILDREN’S HEALTH INSURANCE PROGRAM - Free or low-cost health insurance is available now in your state for uninsured children under age 19. State Children?s Health Insurance Programs help reach uninsured children whose families earn too much to qualify for Medicaid, but not enough to get private coverage. Information on your state?s program is available through Insure Kids Now at 1-877-KIDS NOW (1-877-543-7669). You can also look at www.insurekidsnow.gov on the web for more information.
STATE HEALTH INSURANCE ASSISTANCE PROGRAM - A State program that gets money from the Federal Government to give free local health insurance counseling to people with Medicare.
STATE INSURANCE DEPARTMENT - A state agency that regulates insurance and can provide information about Medigap policies and any insurance-related problem.
STATE MEDICAL ASSISTANCE OFFICE - A State agency that is in charge of the State's Medicaid program and can give information about programs to help pay medical bills for people with low incomes. Also provides help with prescription drug coverage.
STROKE* - A stroke occurs when a blood vessel (artery) that supplies blood to the brain bursts or is blocked by a blood clot. Within minutes, the nerve cells in that area of the brain are damaged, and they may die within a few hours. As a result, the part of the body controlled by the damaged section of the brain cannot function properly.

If you have symptoms of a stroke, you need emergency care, just as though you are having a heart attack. If medical treatment begins soon after symptoms are noticed, fewer brain cells may be permanently damaged.

* WebMD Medical Library
SUPPLIER - Generally, any company, person, or agency that gives you a medical item or service, like a wheelchair or walker.

SUPPORTED EMPLOYMENT - these services are only supports that enable participants, for who competitive employment at or above the minimum wage, is unlikely absent the provision of supports, and who, because of their disabilities, need supports to work in a regular work setting.

* BFDD - Available Services


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