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United States Marshals Service's Prisoner Medical Care

Report No. 04-14
February 2004
Office of the Inspector General

Appendix III
Glossary of Terms and Acronyms

  • Administrative Officer (AO): Civilian employee usually tasked with obligating medical expenses.
  • Automated External Defibrillator (AED): A fail-safe machine that can delivery a life-saving electric shock to a victim experiencing a cardiac arrest, dramatically improving his or her chance of survival.
  • Batched transactions: Many USMS district offices combine several medical bills into one payment transaction.
  • Cellblock: A secure area in the U.S. Marshals Service Office intended to house prisoners waiting for their court proceedings.
  • Common Procedural Terminology (CPT) code
  • Company Hospital Guards: Guards employed by a company that has contracted with the USMS.
  • Contracting Officer's Technical Representative (COTR): A person designated by a Contracting Officer to assist with seeing that a contractor's total performance is in accordance with the requirements of the contract and to protect the best interests of the Government. The individual who is responsible for the technical evaluation of a contractor's performance.
  • Deputy U.S. Marshal: Includes all operational employees assigned to either the 0082 or 1811 job series.
  • Diagnostic Related Group (DRG)
  • Elective Care: Medical care that is not medically necessary to preserve the life or health of the prisoner.
  • Emergency Care: Medical care immediately necessary to preserve the life, health, limb, sight or hearing of the prisoner.
  • Financial Management System (FMS): USMS's automated financial accounting system.
  • Generic Medications: Prescription medications, the names of which are not protected by a trademark, but which are of the identical chemical structure to medication, which is protected by a trademark. Such medication is generally much less expensive than brand-name medication.
  • Centers for Medicare and Medicaid Services (CMS)
  • Individual Hospital Guards: Guards hired on individual contracts to the USMS and are not staffed to a Security or Company guard service.
  • Infectious Disease Screening: Medical care to identify infectious diseases such as tuberculosis, HIV, hepatitis, etc., Such care is considered medically necessary to protect the health and well being of prisoners, USMS staff, correctional staff, and the public.
  • Inside Care: Basic medical care routinely provided inside the confines of the jail or institution, e.g., intake screening, infectious disease control measures, sick call. The level of services included will vary among institutions, depending upon the institutions' capabilities.
  • Intergovernmental Agreement (IGA): An IGA is a formal written agreement between the USMS and a local or state government for the housing, care and safekeeping of Federal prisoners
  • Jail Inspector: A U.S. Marshals Deputy or staff who performs an inspection of local jails. These jails house USMS prisoners for the district under an IGA.
  • Medically Appropriate Care: Medical care that is necessary to preserve the life or health of the prisoner.
  • Micro purchase: Acquisition of goods or services when less than $2,500.
  • Modification: Change to an IGA or contract usually related to per diem rates.
  • Obligation: A monetary liability of the Government.
  • Office of Interagency Medical Services (OIMS): Established in 1994, the OIMS's functions include: 1) Medical case management for the districts; 2) Oversight the U.S. Public Health Service program at USMS, 3) Medical standards and policy, 4) Medical cost containment, 5) BOP/USMS Medical consolidation program, and 6) TB Management.
  • Outside Medical Care: Medical care provided to a prisoner outside the confines of the jail or institution.
  • NCIC/NLETS: National Crime Information Center/National Law Enforcement Telecommunication System (Automated background checks).
  • Piggybacking: One government agency, e.g., USMS, obtains services from a vendor that has a contract with another federal agency, e.g., Bureau of Prisons.
  • Pre-authorization: Authorization for the provision of a particular medical treatment or service obtained before providing the treatment or service. For the USMS, preauthorization applies to USMS prisoner medical care provided outside the jail or institution and for which the USMS is financially responsible.
  • Prisoner file: The primary district file containing all pertinent prisoner information. At many district offices portions of this file are in an electronic format.
  • Prisoner Services Division (PSD): The overall responsibility for all prisoner services is the USMS Prisoner Services Division (PSD). The PSD oversees all local jail inspections and these inspections require a review of prisoner medical care. The Office of Interagency Medical Services (OIMS) is under the PSD.
  • Prisoner Tracking System (PTS): Automated data system developed to support the tracking and handling of prisoners in district offices and sub-offices.
  • Remanded to USMS custody: Court places a prisoner in custody of the USMS to await trial.
  • Re-pricing: Medical invoices, after being reviewed, are sent by the district office to a contractor who modifies the billing amount in accordance with established Medicare rates.
  • Statement of Work (SOW): The portion of a government contract which describes in precise terms the work (tasks, materials, and services) to be provided by the contractor.
  • Secure wing: Hospital wing with security features, e.g., barred windows.
  • Tuberculosis (TB): TB is an infection caused by exposure to the tubercle bacillus organisms. TB infection can progress to disease. TB infection (latent) and TB disease (active) make up the two dimensions of TB.