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Medicare & Medicaid

Medical insurance programs administered by the U.S. federal government that provide health care coverage for the elderly (people over 65) and certain people and families with low incomes and resources.

Contributors in Medicare & Medicaid

Medicare & Medicaid

personal abuse

Insurance; Medicare & Medicaid

When another person does something on purpose that causes you mental or physical harm or pain.

Data Interchange Standards Association

Insurance; Medicare & Medicaid

A body that provides administrative services to X12 and several other standards-related groups.

medical review

Insurance; Medicare & Medicaid

Contractor reviews of Medicare claims to ensure that the service was necessary and appropriate.

utilization review

Insurance; Medicare & Medicaid

Contractor reviews of Medicare claims to ensure that the service was necessary and appropriate.

financial data

Insurance; Medicare & Medicaid

Data regarding the financial the status of managed care entities (e.g. the medical loss ratio).

treatment

Insurance; Medicare & Medicaid

Something done to help with a health problem. For example, medicine and surgery are treatments.

criteria

Insurance; Medicare & Medicaid

The expected levels of achievement or specifications against which performance can be assessed.

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