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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.

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Medicare & Medicaid

Medicare national coverage determinations manual

Insurance; Medicare & Medicaid

(Formerly the Coverage Issues Manual) The National Coverage Determinations Manual contains implementing instructions for National Coverage Determinations. The manual includes information whether ...

actuarial deficit

Insurance; Medicare & Medicaid

A negative actuarial balance.

X12/PRB

Insurance; Medicare & Medicaid

The X12 Procedures Review Board.

loop

Insurance; Medicare & Medicaid

A repeating structure or process.

episode

Insurance; Medicare & Medicaid

60 day unit of payment for HH PPS.

program safeguard contractor

Insurance; Medicare & Medicaid

A contractor hired under this SOW.

non-formulary drugs

Insurance; Medicare & Medicaid

Drugs not on a plan-approved list.

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