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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

ambulatory care

Insurance; Medicare & Medicaid

All types of health services that do not require an overnight hospital stay.

National Association of Insurance Commissioners

Insurance; Medicare & Medicaid

An association of the insurance commissioners of the states and territories.

gaps

Insurance; Medicare & Medicaid

The costs or services that are not covered under the Original Medicare Plan.

full capitation (FUL)

Insurance; Medicare & Medicaid

A plan is paid for providing services to enrollees solely through capitation.

manual claim review

Insurance; Medicare & Medicaid

Review, pre- or postpayment, that requires the intervention of PSC personnel.

federal medical assistance percentage

Insurance; Medicare & Medicaid

The portion of the Medicaid program, which is paid by the Federal government.

data element

Insurance; Medicare & Medicaid

Under HIPAA, this is the smallest named unit of information in a transaction.

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