10 Terms
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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.
Industry: Insurance
Add a new termContributors 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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