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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
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Medicare & Medicaid
Accreditation for participation
Insurance; Medicare & Medicaid
State requirement that plans must be accredited to participate in the Medicaid managed care program.
Postpayment review
Insurance; Medicare & Medicaid
The review of a claim after a determination and payment has been made to the provider or beneficiary.
Medicare Part B carrier
Insurance; Medicare & Medicaid
A Medicare contractor that administers the Medicare Part B (Professional) benefits for a given region.
High risk area
Insurance; Medicare & Medicaid
A potential flaw in management controls requiring management attention and possible corrective action.
Confidentiality
Insurance; Medicare & Medicaid
Your right to talk with your health care provider without anyone else finding out what you have said.
Valuation period
Insurance; Medicare & Medicaid
A period of years that is considered as a unit for purposes of calculating the status of a trust fund.
Disclosure
Insurance; Medicare & Medicaid
Release or divulgence of information by an entity to persons or organisations outside of that entity.
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