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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

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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