Medicare & Medicaid

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

Diethylstilbestrol (DES)

Insurance; Medicare & Medicaid

A drug given to pregnant women from the early 1940s until 1971 to help with common problems during pregnancy. The drug has been linked to cancer of the cervix or vagina in women whose mother took the ...

Hedis measures from encounter data

Insurance; Medicare & Medicaid

Measures from encounter data as opposed to having the plans generate HEDIS measures. HEDIS is a collection of performance measures and their definitions produced by the National Committee for Quality ...

Current dental terminology

Insurance; Medicare & Medicaid

A medical code set of dental procedures, maintained and copyrighted by the American Dental Association (ADA), and adopted by the Secretary of HHS as the standard for reporting dental services on ...

Administrative code sets

Insurance; Medicare & Medicaid

Code sets that characterise a general business situation, rather than a medical condition or service. Under HIPAA, these are sometimes referred to as non-clinical or non-medical code sets. Compare to ...

Excess charges

Insurance; Medicare & Medicaid

If you are in the Original Medicare Plan, this is the difference between a doctor?s or other health care provider?s actual charge (which may be limited by Medicare or the state) and the ...

Entity assets

Insurance; Medicare & Medicaid

Assets which the reporting entity has authority to use in its operations (i.e., management has the authority to decide how funds are used, or management is legally obligated to use funds to meet ...

Healthcare provider taxonomy codes

Insurance; Medicare & Medicaid

An administrative code set that classifies health care providers by type and area of specialization. The code set will be used in certain adopted transactions. (Note: A given provider may have more ...