Dollar amount a physician or supplier can be paid including what Medicare pays and any deductible, coinsurance, or copayment that the patient pays. It may be less than the actual amount charged by a doctor or supplier. Sometimes called approved charge or allowed amount .

Physician, other individual, or entity meeting certain quality standards that provides outpatient self-management training services and other Medicare-covered items and services.

Aged individuals who have supplemental insurance coverage with complementary benefits by employment plans after retirement. In some cases, coverage may be paid by a former employer after retirement. For working-aged individuals who have group health insurance through their employer or the employment of their spouse, usually Medicare is the secondary payer (MSP). Usually crossover insurance claims processing relationships exist with many insurance carriers who insure Medicare beneficiaries.

Refers to an individual who receives medical and/or disability benefits from both Medicare and Medicaid programs. Sometimes referred to as a Care/Caid or Medi-Medi case. This term is no longer used and has been replaced by dual eligible. See dual eligible .

Drug history during the admission/encounter of the patient in the hospital.

Title received by a Certified Nursing Assistant (CNA) who takes additional education in preparing for a role in administering oral and topical medications, works under the supervision of a licensed nurse, and passes a state certification examination. Medication assistants primarily work in nursing homes.

Type of help that individuals with multiple prescriptions, chronic diseases, and high drug costs receive to help them manage all of their medications for the purpose of making sure all of the drugs work well together.