CPT Category III code series that allows for billing by the pharmacist when he or she reviews pertinent patient history, reviews the medication profile (prescription and nonprescription), and makes recommendations for improving health outcomes and treatment compliance.
Insurance Encyclopedia
Medicine section
Division of the Current Procedural Terminology (CPT) code book that contains information about injections, psychiatric procedures, dialysis services, gastroenterology procedures, ophthalmology services, otorhinolaryngologic services, cardiovascular therapeutic services, noninvasive vascular diagnostic studies, allergy and immunology tests, neurology and neuromuscular procedures, chemotherapy administration, physical medicine, acupuncture, chiropractic treatment, and other special services and procedures.
Medifill
See: Medigap (MG) policy .
Medigap
Private insurance that offers a standardized insurance policy with a range of supplemental coverage for those on Medicare.
Medigap (MG) policy
Specialized Medicare supplemental insurance policy whose predefined minimum benefits are regulated by the federal government and devised for the Medicare beneficiary. It typically covers the deductible and copayment amounts not covered under the Medicare policy. This coverage is available only to individuals who are covered by Medicare and is purchased by individuals or by employers to cover retired employees. Except in Massachusetts, Minnesota, and Wisconsin, there are 12 standardized plans labeled Plan A through Plan L. Medigap policies only work with the Original Medicare Plan. Also known as complementary program, gap fill, Medifill, Medicare supplement policy, Medsupp, Medicare wrap, supplemental health insurance , or wraparound plan .
Medigap Compare
Several websites have been created that help Medicare beneficiaries to find insurance companies that sell Medigap insurance plans and to compare coverage costs (e.g., http://www.medicare.gov/medigap/default.asp ). A Google search using key words “Medigap Compare” can also be used to do this research.
Medigap Insurance
Policies that pay for all, or part of, health care expenses not covered by Medicare.
Medigap protections
See: guaranteed issue rights .
MedPAC
See: Medicare Payment Advisory Commission (MedPAC) .
MEDPARD Directory
State and county directory that contains names, addresses, and specialties of Medicare-participating physicians who have agreed to accept assignment on all Medicare claims and covered services.