Time frame when an individual’s employer group health plan will pay first on the medical services and Medicare will pay second. If the employer group health plan does not pay 100% of the medical bills during the coordination period, Medicare may pay the remaining costs.

1. Specific dollar amount to be collected when services are received. For example, the patient might pay out of pocket $10 for each prescription received and the plan would pay the remaining cost of the drug. This cost-sharing arrangement is sometimes referred to as coinsurance and deductible, cooperative payment, and cost sharing. However, coinsurance has a slightly different meaning under some programs (see coinsurance). 2. Under the Medicare program, it is considered fraud to routinely waiver copayments and deductibles, regardless of need. 3. In the Medicaid program, a dollar amount that an individual must pay at each office visit for receiving medical and child care services. Different copayment amounts may be set for each patient type and certain medical procedures. Child care copayments are based on gross annual income, number in the home, and number needing child care. Note: If a health plan integrates the copayment into the membership fee, then do not collect copays from the patients (members) of the plan.

Computer-assisted test of the cornea of the eye in which a special instrument projects a series of concentric light rings on the cornea creating a color map of the corneal surface and a cross-section profile. It is used to find subtle corneal surface irregularities associated with a large number of corneal disease states; also known as computer-assisted video keratography (CAVK) and corneal mapping.

Department within a hospital facility dedicated to patients who have suffered heart attacks, strokes, or other serious or complex cardiopulmonary problems.

Elected or appointed public official who investigates and provides official opinions about the cause and circumstance of deaths that occur in a specific legal jurisdiction or territory, especially a death that may have occurred from unnatural causes. See also medical examiner (ME).

Agreed settlement between a provider and the Office of the Inspector General (OIG) as a result of an investigation for health care fraud and abuse violations of the False Claims Act. The provider must meet certain government-imposed requirements (such as annual audits) and follow the guidelines of this government-mandated compliance program.

Life insurance policy that an employer or a trust can purchase on a group of employees, which is considered a tax-advantaged asset. The employer or trust can be named as the beneficiary of the policy.