In the Medicaid program, this term means that each state provides the same (comparable) benefits for those eligible except for those benefits in Medicaid waiver programs and benefits for children through Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) programs.

Medicare guideline stating that reasonable charges for medical services cannot be greater than similar services billed to non-Medicare patients covered by private insurance or managed care plans.

Patient’s situation that is documented as “either/or” in the medical record. Conditions include illness, disease, injury, pregnancy, bodily defect or abnormality, mental illness, alcoholism, or drug or chemical dependence.

Document that gives the annual comparison of a physician’s services and procedures to those of another doctor in the same specialty and geographical location.

Collected information that includes standards of strength, purity, and quality of drugs. Official compendia in the United States are the United States Pharmacopoeia, the National Formulary, the Homeopathic Pharmacopoeia of the United States, and their supplements.

Any trauma suffered by an employee that arises out of employment (AOE) and occurs in the course of employment (COE). This includes any aggravation or acceleration, because of employment, of a preexisting physical or mental condition or pathology.

1. Monetary payment for work performed or services rendered. 2. Used variously to refer to the workers’ compensation law, compensation benefits generally, or compensation payments.

MEDICAL,USA: Monetary payment awarded in court for actual loss or injury to a person or property sufficient in the amount to indemnify the injured person for the loss suffered. Also called compensatories.
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The award, usually monetary, that is intended to compensate the claimant for injury sustained. In addition to actual loss or injury, this term may include amounts for expenses, loss of time, bodily suffering and metal suffering but does not include punitive damages.
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The total of monetary loss experienced by the injured party are compensatory damages and can include special damages and general damages. The distinction between special damages and general damages is that the former can be calculated accurately from the records of actual expenses incurred or financial losses (e.g., loss of salary etc.) suffered whereas the letter are estimated by courts taking into account a number of factors relevant to individual cases.

Individual able to understand and act sanely and reasonably.