Difference between the percentage increases before rounding in the average annual wage in covered employment and the average annual consumer price index (CPI).

In workers’ compensation cases, any job adjustment or work environment modification that assists a disabled employee to perform essential job duties.

Actual dollar amount of providing medical services or hospital services including direct and indirect costs to Medicare patients. Fiscal intermediaries and insurance carriers use the Centers for Medicare and Medicaid Services (CMS) guidelines to determine reasonable costs incurred by individual providers in furnishing covered services to enrollees.

Calculation to determine the reasonable cost incurred by individual providers when furnishing covered services to beneficiaries. Reasonable cost is based on the actual cost of providing such services including direct and indirect costs of providers, excluding any costs that are unnecessary in the efficient delivery of services covered by a health insurance program.

System used by Medicare fiscal intermediaries under established guidelines from the Centers for Medicare and Medicaid Services (CMS) to find the reasonable cost incurred by the provider when rendering services to a Medicare patient. These guidelines try to exclude unnecessary medical costs.

Amount on which payment is based for participating physicians in the Medicare program; a charge is considered reasonable if it is deemed acceptable after peer review even though it does not meet the customary or prevailing criteria. This would include unusual circumstances or complications requiring additional time, skill, or experience in connection with a particular service or procedure.

Legal phase used when proving the cause of an injury that means the injury was more likely than not caused by a certain agent or factor.