Physical restoration of damaged tissue when the wound is superficial (e.g., involving primarily epidermis or dermis or subcutaneous tissues without significant involvement of deeper structures, requiring one-layer closure).

State law that if the insured and beneficiary of a life insurance policy both die and determination of who died first cannot be made, then the insured is presumed to be the primary beneficiary unless there is an insurance clause stating otherwise.

Drug pricing file containing the allowable price for each drug covered that is incident to a physician’s service, drugs furnished by independent dialysis facilities that are separately billable from the composite rate, and clotting factors to inpatients. The SDP is, in effect, a fee schedule, similar to other Centers for Medicare and Medicaid Services (CMS) fee schedules.

Examinations other than eye or psychiatric examinations should include performance and documentation of at least 12 elements identified in a table by a bullet (•), whether in a shaded or unshaded box. Eye and psychiatric examinations should include the performance and documentation of at least nine elements identified in a table by a bullet (•), whether in a shaded or unshaded box.

Physician or provider who does not practice in a group and does not share personnel, facilities, or equipment with another business. Also called solo practitioner .

State organization that administers and manages the state’s Medicaid program, a requirement of the Social Security Act.

Centralized system in which one organization, usually the government, sets reimbursement rates and pays all of the bills for health care to the providers (e.g., Canada, Germany, Great Britain). Individuals are not restricted as to which physicians or hospitals they can visit for medical services. Also known as socialized medicine and single-payer system .