See: Medigap (MG) policy .
Tag: RAW
Medicare Supplement Insurance
Insurance coverage sold on an individual or group basis which helps to fill the gaps in the protection provided by the Medicare Program. Medicare supplements cannot duplicate any benefits provided by Medicare, but may part or all of Medicare’ deductibles and co-payments, and may cover some services and expenses not covered by Medicare.
Medicare supplement insurance (Health Insurance)
Insurance that supplements the coverage provided by Medicare. These supplements sometimes pay the insured’s deductibles or co-payments, but cannot duplicate the benefits provided to the insured by Medicare.
Medicare transmittals
Informative messages issued by the Centers for Medicare and Medicaid Services (CMS) to update program policies and procedures; formerly called Medicare program memorandums .
Medicare trust funds
Treasury accounts established by the Social Security Act for the receipt of revenues, maintenance of reserves, and disbursement of payments for the health insurance and supplemental medical insurance programs.
Medicare UPIN numbers
See: national provider identifier (NPI) .
Medicare Volume Performance Standard (MVPS)
Percentage figure that represents an acceptable rate of increase in physicians’ Medicare reimbursement for 1 year. MVPS is based on inflation, mix, and age of Medicare population, technological changes, improper utilization, and inadequate access to care. The Department of Health and Human Services uses a formula to establish the annual Medicare Part B increase in physicians’ payments.
Medicare wrap
See: Medigap (MG) policy .
Medicare-approved amount
Dollar amount a physician or supplier can be paid including what Medicare pays and any deductible, coinsurance, or copayment that the patient pays. It may be less than the actual amount charged by a doctor or supplier. Sometimes called approved charge or allowed amount .
Medicare-certified provider
Physician, other individual, or entity meeting certain quality standards that provides outpatient self-management training services and other Medicare-covered items and services.