Practice in which one piece of data in a patient record is counted as two data points when calculating an evaluation and management level of service for the code. This procedure may be considered either controversial, accepted, or rejected by third-party payers.

Also spelled donut hole . Another name for the step in a Medicare Part D plan in which the patient pays all of the expenses for eligible drugs until he or she has spent $3850. Also referred to as coverage gap or The gap .