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Medicare

Horizontales
highest fee nonparticipating physicians may charge for a particular service
remittance advice from Medicare to beneficiaries detailing their services and charges
participating in deductible and coinsurance payment
plan offered by a private insurance carrier to supplement coverage
Medicare health savings account program (similar to private medical savings account)
Medicare online manuals that offer day-to-day operating instructions, policies, and procedures based on statutes and regulations, guidelines, models, and directives
test or procedure performed for a patient with no symptoms, abnormal findings, or relevant history
simplified billing for vaccines
beneficiary’s unexpected illness or injury requiring immediate treatment
Verticales
Medicare’s claim processing system
Medicare postpayment claim review program
preventive service providing a health risk assessment and personal prevention plan
health plan (processes claims sent by physicians, etc., for Part B)
Medicare insurance identification card received by each member
provider who completes the header on an ABN