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  2. Healthcare Effectiveness Data and Information Set - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Effectiveness...

    NCQA has an on-line reporting tool called Quality Compass that is available for a fee of several thousand dollars. It provides detailed data on all measures and is intended for employers, consultants and insurance brokers who purchase health insurance for groups. NCQA's web site includes a summary of HEDIS results by health plan.

  3. Alternative dispute resolution - Wikipedia

    en.wikipedia.org/wiki/Alternative_dispute_resolution

    The ADR Office also serves as the point of contact for questions regarding the use of ADR. The Assistant General Counsel (ADR) serves as the "Dispute Resolution Specialist" for the DON, as required by the Administrative Dispute Resolution Act of 1996. Members of the office represent the DON's interests on a variety of DoD and interagency ...

  4. Understanding Medicare - AOL.com

    www.aol.com/health/medicare/medicare-guide

    The Basics of Medicare. Medicare provides health insurance for Americans age 65 and older or with certain disabilities. Learn about Medicare coverage, costs, enrollment, and more.

  5. Medicare Advantage - Wikipedia

    en.wikipedia.org/wiki/Medicare_Advantage

    Medicare.gov logo. Medicare Advantage (Medicare Part C, MA) is a type of health plan offered by private companies which was established by the Balanced Budget Act (BBA) in 1997. This created a private insurance option that wraps around traditional Medicare. Medicare Advantage plans may fill some coverage gaps and offer alternative coverage ...

  6. What effect does the Affordable Care Act have on Medicare? - AOL

    www.aol.com/lifestyle/effect-does-affordable...

    Glossary of Medicare terms. Out-of-pocket cost: This is the amount a person must pay for care when Medicare does not pay the total amount or offer coverage. Costs can include deductibles ...

  7. Healthcare Common Procedure Coding System - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Common...

    Level III codes, also called local codes, were developed by state Medicaid agencies, Medicare contractors, and private insurers for use in specific programs and jurisdictions. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) instructed CMS to adopt a standard coding systems for reporting medical transactions.

  8. What Does Guaranteed Issue Mean in Medicare? - AOL

    www.aol.com/does-guaranteed-issue-mean-medicare...

    "Guaranteed issue rights" refers to a time when Medigap insurers can't deny you coverage based on age, gender, health status, or any preexisting conditions outside of the open enrollment period.

  9. Medicare Access and CHIP Reauthorization Act of 2015

    en.wikipedia.org/wiki/Medicare_Access_and_CHIP...

    Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), (H.R. 2, Pub. L. 114–10 (text)) commonly called the Permanent Doc Fix, is a United States statute. Revising the Balanced Budget Act of 1997 , the Bipartisan Act was the largest scale change to the American health care system following the Affordable Care Act in 2010.

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