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  2. National coverage determination - Wikipedia

    en.wikipedia.org/wiki/National_coverage...

    Stakeholders have raised significant questions about health benefits of currently covered items or services; New evidence, or re-interpretation of previously available evidence indicates that current policies may need to be changed; Local coverage policies are inconsistent or conflicting, to the detriment of beneficiaries; For new items or services

  3. Health insurance coverage in the United States - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_coverage...

    Health insurance coverage is provided by several public and private sources in the United States. Analyzing these statistics is challenging due to multiple survey methods [13] and persons with multiple sources of insurance, such as those with coverage under both an employer plan and Medicaid. [1]

  4. Diagnosis code - Wikipedia

    en.wikipedia.org/wiki/Diagnosis_code

    In health care, diagnosis codes are used as a tool to group and identify diseases, disorders, symptoms, poisonings, adverse effects of drugs and chemicals, injuries and other reasons for patient encounters. Diagnostic coding is the translation of written descriptions of diseases, illnesses and injuries into codes from a particular classification.

  5. Healthcare in the United States - Wikipedia

    en.wikipedia.org/wiki/Healthcare_in_the_United...

    An estimated 13 million people gained coverage through Medicaid expansion, and 76 million people gained eligibility for free preventative services. [54] Several studies have indicated that there is an association with expansion of the ACA and factors associated with better health outcomes such as having a regular source of care and the ability ...

  6. History of the present illness - Wikipedia

    en.wikipedia.org/wiki/History_of_the_present_illness

    Following the chief complaint in medical history taking, a history of the present illness (abbreviated HPI) [1] (termed history of presenting complaint (HPC) in the UK) refers to a detailed interview prompted by the chief complaint or presenting symptom (for example, pain).

  7. Medicare (United States) - Wikipedia

    en.wikipedia.org/wiki/Medicare_(United_States)

    $451.00 per month (as of 2012) [62] for those with fewer than 30 quarters of Medicare-covered employment and who are not otherwise eligible for premium-free Part A coverage. [63] Most Medicare Part B enrollees pay an insurance premium for this coverage; the standard Part B premium for 2019 is $135.50 a month.

  8. Covered California - Wikipedia

    en.wikipedia.org/wiki/Covered_California

    Gold level: On average, the health plan pays 80% of covered health-care costs; the consumer pays 20%. Platinum level: On average, the health plan pays 90% of covered health-care costs; the consumer pays 10%. Minimum coverage plan (worst-case scenario): If the consumer is under 30 and cannot afford the other plans, this is another option. It ...

  9. Diagnosis-related group - Wikipedia

    en.wikipedia.org/wiki/Diagnosis-related_group

    Diagnosis-related group (DRG) is a system to classify hospital cases into one of originally 467 groups, [1] with the last group (coded as 470 through v24, 999 thereafter) being "Ungroupable". This system of classification was developed as a collaborative project by Robert B Fetter, PhD, of the Yale School of Management , and John D. Thompson ...