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Please note that the definitions included in this Glossary reflect the manner in which these terms are used on Medicare in general.

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A decision about whether Medicare will pay for or not pay for certain treatments for certain conditions. NCDs are federal rules that Medicare contractors must follow.
A unique number for each health care provider (individuals or entities) who uphold the HIPAA standards.
A group of doctors, hospitals, and pharmacies that contract with a Medicare Advantage Plan to provide health care services.
Medical professionals who accept Medicare but don't always accept the Medicare-approved amount or method for a covered service.
A condition that prohibits health status-based discrimination in job-based insurance. It is not possible to limit or refuse coverage under employment-based policies. A higher price cannot be imposed on you due to your health.
A notice from a home health agency (HHA), skilled nursing facility (SNF), comprehensive outpatient rehabilitation facility (CORF), or hospice stating the day your care is expected to finish.
A statement outlining the possible uses and disclosures of your health information and how you may access this information.
Skilled, certified, and independent healthcare professionals who focus on managing patients' health status through treating illnesses and injuries and promoting disease and injury prevention.
A residence for people with disabilities, chronic illnesses or require rehabilitation services by a licensed health professional such as nurses or therapists.


This glossary explains terms in the Medicare program, but it isn't a legal document. The official Medicare program provisions are found in the relevant laws, regulations, and rulings.

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