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Glossaries

For many of us, medical and health insurance terms are unfamiliar or complex. Our glossaries define some of those terms.


		Program integrity The area in Medicare that reviews complaints from any source concerning services billed to Medicare for any potential fraud or abuse.

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Participating provider
Pending
Per diem
Physician-hospital organization
Place of service
Preferred provider organization (PPO)
Prescription
Prior authorization
Procedure code
Program integrity
Proof of eligibility
Provider

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