A request for review of a denial of coverage of a particular medical service or inadequate payment for services already received. Medicare beneficiaries have the right to appeal in either of these circumstances, whether they are enrolled in traditional Medicare or in...
A group residence offering 24-hour assistance to those who may need some help with activities of daily living, but who do not need the level of medical and nursing care offered by skilled nursing facilities.
The revenue from a manufacturer’s sales of a drug to all purchasers in the U.S. in a calendar quarter divided by the total number of units of the drug sold by the manufacturer in the same quarter. The ASP is net of any discounts. Since January 2005, the Centers for...