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A business transaction has occurred when:
Patient-Centered Medical Home (PCMH)
A health care delivery model designed to provide comprehensive, coordinated, and continuous care to patients with the goal of optimizing health outcomes.
Advance Beneficiary Notice (ABN)
Document used to notify a Medicare beneficiary that it is either unlikely that Medicare will pay or certain that Medicare will not pay for the service they are going to be provided. Beneficiaries are required to sign this document if they wish to have the service with the understanding that they will be responsible for payment.
Medicare
A federal health insurance program in the United States for people aged 65 and over, as well as for some younger individuals with disabilities.
Insurance Coverage
A contractual arrangement in which an insurer agrees to compensate an insured for loss, damage, or liability in return for payment of a premium.
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