noncoverage


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noncoverage

adjective Referring to a lack of insurance benefits, usually used in the context of limited access to 'covered' medical care. Cf Coverage.
References in periodicals archive ?
QIOs investigate individual patient complaints about the quality of care and respond to (1) requests for review of notices of noncoverage issued by hospitals to beneficiaries, and (2) requests for reconsideration of QIO decisions by beneficiaries, physicians, and hospitals.
Growing Cell Phone Population and Noncoverage Bias in Traditional Random Digit Dial Telephone Health Surveys.
Although capable EHRs provide an easily accessible place for providers to perform CPOE, often EHR order entry functionality does not take into consideration the actual workflow of processing specimens through a laboratory, including medical necessity flagging, Advance Beneficiary Notices of Noncoverage (ABNs), and splitting and routing of orders based on insurance.
Seniors who are leery of risking higher costs or noncoverage if their health deteriorates are likely to enroll in traditional Medicare and purchase Medigap when they initially become eligible for coverage, even if a Medicare Advantage plan might offer better benefits at a lower cost.
In this situation, patients will receive advanced beneficiary notice of noncoverage in which they will have to make a decision about whether or not to get the test and run the risk of nonpayment by their insurance carrier, leaving the patient financially responsible.
Other times, the exclusions apply to activities for which coverage would create a severe moral hazard and where noncoverage is the only effective way to create harm-prevention incentives.
This determination reverses a nearly 20-year noncoverage determination for PRP and provides for an appropriate research study with practical study designs we are confident will demonstrate that patients treated with our autologous PRP product, the AutoloGel System, experience clinically significant health outcomes," Martin P.
The BIPA authorized individuals who are entitled to benefits under Part A or enrolled under Part B to request that the Secretary make a determination when the Secretary has not issued a national coverage or noncoverage determination regarding a particular type or class of items or services.
1) As noted above, the current Advance Beneficiary Notice of Noncoverage offers Option 2:"I want the [service] listed above, but do not bill Medicare.
Although this procedure does not remove all biases, it does provide a simultaneous adjustment for nonresponse and noncoverage of households without telephone (Casady & Lepkowski, 1999).
Dorell acknowledged certain limitations of the study, including the fact that the telephone portion of the survey was using land line phones only, thus contributing to a noncoverage bias of wireless-only households.
On the fourth day she was out of medication, a letter arrived from the mall order service advising the noncoverage for the Avapro and suggesting that she ask her doctor to switch her medication to the generic version of Cozaar.