M
MAC Medicare Administrative Contractor.
Managed Care Plan Insurance plan requiring patient to see doctors and hospitals that are contracted with the managed care insurance company.
Maximum Out of Pocket The maximum amount the insured is responsible for paying for eligible health plan expenses.
Meaningful Use A provision of the 2009 HITECH act that provides stimulus money to providers who implement Electronic Health Records.
Medical Necessity Medical service or procedure that is performed for treatment of an illness or injury that is not considered investigational, cosmetic, or experimental.
Medical Record Number A unique number assigned by the provider or health care facility to identify the patient medical record.
Medicare Insurance provided by federal government for people over 65 or people under 65 with certain restrictions.
Medicare Parts
- Part A = Hospital
- Part B = Physician visits
- Part C = Medicare Advantage
- Part D = Prescription drugs
Medicare Coinsurance Days Inpatient hospital coverage from day 61 to day 90 of a continuous hospitalization.
Medicare Donut Hole The gap between the initial limits of insurance and the catastrophic Medicare Part D coverage limits for prescription drugs.
Medicaid Insurance coverage for low income patients. Funded by Federal and state government and administered by states.
Medigap Medicare supplemental health insurance for Medicare beneficiaries.
Modifier A 2-digit alpha-numeric addition to a CPT code that provides additional information about procedures that have been altered or ‘modified’ in some way.
MSP Medicare Secondary Payer.
Medical Transcription The conversion of voice recorded or hand written medical information into text format records.