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Medicare Part B

The part of Medicare that covers medically necessary doctor's services, outpatient care, durable medical equipment, and some preventive services.

Ambulatory Surgical Center (ASC)

A healthcare facility where surgical procedures that do not require an overnight hospital stay are performed.

Office-based facility

A doctor's office or clinic where medical procedures, including some surgeries, can be performed without requiring a separate, dedicated surgical center.

Coinsurance

The percentage of the cost of a medical service that a patient is responsible for paying after their deductible has been met.

Inpatient Hospital Deductible

A fixed amount a patient must pay for hospital services before Medicare begins to pay for their inpatient care.

HCPCS Code

Healthcare Common Procedure Coding System codes used to identify and describe medical procedures, services, and supplies for billing and payment.

Practice Expense Relative Value Unit (RVU)

A component used by Medicare to calculate the portion of a payment for a medical service that covers the overhead costs of running a medical practice.