All MedTech Terms
513 sourced definitions covering the regulatory, quality, software, and cybersecurity vocabulary of modern medical devices.
Showing 1–24 of 37
340B Drug Pricing Program(340B)
Federal program providing discounted drugs to safety-net providers.
Ambulatory Payment Classification(APC)
The Medicare grouping system that determines hospital outpatient payment amounts under OPPS, analogous to MS-DRGs for inpatient.
ASC Site-of-Service Shift
Migration of procedures from hospitals to ambulatory surgery centers.
Budget Impact Model(BIM)
Financial model that estimates the total cost consequences of adopting a new technology to a payer's budget over a defined horizon.
Bundled Payment
Single payment that covers all services for an episode of care.
Category III CPT Code
Temporary CPT code for emerging technologies and services.
Category III CPT Codes
Temporary CPT codes for emerging technologies, services, and procedures.
CMS IDE Coverage (Category A & B)
Medicare coverage framework for items and services furnished in FDA-approved IDE studies, Category A (experimental) and Category B (non-experimental).
Coverage with Evidence Development(CED)
Medicare paradigm conditioning coverage on participation in approved clinical studies or registries.
CPT Codes(CPT)
AMA-maintained codes that describe medical procedures and services.
Current Procedural Terminology Codes(CPT)
AMA-maintained codes used to report medical procedures and services for billing.
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies(DMEPOS)
Medicare benefit category covering durable medical equipment, prosthetics, orthotics, and supplies, billed under HCPCS Level II codes through DME MACs.
HCPCS Codes(HCPCS)
CMS-maintained codes for products, supplies, and services not in CPT.
Health Economics and Outcomes Research(HEOR)
Research discipline that generates economic, clinical, and patient-reported evidence to support payer access, HTA submissions, and value demonstration.
Health Technology Assessment(HTA)
Systematic evaluation of clinical and economic value of a health technology.
ICD-10-CM / ICD-10-PCS
Diagnosis (CM) and inpatient procedure (PCS) coding systems used in U.S. claims.
Incremental Cost-Effectiveness Ratio(ICER)
Cost per additional unit of health outcome (often QALY) versus comparator.
Inpatient Prospective Payment System(IPPS)
Medicare's payment system for inpatient hospital stays.
Joint Clinical Assessment(JCA)
EU-wide clinical assessment of high-risk medical devices and IVDs.
LCD and NCD
Local and National Coverage Determinations from Medicare.
Medicare Administrative Contractor(MAC)
Private contractors that process Medicare Part A/B and DME claims and issue Local Coverage Determinations within their jurisdictions.
Medicare Physician Fee Schedule(MPFS)
Medicare's payment system for physician professional services.
MolDx Program
A Medicare molecular diagnostics program, administered by Palmetto GBA and adopted by several Medicare Administrative Contractors, that technically assesses molecular tests and assigns Z-codes for claims processing and local coverage.
MS-DRG(MS-DRG)
Medicare's inpatient hospital payment classification system.