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Medicare Part B

The part of Medicare that covers outpatient medical services, including doctor visits, some preventive care, medical supplies, and outpatient hospital care.

Skin substitute product

A biological, tissue, cellular, or synthetic material applied to a wound to help it heal, intended to stay in the wound bed, and approved by the FDA. It does not include temporary wound dressings.

Volume-weighted average

A type of average where each value contributes to the average in proportion to its associated quantity or 'volume' (e.g., how many units were used or sold).

ASP Pricing File

A public file published by the Centers for Medicare & Medicaid Services (CMS) that lists the average sales price (ASP) and payment limits for various drugs and biologicals under Medicare Part B.

Consumer Price Index for All Urban Consumers (CPI-U)

A measure of the average change over time in the prices paid by urban consumers for a market basket of consumer goods and services, commonly used as an indicator of inflation.

Outlier provider

A healthcare provider who receives a disproportionately high amount of Medicare payments for a specific service or product compared to most other providers.