Coverage Gap
The former Part D donut hole, eliminated after 2024.
Definition
The former Part D donut hole, eliminated after 2024.
Why it matters
Coverage Gap is part of the Medicare vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.
Home Health Documentation Playbook
The complete guide to OASIS-E, Medicare compliance, PDGM, and AI-assisted documentation. Learn how top agencies reduce documentation time without sacrificing compliance.
Related terms
Listen While You Read
Conversations on medicare
Episodes from Inside Home Health that put Coverage Gap in operational context.





