R-S
When a physician decides that a patient needs to see a specialist (3-10 business days)
What is a Regular referral
Template
Payment from the insurance company
What is Reimbursement
Using multiple codes that describe components of a treatment instead of using a single code that describes all steps of the procedure
What is unbundling
Resource-Based Relative Value Scale (RBRVS)
What is the system that provides national uniform payments after adjustments across all practices throughout the country
Upcoding
What is assigning a diagnosis or procedure code at a higher level than the documentation supports, such as coding bronchitis as pneumonia
Screening system
What is a procedure to prioritize the urgency of a call to determine when the patient should be seen
Urgent referral
What is an urgent, but not life-threatening, situation occurs, requiring that the referral be taken care of quickly, i.e. 24 hrs.
SOAP
What is an approach used for progress notes: Subjective, Objective, Assessment, Plans
Verbal consent
What is consent for treatment given out loud in response to a pointed question
This is a program jointly funded by the federal government and states to cover uninsured children in families with modest incomes but no Medicaid
What is State Children's Health Insurance Program (SCHIP)
When patients are scheduled at the same time each hour to create short-term flexibility each hour
What is Wave Booking
What is a request for payment
Statement
Stat Referral
What is needed in an emergency situation, and can be approved immediately over the telephone
Stream/Time-specific scheduling
What is scheduling patients for specific times at regular intervals. The amount of time allotted depends on the reason for the visit
Subsidiary journals
What is a document where the transactions are summarized and later recorded in a general ledger