A written description of the service provided that is prepared when the term “by report” is included in a procedure code nomenclature; may be requested by a third-party payer to provide additional information for claims processing.
The monitoring and coordination of treatment rendered to patients with specific diagnoses or requiring high cost or extensive services. May include complex treatment plans or discussion between multiple practitioners.
A process of identifying patients with special health care needs, developing a healthcare strategy that meets those needs, and coordinating and monitoring the care, with the ultimate goal of achieving the optimum health care outcome in an efficient and cost-effective manner.