Treatment of injury and disease by mechanical means such as use of heat, light, exercise, and massage.
Insurance Encyclopedia
Physical therapy modality
Method of application of, or the employment of, a therapeutic agent or regimen to give treatment to assist in rehabilitating or restoring function to the body after an illness or injury.
Physical therapy services
Treatments for injuries and diseases consisting of cold, shortwave and microwave diathermy and ultrasonic heat, hydrotherapy, electric stimulation, light, exercise, and massage to restore function to the body. Services also include evaluation and program planning.
Physically clean claim
Insurance claims with no staples or highlighted areas. The bar code area has not been deformed.
Physician
1. Doctor of Medicine (MD) or Doctor of Osteopathy (DO) who, through education, training, and internship is licensed under state law to practice medicine and may diagnose and render treatment to individuals. 2. In workers’ compensation cases, providers of care include state-licensed medical doctors, psychologists, optometrists, dentists, podiatrists, chiropractors, and acupuncturists.
physician advisor (PA)
1. In a medical center facility, doctor that is asked to do final decision-making in complicated or difficult cases by evaluating appropriateness of admission, judging efficiency of services for level of care and place of service, and in seeking appropriate care alternatives for selected patients. Additionally, a PA can act as a negotiator and educator with practicing physicians and as liaison between the utilization management company and the provider community in understanding and shaping more efficient and cost-effective medical practice. 2. Individual hired to improve the revenue cycle. Also called business consultant. 3. Individual who assists patients in selecting medical insurance and in choosing a physician.
Physician agreement
Legal contract between an insurance company or managed care plan and a physician (participating physician) to give medical services to the plan’s members.
physician assistant (PA)
Health care professional academically, clinically prepared, and licensed to practice medicine with supervision and guidance of a licensed doctor of medicine or osteopathy. Depending on state laws, PAs perform the following: take medical histories, diagnose and treat conditions, order and interpret laboratory tests, perform physical examinations, assist in surgery, counsel patients, and prescribe, administer, and dispense medications. Training programs average 25 to 27 months. National certification is available to graduates of approved training programs, a master’s-degree level in most states. Also referred to as a physician extender (PE).
physician associate (PA) group
Partnership, association, or corporation composed of two or more physicians and/or nonphysician practitioners who wish to bill Medicare as a unit.
Physician attestation
Signed and dated verification by the attending physician of the accuracy, completeness, and description of the patient’s principal and secondary diagnoses and procedures in a Medicare case. This document must be present in the patient’s medical record for each Medicare inpatient admission. It is necessary for diagnosis-related groups (DRG) assignment.