Defined by Medicare, situation whenever there are more than four cases concurrently directed by one physician, certified registered nurse anesthetist (CRNA), anesthesiology assistant (AA), or resident or a combination of those providers.

Supervision means performing the radiological procedure, and interpretation means reading or analyzing the film and preparing a report. This phrase is considered when choosing a CPT code for a radiological procedure (70010 to 79999). When the radiological procedure is performed by two physicians, the radiological portion of the procedure is designated as “radiological supervision and interpretation.” When a physician performs the procedure and provides imaging supervision and interpretation, a combination of procedure codes outside the 70000 series and imaging supervision and interpretation codes is used.

Type of health insurance that offers first dollar coverage (no deductible or copayments) or a fixed dollar amount when a loss is due to an accident.

1. Disability insurance provisions that allow benefits to the insured to increase the monthly indemnity or to receive a percentage of the policy premiums if an individual keeps a policy in force for 5 or 10 years or does not file any claims. 2. Medical benefits for an employer group in addition to the basic health plan.

Additional invoicing of a specific time period for additional members or for changes to an insurance plan.

System that is outside the Standard Claims Processing System, which allows further automation of claim reviews. It may be designed using the logic, or expertise, of a medical professional.

Nonqualified deferred compensation retirement plan that gives benefits for a group of company executives regardless of benefits provided under a qualified retirement plan.