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S. S2 Sa Sb Sc Sd Se Sf Sg Sh Si Sj Sk Sl Sm Sn So Sp Sq Sr Ss St Su Sv Sw Sy

Surgical hierarchy

Sequencing of operative cases from those most to those least resource intensive (e.g., if a patient needs to have multiple surgical procedures, each of which occurs by itself, and the procedures could result in assignments to different diagnosis-related groups [DRGs]). A patient must be assigned to only one DRG per hospital admit.

Surgical package

In CPT coding, this is a surgical procedure code that includes the operation, local infiltration, digital block, or topical anesthesia, and normal, uncomplicated postoperative care. This is referred to as a “package,” and one fee covers the whole package. See also global surgery policy (GSP) .

Surgical schedule

A list of cash allowances to a maximum amount according to the severity of the operation.
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A list of cash allowances which are payable for various types of surgery with the maximum amounts based upon the severity of the operations.
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MEDICAL, US: Fee schedule in an insurance policy that lists the maximum amounts payable for various operative procedures.

Surgical team

Situation in which several surgeons are present during the operation. A five-digit CPT code number is used with an attached modifier -66 to list the procedure. If listing more than one modifier, the appropriate sequence is to list -66 first and any one of these modifiers in the next position (-54, -55).

Surplus

UK: 1. An accounting expression to describe the excess of income over expenditure of mutual companies rather than profit. 2. The amount ceded by way of reinsurance after the direct office has fixed its retention. 3. In life insurance, the difference between assets and liabilities as revealed at the annual valuation, out of which bonuses are paid to with profits policyholders. 4. Pension fund surplus. The retirement benefits of final salary scheme members may be enhanced as a result of a surplus in their fund. ICTA, s.603, obliges the trustees to eliminate any surplus above the calculated statutory surplus. The retirement benefits can be improved or the employer may be permitted a contribution holiday or given a refund subject to tax at a rate of 40 per cent.
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REINSURANCE: A form of pro rata reinsurance indemnifying the ceding insurer against loss to the extent of the surplus insurance liability ceded, on a share basis similar to quote share. Essentially, this can be viewed as a variable quote share contract wherein the reinsurer’s pro-rata share of insurance on individual risks will increase as the amount of insurance increases, given the same reinsurer’s retained line, in order that the primary insurer can limit its net exposure to one line, regardless of the amount of insurance written.
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MEDICAL, US:Dollar amount that shows an insurance company’s assets exceed its liabilities and capital.
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REINSURANCE: Reinsurance of amounts over a specified amount of insurance, premiums and losses being shared proportionately between insurer and reinsurer.
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US: The amount by which an insurer’s assets exceed its liabilities. It is the equivalent of “owners’ equity” in standard accounting terms. The ratio of an insurer’s premiums written to its surplus is one of the key measures of its solvency.
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The amount by which an insurer’s assets exceed its liabilities. Statutory surplus is an insurer’s or reinsurer’s capital as determined under statutory accounting rules. Surplus determines an insurer’s or reinsurer’s capacity to write business.
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The amount given off by way of Reinsurance after the direct Insurer has decided upon his retention. See Also: “Reinsurance, Surplus.”
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The assets of the insurer, minus the insurer’s liabilities.