Fee reduction based on the initial gross monthly premium to groups that have a self-administered health insurance plan.
Insurance Encyclopedia
SJ
HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating a third or more concurrently administered infusion therapy.
SK
HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating a member of high-risk population (use only with codes for immunization).
Skeletal traction
One of two basic types of traction used in orthopedics to treat fractured bones and correct orthopedic abnormalities. It is applied to the structure by metal pins, clamps, screws, or wires inserted into the affected structure and attached to traction ropes. It allows for continuous traction keeping the bones aligned and immobilized during the initial healing process.
Skey Forms
Questionnaires adopted at Lloyd’s and the LMX to give an overview of the reinsured’s account. They are regarded as providing the minimum needed for the purpose of a reinsurance submission. Charles Skey, a Lloyd’s nonmarine underwriter, created the forms.
Skilled care
Type of health care given when a patient needs skilled nursing or rehabilitation staff to manage, observe, and evaluate the care such as injections, catheterizations, and dressing changes.
skilled nursing care
Inpatient 24-hour nursing care, rehabilitative services, and related health services for patients who need continuous medical care but do not need acute nursing care. This care can only be performed safely and correctly by either a licensed registered nurse or a licensed practical nurse. Procedures and treatments include injections, administration of medications, changing of dressings, and observation and monitoring of a patient’s condition including taking vital signs.
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Daily nursing and rehabilitative care that is performed only by or under the supervision of skilled professional or technical personnel. Skilled care includes administering medication, medical diagnosis and minor surgery.
Skilled nursing care (Health Insurance)
Daily care that must be provided by a certified professional. This may include providing medication and treating existing conditions.
skilled nursing facility (SNF)
Commonly pronounced “sniff.” 1. Setting, either part of a facility or distinct from it, that provides inpatient 24-hour nursing and related health services for patients who need continuous medical care or rehabilitation services. Patients in need of SNF care may have a condition that is acute, chronic, or terminal and it makes no difference. It is considered to be more cost-effective than an extended hospital stay. Formerly called extended care facility (ECF) before 1972 when the Social Security statute was amended and SNF was introduced. 2. Under the Medicaid program, this is known as a nursing facility (NF) . Medicaid also has a separate category of intermediate care facility for the mentally retarded. 3. Under the Medicare program, a SNF is staffed and equipped to give intensive nursing and rehabilitative care by registered and licensed nurses or licensed therapists under the supervision of a physician. SNFs must be certified by Medicare and there are specific requirements for admission, certain covered benefits, and a period of coverage. Inpatient SNF, known as extended care services , is given to a patient in a SNF up to 100 days of each spell of illness, depending on the patient’s condition.
Skilled nursing facility (SNF) (Health Insurance)
A facility that provides therapy and nursing care to patients covered by Medicare.