Registered nurse who has advanced education and clinical training in a health care specialty area.
Tag: MEDICAL
Advanced underwriting department
Insurance company home office division that is responsible for giving technical and sales help to insurance agents about estate planning and business insurance. Also known as estate planning department.
Adverse benefit determination (ABD)
Denied or incorrectly paid health benefit under HMO, PPO, or POS managed care plans that follow federal regulations mandated under the Employee Retirement Income Security Act (ERISA).
Adverse effect
Unfavorable, detrimental, or pathologic reaction to a drug that occurs when appropriate doses are given to humans for prophylaxis (prevention of disease), diagnosis, or therapy.
Advisor
In a 401(k) defined-contribution pension plan, a firm that helps the employer choose a provider, select the investment options, and make any other decisions about the plan.
Advisory Council on Social Security
Prior to the enactment of the Social Security Independence and Program Improvements Act of 1994 (Public Law 103-296) on August 15, 1994, the Social Security Act required the appointment of an Advisory Council every 4 years to study and review the financial status of the Old Age, Survivors, and Disability Insurance (OASDI) and Medicare programs. Its report on the financial status of the OASDI program was submitted on January 6, 1997. Under the provisions of the Public Law, this was the last Advisory Council to be appointed.
Advocate
Individual who gives the patient support or protects his or her rights.
AE
HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating service performed by a registered dietitian. Use of this modifier affects Medicare payment.
AEP
See: annual election period (AEP) and appropriateness evaluation protocol (AEP).
Aesthetic surgery
See: cosmetic surgery.