List of prescribed medications recommended by a managed care plan and dispensed by participating pharmacies to members (enrollees) of the plan. It is periodically reviewed and modified. See the three types—open, closed, and restricted formularies—for information. See formulary and drug formulary .
Tag: MEDICAL
foundation for medical care (FMC)
Organization of physicians sponsored by a state or local medical association concerned with the development and delivery of medical services and the cost of health care. Two types of FMCs exist: (1) comprehensive type of foundation, which designs and sponsors prepaid health programs or sets minimum benefits of coverage; and (2) claims-review type of foundation, which provides evaluation of the quality and efficiency of services by a panel of physicians to the numerous fiscal agents or carriers involved in its area including the ones processing Medicare and Medicaid. Also called foundation or medical foundation .
Four-character subcategory
In the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) , a letter with two digits followed by a period or decimal point and one number that gives more information on the description of a condition.
Fourth and fifth digits
Numerical characters in the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code book after three digits that gives additional specific information about the diagnosis or procedure to be coded. Under Medicare guidelines, some diagnostic and procedure codes require fourth or fifth digits to pass insurance claims processing edits for reimbursement.
Fourth digit
Symbol used in the diagnostic code book titled International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) . It is used to indicate that a fourth digit is required for coding to indicate the highest level of specificity.
FP
1. HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating a service provided is part of a family planning program. 2. Abbreviation for family practitioner. See family practitioner (FP) .
FR
See: Federal Register .
Fractional premiums
Insurance premiums that are paid in installments (fractions of the annual premium) such as semiannually, quarterly, or monthly.
Fracture manipulation
Manual stretching or applying pressure or traction to realign a broken bone; also referred to as a reduction .
Fragmentation
See: unbundling .