Medical blogging

Online publications by physicians or health care workers over the Internet. Content ranges from medical studies and opinions of interpretations of medical studies to hot topics in the news related to health care such as tort reform and Medicare reimbursement, with links to interesting news items. Often called medblogging .

Medical care

When one hears medical care , it infers treatment of illness or injury, maintenance of health, and prevention of disease by or under the supervision of a physician. The phrase health care has the intent of a broader scope of meaning when compared with the phrase medical care . See also health care .

medical care evaluation (MCE)

1. Form of health care review in which a component of the quality assurance program audits and monitors the quality of both the delivery and organization of medical services. The purpose is to ensure that health care services are appropriate to the patients’ needs and of the highest quality and that the managed care plan in place supports and provides the care. 2. The Medicare Conditions of Participation require an audit with the use of screening criteria for evaluation by diagnosis and/or procedure. Utilization review requirements under Medicare and Medicaid require utilization review committees in hospitals and skilled nursing facilities to have at least one such study in progress at all times. Such studies are required by the Quality Improvement Organization (QIO) program. This is called medical care evaluation studies (MCE studies) .

medical decision making (MDM)

Health care management process done after performing a history and physical examination on a patient that results in a plan of treatment. It is based on establishing one or more diagnoses and/or selecting a management or treatment option, amount of data or complexity of data reviewed, and complications and/or morbidity or mortality. Four types of MDM are straightforward, low complexity (LC), moderate complexity (MC), and high complexity (HC).

Medical direction

Defined by Medicare, an anesthesiologist’s involvement with a certified registered nurse anesthetist (CRNA) or anesthesiology assistant (AA) in one, two, three, or four concurrent procedures where the anesthesiologist is physically present and where all the seven requirements are met and documented. Medicare does not recognize medical direction by the anesthesiologist if he or she is involved in more than four concurrent procedures. When the anesthesiologist takes on five or more cases, he or she is supervising or has failed to meet the medical direction requirements, with a few exceptions [Medicare Carriers Manual, Section 4830].