Review by a quality improvement organization (QIO) for specific surgical procedures and scheduled inpatient services that must be approved before being provided. Also called preprocedure review.
Tag: MEDICAL
preadmission testing (PAT)
Treatment, tests, and procedures done 48 to 72 hours before admission of a patient into the hospital. This is done to eliminate extra hospital days.
Preauthorization
Requirement in some health insurance plans for a physician or provider to obtain permission for a service or procedure before it is done and to see whether the insurance program agrees it is medically necessary. Factors determining authorization are eligibility, benefits of a specific plan, and setting of care. Also called approval, authorization, or preapproval. See also precertification and predetermination.
Preauthorization of benefits provision
See: predetermination of benefits provision.
preauthorized check system (PAC)
See: automatic bill payment, check deposit billing, electronic funds transfer (EFT), and preauthorized payment.
Preauthorized checking
See: automatic bill payment, check deposit billing, electronic funds transfer system (EFTS), preauthorized check system (PAC), and preauthorized payment.
Preauthorized payment
Bank service that permits a debtor to request funds to be transferred from the customer’s bank deposit account to the account of a creditor. Also called automatic bill payment, bank check plan, check-o-matic, check deposit billing, electronic funds transfer system (EFTS), or preauthorized checking.
Precertification
To find out whether treatment (surgery, tests, hospitalization) is covered under a patient’s health insurance policy. Also referred to as preadmission certification (PAC).
Precertification of benefits provision
See: predetermination of benefits provision.
Predesignated chiropractor
See: predesignated physician.