Evaluation of information on an insurance claim or other information requested to support the medical services billed and to make a determination regarding payment to the provider.
Tag: MEDICAL
review of systems (ROS)
Inventory of body systems obtained through a series of questions that is used to identify signs and/or symptoms that the patient might be experiencing or has experienced. ROS may clarify the differential diagnosis or identify needed tests. A documented report of the body system directly related to the problem must be identified in the history of present illness (HPI) plus all additional body systems (at least 10) for comprehensive assessments. Also called system review .
Review period
See: experience period .
Revisit
See: reopen .
Revocable beneficiary
See: beneficiary .
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A beneficiary designation that may be changed by the Policy owner without the consent of the existing beneficiary.
REVS
Acronym that means recipient eligibility verification system. See Medicaid eligibility verification system (MEVS) .
RFI
Abbreviation that means request for information.
RFMS
Abbreviation in the TRICARE program that means retirees, family members, and survivors.
RFP
Abbreviation that means request for proposal.
RHC
Abbreviation for rural health center or rural health clinic. See rural health clinic (RHC) .