Evaluation of a place of business (e.g., under the Health Care Financing Administration’s Medicare contracting program, health maintenance organizations and competitive medical plans are reviewed and monitored to see if they are complying with federal requirements).
Tag: USA
site-of-service (SOS) differential
Difference in the amount paid when the same medical service is provided in different medical practice settings (e.g., outpatient visit in a physician’s office or a hospital clinic).
situs
See: state of issue .
six and six exclusion
Provision in a credit disability policy for a preexisting condition that states an insured’s disability is not covered if he or she was treated for the condition within 6 months before the effective date of coverage and becomes disabled from that same condition within 6 months after the effective date of coverage.
Size discount
Fee reduction based on the initial gross monthly premium to groups that have a self-administered health insurance plan.
SJ
HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating a third or more concurrently administered infusion therapy.
SK
HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating a member of high-risk population (use only with codes for immunization).
Skeletal traction
One of two basic types of traction used in orthopedics to treat fractured bones and correct orthopedic abnormalities. It is applied to the structure by metal pins, clamps, screws, or wires inserted into the affected structure and attached to traction ropes. It allows for continuous traction keeping the bones aligned and immobilized during the initial healing process.
Skilled care
Type of health care given when a patient needs skilled nursing or rehabilitation staff to manage, observe, and evaluate the care such as injections, catheterizations, and dressing changes.
skilled nursing care
Inpatient 24-hour nursing care, rehabilitative services, and related health services for patients who need continuous medical care but do not need acute nursing care. This care can only be performed safely and correctly by either a licensed registered nurse or a licensed practical nurse. Procedures and treatments include injections, administration of medications, changing of dressings, and observation and monitoring of a patient’s condition including taking vital signs.
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Daily nursing and rehabilitative care that is performed only by or under the supervision of skilled professional or technical personnel. Skilled care includes administering medication, medical diagnosis and minor surgery.