SM

HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating second surgical opinion.

Small claims court

Court that allows lay people to have access to a court system without the use of an attorney to informally and quickly adjudicate claims below a specific dollar amount. The monetary amount varies from state to state. Claims are usually for collecting small accounts or debts. Also called conciliation court, common pleas, general session, justice court , or people’s court .

Smart card

Plastic card embedded with a microprocessor chip, which can contain health insurance coverage, personal information, and basic recent medical history. It can be written on and updated.

SN

HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating third surgical opinion.

SOAP

One of a standard style of charting (documenting) procedures for progress notes in patient’s medical records; the acronym means subjective, objective, assessment, plan. Subjective = statements of symptoms and chief complaints (CC) in the patient’s own words, which is the reason for the encounter. Objective = facts and findings from the physical examination, x-rays, laboratory, and other diagnostic tests. Assessment = evaluation of subjective and objective findings, which is medical decision-making by putting all the facts together to obtain a diagnosis. Plan of treatment = documentation of a strategy for care to be put into action and list of recommendations, instructions, further testing, and medication. Also see CHEDDAR .