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Stark Law. Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity for the provision of designated health services ("DHS") if the physician (or an immediate family member) has a financial relationship with that entity.
The Current Procedural Terminology ( CPT) code set is a procedural code set developed by the American Medical Association (AMA). It is maintained by the CPT Editorial Panel. [1] The CPT code set describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among ...
A National Provider Identifier ( NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
2020. ISBN. 9781032053394. The International Classification of Primary Care ( ICPC) is a classification method for primary care encounters. The ICPC-3 strives to be a person centered classification for Primary Care, building on the foundations of the ICPC-2. It includes references to existing international standards such as ICD-10, ICD-11, ICF ...
Electronic referral, when a specialist evaluates medical data (such as laboratory tests or photos) to diagnose a patient instead of seeing the patient in person, would often improve health care quality and lower costs. However, "in the private fee-for-service context, the loss of specialist income is a powerful barrier to e-referral, a barrier ...
Referral (medicine) In medicine, referral is the transfer of care for a patient from one clinician or clinic to another by request. [1] [2] Tertiary care is usually done by referral from primary or secondary medical care personnel. In the field of sexually transmitted diseases (STDs), referral also means the informing of a partner of a patient ...
Electronic referrals. E-referrals or electronic referrals or electronic consultation is an electronic platform that enables the seamless transfer of patient information from a primary to a secondary treating practitioner's client management system. [1] [2] E-referrals have fast become the best replacement of paper-based referrals, and hold ...
Physician self-referral. Physician self-referral is a term describing the practice of a physician ordering tests on a patient that are performed by either the referring physician himself or a fellow faculty member from whom he receives financial compensation in return for the referral. Examples of self-referral include an internist performing ...