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View a List of Pharmaceutical Products Approved By the Health Plan - Glossary of Medical Terms

Posted on: Friday, 21 July 2006, 12:00 CDT

Research and Markets (http://www.researchandmarkets.com/reports/c39795) has announced the addition of "Glossary of Medical Terms, Abbreviations and Acronyms, 3rd edition" to their offering.

This report is a great resource for spelling, use of correct abbreviations, and definition of healthcare-related acronyms for any medical office staff or facility. It also provides Managed Care, Medicare and Vision Care terminology definitions. This title contains "Do Not Use" list of medical abbreviations and the glossary is updated annually.

Our 'single topics' provide the tools needed for a cost-effective, evidence-based strategy to increase the efficiency and quality of care management. Each is supported by current references from the peer-reviewed medical literature and other authoritative resources.

Access: The patient's physical and financial ability to obtain health services on a timely and financially acceptable basis. Measures of access include the location of health facilities and hours of operation, travel time and distance to health facilities, availability of medical services, including scheduled appointments and cost of care.

Accountable Health Plan (AHP): Provider network coverage for nationally guaranteed comprehensive benefit package through contracts with regional or corporate alliances under the American Health Security Act of 1993. Only state certified health plans are allowed to provide health insurance and benefits in regional alliances.

Accreditation: The process to determine that an organization meets predetermined standards.

Accrete: A term used by Medicare for the process of the addition of new enrolees to a health plan.

Accrual: A method for anticipating medical expenses for enrolees over a given time period so funds can be reserved for payment when the bills are due. (Refer to IBNR)

Actively-at-work: A requirement of many insurers' policies stipulating that if a given employee is not actively at work on the day the policy goes into effect, medical coverage will not be provided until that employee returns to work.

Activities of Daily Living (ADL): A quality measure of an individual's ability to provide basic independent support functions that are a part of a daily routine of self-care. It includes eating, dressing, bathing, toileting and transferring and out of bed.

Actuarial Services: Statistical and probability analysis of financial, utilization and demographic trends used to project health plan premiums or costs of specific benefits for a defined population. An actuary provides these services.

Acute Care or Treatment: All defined procedures or therapies used to reduce and eliminate the signs and symptoms of illness and to restore psychosocial function to the premorbid level.

Additional drug benefit list: A list of pharmaceutical products approved by the health plan and employer for dispensing in quantities or day supplies other than the standards covered under a benefit package. A drug maintenance list.

Add-on: Introduction of a specific set of benefits and/or set of providers to existing health plan coverage, without requiring re-enrolment of the subscriber population.

Adequate treatment analysis: Analysis of data in terms of the relationship between the number of patients who received a predetermined minimum amount of treatment and the number who responded.

Adjudication of a claim: The act of processing a claim to determine proper payment according to terms of the contract.

For more information visit http://www.researchandmarkets.com/reports/c39795

Source: Business Wire

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