Health Wealth Safe's Glossary

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E

Escalation

The process of using the HWS dashboard to advance a patient’s request for a TM appointment with their physician. Clinics are then responsible for responding to the escalation, and escalations are cleared from the dashboard after 72 hours.

Escalation Dashboard

The dashboard found under applications that houses all patients who have been escalated.

F

First Follow-up

The first follow-up is the first call to the patient after the patient has been registered. The first call is made 7 day after the date of registration. It is during the first follow-up where the care manager goes over the patients care plan if the patient has one.

G

G0506

Comprehensive assessment of and care planning by the physician or other qualified health care practitioner for patients requiring CCM services (billed separately from monthly care management services) (Add-on code, list separately in addition to primary service) (Billing practitioners can bill G0506 only once, as part of initiating visit) (Always need to be billed with an office visit code 99212 with $1.00)

Glucometer

Another term for Blood glucose monitor.

H

Health Insurance Marketplace

Also known as Healthcare.gov. The US government-run health insurance exchange website established as a provision of the Affordable Care Act of 2010.

Health Maintenance Organization

Patients need to choose their PCP which will refer to other specialist if needed. Referral is needed for specialist visits.

Keyword(s):

Health survey

Questions in the HWS dashboard assigned primarily to assess a patient’s overall daily condition in an RTM program. Questions cover topics such as pain levels, amounts of exercise, personal feelings, etc.

Heart disease

The broad term for a variety of conditions that affect the heart, including blood vessel diseases such as coronary artery disease, congenital defects, infections, and heart rhythm problems. Most forms of heart disease are referred to by the ICD-10 codes I00-I99, which also cover other circulatory system disorders.

HIPAA

The Health Insurance Portability and Accountability Act of 1996. HIPAA ensures that patient records remain confidential and imposes strict financial and even criminal penalties for violations. Remaining in compliance with the stipulations of HIPAA is essential for any medical institution. See the HIPAA training course for more information about this legislation.

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