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  2. Referral (medicine) - Wikipedia

    en.wikipedia.org/wiki/Referral_(medicine)

    Patients can be referred to another medical clinic by request. 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.

  3. Fee-for-service - Wikipedia

    en.wikipedia.org/wiki/Fee-for-service

    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 ...

  4. Fee splitting - Wikipedia

    en.wikipedia.org/wiki/Fee_splitting

    The situation in the US is not entirely clear. [2]According to the World Medical Association, [3]. The AMA Code provides that payment by or to a physician solely for the referral of a patient is unethical as is the acceptance by a physician of payment of any kind, and in any form, from any source such as a pharmaceutical company or pharmacist or a manufacturer of medical appliances and devices ...

  5. Electronic referrals - Wikipedia

    en.wikipedia.org/wiki/Electronic_Referrals

    Also transmission of referral information is secured, upholding Consumer privacy. Benefits can also be seen beyond the patient level, e-referrals can improve practice productivity. Documentation quality is improved by removing the use of illegible handwriting as well as poor quality faxed documentation.

  6. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...

  7. Screening, brief intervention and referral to treatment

    en.wikipedia.org/wiki/Screening,_brief...

    Screening: A healthcare professional assesses a patient for risky substance use behaviours using standardized screening tools in any healthcare and school-based healthcare setting. Brief Intervention: A healthcare professional engages a patient showing risky substance use behaviours in a short conversation, providing feedback and advice.