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Point of care (POC) documentation is the ability for clinicians to document clinical information while interacting with and delivering care to patients. [10] The increased adoption of electronic health records (EHR) in healthcare institutions and practices creates the need for electronic POC documentation through the use of various medical devices. [11]
HCPCS includes three levels of codes: Level I consists of the American Medical Association's Current Procedural Terminology (CPT) and is numeric.; Level II codes are alphanumeric and primarily include non-physician services such as ambulance services and prosthetic devices, and represent items and supplies and non-physician services, not covered by CPT-4 codes (Level I).
The CPT code set describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes.
(Health Care) Power of Attorney: POC: postoperative care products of conception Plan of Care POCT Point-Of-Care testing [5] POD: postoperative days POEMS: POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, myeloma protein and skin changes) POLST: Physician Orders for Life-Sustaining Treatment: poly: polymorphonuclear cells, that is ...
The ICD-10 Procedure Coding System (ICD-10-PCS) is a US system of medical classification used for procedural coding.The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD-9-CM.
IMO's clinical interface terminology, which helps to map diagnostic terminologies to medical concepts and billing codes, was launched in 1995. Products such as Problem (IT) and Procedure (IT) aim to help physicians more easily choose the correct medical term for their cases, which then aids in finding the correct billing code. [ 1 ]
Abbreviation Organization or personnel PA: Physician assistant or pathologist assistant PAC: Certified Physician assistant or pathologist assistant CPT: Phlebotomist: PCT: Primary care trust (UK) PGNZ: Pharmaceutical Guild of New Zealand PHARM: Pharmaceutical Health and Rational Use of Medicines (Australia) Pharm.D: Doctor of Pharmacy PMS
This is a list of abbreviations used in medical prescriptions, including hospital orders (the patient-directed part of which is referred to as sig codes).This list does not include abbreviations for pharmaceuticals or drug name suffixes such as CD, CR, ER, XT (See Time release technology § List of abbreviations for those).