Glossary of Terms
CPT or Current Procedural Terminology codes are numbers assigned to medical, surgical and diagnostic services that are provided by a medical practitioner to a patient. These same codes are then used by insurers to determine the amount of reimbursement that a practitioner will receive.
Encounter data is an electronic record of the services rendered, as would appear on a fee-for-service claim.
A face-to-face is an in-person appointment scheduled between a patient and a specialist.
HIPAA—The Health Insurance Portability and Accountability Act of 1996 Privacy and Security Rules—standardizes health care transactions, lays out the types of security safeguards required for compliance, and regulates the use and disclosure of protected health information (PHI).
ICD-9/ICD-10 codes or the International Classification of Diseases, are alphanumeric designations given to every diagnosis, description of symptoms, and cause of death attributed to human beings and are used by government health authorities to track certain diseases.
A referral is the transfer of care of a patient from one clinician to another.
A Specialist Reviewer is the specialist that reviews the eConsult and provides patient care advice or recommends a face-to-face visit with a specialist.