precertification

precertification

authorization for a specific medical procedure before it is done or for admission to an institution for care. It is required for payment by most U.S. managed care organizations.

precertification

Preadmission certification review, precert Managed Care The obtaining of authorization from a managed health plan for routine inpatient hospital admissions or outpatient therapy. See Capitation, Virtual capitation, 'Withhold. '.

pre·cer·ti·fi·ca·tion

(prē'sĕr-ti-fi-kā'shŭn)
Verification of a procedure as a covered benefit for a third-party payer before a health care service is performed. It does not guarantee coverage.

pre·cer·ti·fi·ca·tion

(prē'sĕr-ti-fi-kā'shŭn)
Verification of a procedure as a covered benefit for a third-party payer before a health care service is performed. It still does not guarantee coverage.

precertification,

n confirmation by a third-party payer of a patient's eligibility for coverage under a dental benefits program. See also preauthorization and predetermination.
References in periodicals archive ?
As part of this plan, we committed to several key goals, including increasing the number and expertise of digital health staff at the FDA, launching the digital health software precertification pilot program (Pre-Cert) and issuing guidance to modernize our policies.
Reportedly, this office is the first project in Houston development to reach LEED v4 Platinum precertification from the US Green Building Council (USGBC).
Most of the physicians expressed concerns about precertification [delays] and requirement for prior authorization for lung cancer screening.
One Central is being designed to best-in-class quality standards and this phase will comprise international Grade A quality offices, which has achieved LEED Gold precertification from the US Green Building Council, the industry benchmark for green building performance covering design, construction, operations and maintenance.
Current: CalCPA Board; CalCPA Accounting Principles and Auditing Standards Committee; CalCPA Forensic Accounting Section Steering Committee; CalCPA Amicus Committee; AICPA Council; AICPA Precertification Education Executive Committee; Society of Depreciation Professionals Education Committee.
The DTCD development is being designed to best-in-class quality standards and has achieved LEED Gold precertification from the US Green Building Council - the industry benchmark for green building performance covering design, construction, operations and maintenance.
The DTCD development is being designed to quality standards and has achieved LEED Gold precertification from the US Green Building Council - the industry benchmark for green building performance covering design, construction, operations and maintenance.
Countries enter the WHO precertification stage of eradication after completing 1 full year without reporting any indigenous [[dagger]] cases (D.
The training of 2d Platoon began with a 40-hour precertification course.
The report adds that P&C carriers lack "the kind of precertification and concurrent utilization-review controls that are frequently applied in public and private health-insurance programs.
Client self-pay % Not likely Not likely, unless consumer interfaces directly with insurer for benefits Grant or % Possibly, it DSM-5 Possibly-if philanthropic codes are needed ICD-10 codes are for qualification, needed for tracking or qualification or measurement tracking Public payers Probably, if DSM-5 Yes - % codes are required Medicare % for - precertification or Medicaid authorizations Comm.
The new agency rules provide a clear roadmap and improved coordination for both applicants and the Department during this precertification period.