precertification

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.
Mentioned in ?
References in periodicals archive ?
In this case, the pharmacist obtains precertification for the medication, but the physician still needs to be precertified--and bill --for the injection procedure itself.
The bill prohibits health insurers, third party administrators, pharmacy benefits managers, and the State Health Benefits Program and the School Employees' Health Benefits Program from requiring the pre-approval or precertification of medical tests, procedures or prescription drugs covered under a health benefits or prescription drug benefits plan.
The office is the first project in Texas to reach LEED v4 Platinum precertification from the US Green Building Council (USGBC).
Precertification is awarded to projects with achievable sustainable targets that demonstrate the project's commitment to LEED certification.
Fitbit is also one of nine companies in the FDA's digital health software precertification pilot program, which is designed to streamline the approval process for software as a medical device while still ensuring patient safety and quality products.
With the launch of our Digital Health Innovation Action Plan last summer, we committed to implementing policies, adding expertise, and exploring a software precertification pilot program to bring clarity and efficiency to how we regulate digital health products.
Supportive Regulatory Environment: ATC's ratings are primarily based on the quality of the FERC-approved tariff structure that ensures cash flow stability with automatic annual updates to forward-looking rates subject to an annual true-up, inclusion of construction work in progress and expensing of precertification costs, and a fixed ROE using a 50/50 long-term debt/equity capital structure.
In May 2017, the FDA announced a Digital Health Software Precertification Pilot Program.
Express Logic has established itself as the safety leader in the embedded IoT space with its industrial-grade approach, including precertification to SIL 4 and ASIL D safety standards.
However, as South Sudan enters the precertification stage, the only countries remaining to be certified are Angola, Chad, the Democratic Republic of the Congo (DRC), Ethiopia, Mali, and Sudan.
However, since the building simulation was not carried out after the final detail design stage and the fact that actual savings usually fall short of expectations, the project had safely attempted for 3 points for a 12% savings during precertification stage.