Case Management

Definition

  • A system designed to improve health care and reduce costs by coordinating medical services and patient treatment through a case manager. The case manager will cost-effectively oversee the assessment and assignation of treatment, plans of action and/or care for clients.

Synonyms
case worker, cost assessment, treatment supervisor, medical adjudicator

Related Terms and Acronyms

  • Disease Management (DM) Acronym, Important,
    • The process of discussing and agreeing to treatments and care plans for individuals with long-term health care needs.
    Heath care decisions made to manage a disease.
  • Gatekeeper Definition,
    • In relation to health maintenance organizations, a gatekeeper is a primary care physician that arranges medical care for policyholders.
  • Medical Specialist Definition,
    • A doctor with training in a specific medical field.
  • Point of Service Plan Definition,
    • A health insurance plan that combines the features of both health maintenance organizations and preferred provider organizations.
  • Pre-existing Condition (PRE-X) Acronym,
    • A medical condition that's occurrence precedes the writing of an insurance policy.
  • Preferred Provider Organization (PPO) Acronym,
    • A health care program that gives its members a level of freedom and independence when choosing health care options.
  • Primary Care Physician Definition,
    • A doctor who administers or arranges the majority of an individual's health care needs.
  • Usual, Customary and Reasonable Fees Definition,
    • The expected cost of a medical treatment, and what an insurance company is willing to pay.
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