|
Glossary
A
|
B
|
C
|
D
|
E
|
F
|
G
|
H
|
I
|
L
|
M
|
N
|
O
|
P
|
Q
|
R
|
S
|
T
|
U
|
V
|
W
|
Y
|
ALL
Here are definitions of some of the terms that are used throughout the site.
LASIK (Laser Assisted In Situ Keratomileusis): The most common laser vision correction technique. During the LASIK procedure, a thin flap of the cornea is lifted, then the cornea is reshaped using laser pulses. After the cornea is reshaped, the corneal flap is replaced, unlike with PRK, and recovery time is shorter.
Laser Resurfacing: A laser beam is used to remove the top layer of skin, addressing wrinkles and fine lines, giving way to fresh, new skin underneath. The term laser is an acronym for Light Amplification by Stimulated Emission of Radiation. A lot of attention has been given to lasers, as if the use of laser technology is safer or less invasive. Laser resurfacing (the first generation) does break the skin barrier, is still invasive surgery and must be entered into with caution.
Length of Stay (LOS): The number of days that a member stayed in an inpatient facility.
Level One Services: Primary Care / Preventive Care
Primary Care:
With Blue Options 1-2-3, you will receive the highest level of benefits by receiving preventive care services and other office-based services from a Primary Care Physician (PCP). PCPs are trained to deal with a broad range of health care issues and can help you to determine when you need a specialist.
Preventive Care: Medical services provided by or upon the direction of a doctor or other provider related to the prevention of disease
Services normally considered Preventive Care:
- Routine wellness exams
- Immunizations and vaccination
- Diagnostic Procedures (Pap Test, Mammography, Colorectal Screening, etc)
- Well Baby Care
- Well Woman Care
- Prostate Exam
Level Two Services: Inpatient and related services
Examples include but are not limited to:
- Inpatient Hospital Services
- Home Health Care
- Hospice Care
- Skill Nursing Facility Care
- Inpatient MH / SA
- Ambulance
- ER (admitted)
Level Three Services: Outpatient and Specialist Services
Examples include but are not limited to
1. Outpatient Hospital Services
- Lab and Radiology
- Outpatient Surgery
- Physical, Speech, and Occupational Therapy
3. Ambulatory Surgery Center
4. Specialist Office Visits
- Office Based Surgery
- Non-Preventive Office Based Services (includes Lab and Radiology)
- Therapy Services: PT, OT, ST
5. Outpatient Mental Health
Lifetime Maximum: The maximum amount of covered services that will be provided to a member while they have coverage under this health benefit plan.
Lip Augmentation: Lip augmentation is a procedure to enhance the fullness of lips. This is accomplished either by injection of a soft tissue filler, such as collagen or by the placement of synthetic or grafted material.
Liposuction (Lipoplasty): Liposuction is the vacuum assisted removal of fat and the number-one cosmetic surgery procedure for both men and women. A "cannula" (long-thin vacuum probe) is used to extract the fat. There are several techniques offered by surgeons for this procedure. The most common - the "tumescent" technique introduces an anesthetic solution to help reduce blood loss and bruising. Small incisions are made at specific sites on the body, depending upon the areas to be addressed.
Location: The service location of the facility. How information is collected: Application. When is the information updated: Time of recredentialing or when notified by the Facility.
Low: 25 percent of the reported cases have a value less than or equal to this value.
|
