Glossary entry (derived from question below)
English term or phrase:
clinical editing
French translation:
Contrôle du parcours des soins
Added to glossary by
patfie
Apr 16, 2011 12:14
13 yrs ago
English term
clinical editing
English to French
Medical
Medical: Health Care
The clinical editing process reviews charges rendered, dates of services, and medical necessity by reviewing the relationship between the diagnoses and treatment rendered.
Clinical editing helps verify the care and treatment rendered is clinically appropriate, meets accepted medical standards of care, as well as coding and reporting guidelines. Clinical editing can spot errors and mistakes that result in costly overpayments to providers. Clinical editing is about correct coding, billing and reimbursement
Clinical editing helps verify the care and treatment rendered is clinically appropriate, meets accepted medical standards of care, as well as coding and reporting guidelines. Clinical editing can spot errors and mistakes that result in costly overpayments to providers. Clinical editing is about correct coding, billing and reimbursement
Proposed translations
(French)
| 4 +2 | Contrôle du parcours des soins |
François Begon
|
Proposed translations
+2
2 hrs
Selected
Contrôle du parcours des soins
Une proposition
Peer comment(s):
| agree |
Drmanu49
: Bonne proposition.
1 day 5 hrs
|
|
Merci Drmanu 49
|
|
| agree |
enrico paoletti
1 day 21 hrs
|
|
Merci enrico
|
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Comment: "Thank you!"
Discussion
Clinical edits are applied to all claims submitted by facilities or professionals, in and out of network, for all Priority Health medical plans, including Medicaid and Medicare, self-funded and fully funded.
A multi-departmental, interdisciplinary oversight committee makes decisions on whether or not to customize edits based on evidence provided in the claim documentation.
http://www.priorityhealth.com/provider/manual/billpymt/edits