SOAP note
Medical term Administrative Assisting
A documentation format: Subjective, Objective, Assessment, Plan.
Sources
Related terms
- preauthorizationA plan's advance decision that a service, drug or equipment is medically necessary; also called prior…
- premiumThe amount paid, often monthly, to buy and keep health insurance.
- primary insuranceThe plan that pays a claim first when a patient has more than one; the secondary plan then considers the…
- problem-oriented medical recordA record organized around the patient's problems, often with SOAP notes.
- source-oriented recordA medical record organized into sections by the source (discipline) that provided the information.
- UCRUsual, customary and reasonable: the amount paid for a service in an area based on what providers there…
- unbundlingBilling the parts of a service separately instead of using the single code that covers the whole service.
- upcodingBilling a higher level of service than was provided or documented; a form of fraud.