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  2. Referral (medicine) - Wikipedia

    en.wikipedia.org/wiki/Referral_(medicine)

    In medicine, referral is the transfer of care for a patient from one clinician or clinic to another by request. [ 1 ] [ 2 ] Tertiary care is usually done by referral from primary or secondary medical care personnel.

  3. Fee splitting - Wikipedia

    en.wikipedia.org/wiki/Fee_splitting

    The situation in the US is not entirely clear. [2]According to the World Medical Association, [3]. The AMA Code provides that payment by or to a physician solely for the referral of a patient is unethical as is the acceptance by a physician of payment of any kind, and in any form, from any source such as a pharmaceutical company or pharmacist or a manufacturer of medical appliances and devices ...

  4. Stark Law - Wikipedia

    en.wikipedia.org/wiki/Stark_Law

    Physician self-referral is the practice of a physician referring a patient to a medical facility in which the physician has a financial interest, be it ownership, investment, or a structured compensation arrangement. Critics argue that this practice is an inherent conflict of interest, because the physician benefits from the physician's own ...

  5. From PPO to HMO, what's the difference between the 5 most ...

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    Doctors and Clinicians analyzed KFF data and resources from the Department of Health and Human Services to break down the common forms of insurance plans in the U.S. to help consumers navigate ...

  6. Electronic referrals - Wikipedia

    en.wikipedia.org/wiki/Electronic_Referrals

    Medical decisions are enhanced as each provider involved has the full patient information available to them. [5] Duplicate tests are eliminated as patient information is being shared from one provider to another. [6] The speed of communication is improved by removing delays related to paper-based transmission, ensuring a faster response rate.

  7. Healthcare proxy - Wikipedia

    en.wikipedia.org/wiki/Healthcare_proxy

    In the field of medicine, a healthcare proxy (commonly referred to as HCP) is a document (legal instrument) with which a patient (primary individual) appoints an agent to legally make healthcare decisions on behalf of the patient, when the patient is incapable of making and executing the healthcare decisions stipulated in the proxy. [1]

  8. Fee-for-service - Wikipedia

    en.wikipedia.org/wiki/Fee-for-service

    Electronic referral, when a specialist evaluates medical data (such as laboratory tests or photos) to diagnose a patient instead of seeing the patient in person, would often improve health care quality and lower costs. However, "in the private fee-for-service context, the loss of specialist income is a powerful barrier to e-referral, a barrier ...

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