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Authorization MCO approval necessary prior to the receipt of care. (Generally, this is different from a referral in that, an authorization can be a verbal or written approval from the MCO whereas a referral is generally a written document that must be received by a doctor before giving care to the beneficiary.)
Automated Claim Review Claim review and determination made using system logic (edits). Automated claim reviews never require the intervention of a human to make a claim determination.
Aqueous Solubility The extent to which a compound will dissolve in water. The log of solubility is generally inversely related to molecular weight.
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Page Scrantom Sprouse Tucker & Ford PC
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About one-half of ambulatory medical care visits (48.1 percent) were made to primary care physicians in office-based practices. The rest were to medical specialists (18.4 percent) and surgical specialists (16.4 percent) in office-based practices, and to EDs (9.7 percent) and OPDs (7.4 percent) in nonfederal general and short-stay hospitals
Center for Disease Control and Prevention
From 1997 through 2007, the annual number of ambulatory care visits increased by 25 percent, driven both by the aging of the population, as older persons have higher visit rates than younger persons in general, and by an increase in utilization by older persons.
Center for Disease Control and Prevention
Essential hypertension was the primary illness diagnosis recorded most frequently (46.3 million) at ambulatory care visits, or 3.9 percent of the total. Eight out of 10 of these visits (36.6 million) occurred in primary care offices, accounting for 6.3 percent of the 576.6 million visits to this setting in 2007.
Center for Disease Control and Prevention
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