Glossary of Terms

BROWSE by:

CADUCEUS-specific

Industry-related

Services & Work Status

EMR-related

Authorization

For all employer-sponsored services performed by CADUCEUS, a formal authorization is required. This notice must include the patient’s name, what services are to be performed, confirming the billing, who has authorized the services, and for which company. Authorization may come in several forms:

Our preferred method for all appointments is a Service Request submitted via our proprietary EMR system. This digital authorization is the safest, most secure, and HIPAA compliant way to send a notice to the CADUCEUS team. There is also a section to add comments for our front desk to see.

Other acceptable authorizations include an Email (for urgent needs), Fax (for high volume), or Paper (best practice for after-hour service visits).

Reminder: We do not accept verbal authorizations. If your employer has questions about this process, please direct them to our Service Request portal for a smooth experience.

Branch

A generic term to define a subsidiary, region, department, location, or another signifier for a parent company’s hierarchy.

Caduces (symbol)

The name "Caduceus" carries a profound legacy rooted in ancient Greek mythology, symbolizing the essence of healing, commerce, and negotiation. In Greek lore, the Caduceus is the staff carried by Hermes, the messenger god, who was revered for his role as a guide and protector. Hermes' staff, adorned with two intertwined serpents and surmounted by wings, has long been a symbol of peace, negotiation, and swift communication. This iconic emblem, known as the Caduceus, encapsulates the very spirit of our mission at Caduceus Occupational Medicine.

Caduceus (us)

CADUCEUS is the leading provider of occupational healthcare services with a legacy spanning over twenty-five years. Our seasoned team of occupational health experts collaborates with governmental bodies and corporate entities, varying in size, to deliver comprehensive medical management solutions.

Carrier

A company that acts on behalf of another company, often managing aspects of healthcare management and insurance purposes. In occupational medicine, a carrier provides guidance on administration and processing of the claim for a patient as it relates to a workplace injury.

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Corporate Services

Caduceus has a variety of services that we classify as corporate services. These services include physicals, drug screens, vaccinations, and any other service not considered workers compensation or related to an injury. We offer and perform these services within our facilities, throughout our network of nationwide clinics, and even on the telemedicine app.

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Electronic Medical Records (System) EMR

Our commitment to continuous improvement is evident in our adoption of Electronic Medical Record (EMR) technology. Since its inception in 2004, our state-of-the-art EMR system has since progressed to version 5, offering clients immediate access to cutting-edge features such as real-time updates on work status, physical examination results, drug screening outcomes, scheduling capabilities, comprehensive client summary reports, and other pertinent information available 24/7 for view and download.

First Report of Injury (FROI)

A state issued form that documents an injury as soon as it occurs in the workplace. This form includes the patient demographic information, details about the incident and location, and the nature of the injury. A FROI form guarantees prompt reporting and accurate processing of a claim once filled through the carrier.

Occupational Medicine

Occupational Medicine is a branch of medicine that focuses on the prevention, diagnosis, and treatment of work-related injuries and illnesses. It encompasses a wide range of services designed to ensure the health and safety of employees in the workplace. The core objective is to promote a healthy work environment, prevent occupational hazards, and manage workplace injuries effectively.

Parent

A term to define the single controlling entity for an organization’s hierarchy.

Third Party Administrator (TPA)

A company that acts on behalf of another company, often managing aspects of healthcare management and insurance purposes. In occupational medicine, a TPA provides guidance on administration and processing of the claim for a patient as it relates to corporate services.

Workers’ Compensation Services

Are performed for individuals who sustain an injury at the workplace. At CADUCEUS, a tailored treatment plan based on the type of injury and its severity will determine if next steps which may include X-rays, stitches, blood draws, vaccinations, or medication may be required to perform or dispense.

Americans with Disabilities Act (ADA)

A law that protects individuals with disabilities from workplace discrimination and requires reasonable accommodations.

Bloodborne Pathogens Standard

An OSHA regulation requiring protection against diseases transmitted through blood exposure, such as hepatitis and HIV.

National Institute for Occupational Safety and Health (NIOSH)

A U.S. federal agency that conducts research and makes recommendations to prevent workplace injuries and illnesses. NIOSH is part of the Centers for Disease Control and Prevention (CDC) and focuses on improving occupational health and safety through scientific studies, education, and guidance.

Occupational Safety and Health Administration (OSHA)

OSHA is a U.S. Department of Labor regulatory agency that creates safeguarding laws, standards, and practices in the workplace.

Serum

A laboratory procedure that analyzes the liquid portion of the blood, to measure various substances and assess health conditions. Serum blood tests can be used to: Diagnose diseases, such as liver disease, kidney disease, and infections, monitor treatment effectiveness, check for nutritional deficiencies, assess overall health and well-being.

The Health Insurance Portability and Accountability Act (HIPAA)

Compliance with the HIPAA law ensures that healthcare companies safely secure protected health information (PHI) provided by their patients.

The U.S. Department of Transportation (DOT)

A department of the U.S. Federal Government that creates safety regulations for transportation industries. In occupational medicine, a DOT or regulated drug screen, per rule 49 CFR Part 40 Subpart F requires laboratory testing for the following five classes of drugs: Marijuana, Cocaine, Opiates – opium and codeine derivatives, Amphetamines and methamphetamines, Phencyclidine – PCP.

A DOT physical examination is a federally mandated medical exam required for commercial vehicle drivers to ensure they meet safety standards.

Titers

A laboratory procedure that determines the level of antibodies in someone’s blood. In other words, a titer is performed to learn what level of exposure, if any, to an antigen is present in someone’s body.

Chain of Custody (COC) form

The chain of custody otherwise referred to as the COC is a document utilized for a variety of services. Drug screen collections can be taken from Hair, Urine, as well as Blood.

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Drug and Alcohol Testing

Drug and alcohol testing pertains to alcohol, narcotics or illegally utilized substances a person may or may not have in their bodily system. These types of tests can be performed on urine, saliva, or hair. Caduceus offers a variety of reasons to test including pre-employment, random, reasonable suspicion, post accident, return to duty, and follow-up. We also perform testing to industry specific standards like the Department of Transportation.

Ergonomics

The study of workplace design to improve comfort and reduce strain-related injuries.

Fit-for-Duty

A physical examination that determines if an employee or candidate meets the required physical parameters for a specific job or position.

Independent Medical Examinations (IME)

Provides an objective medical opinion to clarify an outstanding issue regarding a patient’s medical condition or diagnosis.

Injury (types)

The most common injuries treated in occupational medicine consist of sprains, strains, slips/falls, lacerations (cuts) and musculoskeletal disorders.

Medical Review Officer (MRO)

A certified licensed provider who has completed training in reviewing and interpreting drug screen results. Their role is to medically verify a result. If a positive result, they must evaluate whether there is a legitimately valid explanation due to a prescribed medication or another medical need.

Modified Duty

A temporary adjustment of work tasks to accommodate an employee recovering from an injury.

Non-DOT

A drug screen or physical that does not require the DOT regulations. For the drug screen, which is a 5-panel, tests for Barbiturates, Methadone, Quaaludes, Benzodiazepines, and Propoxyphene.

Non-Negative

A test result on a drug screen that a substance has been detected. Depending on the company and their internal processes, a non-negative reading could be considered a positive result. However, further testing would be required to confirm a true positive result.

Onsite

Onsite refers to corporate services that are performed by Caduceus on a client owned facility.

Physical Therapy

A type of healthcare and treatment to promote recovery and restore function, often used after an injury has occurred. At Caduceus, we offer customized treatment plans tailored to individual needs and goals, including Functional Capacity exams.

Post-offer

Services that are rendered after being hired by a company.

Pre-employment

Services that are rendered during the hiring process with a company.

Provider

A Provider is a Doctor, Physician’s Assistant, and Nurse Practitioner.

Pulmonary Function Test (PFT)

A test that measures lung function, often required for workers exposed to respiratory hazards.

Respirator Fit Test

A test to ensure that a worker’s respirator properly fits and provides adequate protection from airborne hazards.

Return-to-work

Services that are rendered after an employee has been away from work including, but not limited to illness, injury, extended leave, and extended vacation.

Telemedicine

Healthcare delivered remotely for enhanced convenient access to medical professionals. At CADUCEUS, these recorded virtual visits for Triage, First Aid, Office Visits, Mental Health, Drug Testing, and New Hire Evaluations services ensure timely and efficient occupational medicine at your fingertips.

Work Status

Is the medical determination made by a CADUCEUS provider to finalize the result of a visit. For a physical examination or drug screen, the results could be Pass/Qualified, Fail/Disqualified, or Pending – which is when a sample is being processed by an outside laboratory. For a workplace injury Full-Duty/Qualified, Off-Duty/Disqualified, Modified-Duty/Restrictions. If there is a question about a result, please contact your nearest CADUCEUS facility to speak to a member of our staff.

Adjuster

For all workers' compensation services performed at CADUCEUS, all notification method options will be visible to select from. There are reduced demographic information requirements for this user.

Both Corporate and Workers Comp

For all corporate and workers’ compensation services performed at CADUCEUS, all notification method options will be visible to select. corporate services performed at CADUCEUS, all billing notifications will be sent to this TPA.

Both Service Request and Telemed

For all corporate and workers’ compensation services performed at a CADUCEUS facility or through the telemedicine app, only the appointment notification method will be visible to select. This user will not be able to see visit history on the account.

Caduceus EMR Contacts Explained

Each contact associated with an Employer will have a profile with their demographic information and the option to turn EMR access on or off. *The notification methods for visits, bills, and appointments are settings to choose from, and what differentiate a user from another.

Carrier

For all workers' compensation services performed at CADUCEUS, all billing notifications will be sent to this carrier.

Corporate

For all corporate services performed at CADUCEUS, all notification method options will be visible to select.

Nurse Case Manager

For all workers' compensation services performed at CADUCEUS, all notification method options will be visible to select.

Primary Authorizer

Serves as the point contact on a company account to CADUCEUS. This designated team member also has the ability to edit account level changes for their company within the CADUCEUS EMR such as editing team members and branches and adding or modifying services. There can only be one Primary Authorizer assigned to an account at a time.

Service Request

For all corporate and workers’ compensation services performed at CADUCEUS, only the appointment notification method will be visible to select. This user will not be able to see visit history on the account.

TPA

For selected corporate services performed at CADUCEUS, all billing notifications will be sent to this TPA.

TeleMed

For all corporate and workers’ compensation services performed at CADUCEUS through the telemedicine app, only the appointment notification method will be visible to select. This user will not be able to see visit history on the account.

Workers' Comp

For all workers' compensation services performed at Caduceus, all notification method options will be visible to select.