Treatment, Payment and Health Care Operations Sample Clauses

Treatment, Payment and Health Care Operations. The following section describes different ways that we may use and disclose your health and financial information for purposes of treatment, payment, and health care operations. We have not listed every type of use or disclosure, but the ways in which we use or disclose your information will fall under one of these purposes.
Sample 1Sample 2Sample 3See All (4)
AutoNDA by SimpleDocs
Treatment, Payment and Health Care Operations. Treatment is when we provide, coordinate or manage your health care and other services related to your health care. An example of treatment would be when we consult with another health care provider, such as your family physician, psychiatrist, or another psychologist. - Payment is when we obtain reimbursement for your healthcare. Examples of payment are when we disclose your PHI to your health insurer to determine eligibility or coverage. We also provide you with a receipt that contains PHI so that you may obtain reimbursement for your health care. - Health Care Operations are activities that relate to the performance and operation of my practice. Examples of health care operations are quality assessment and improvement activities, business-related matters such as audits and administrative services, and case management and care coordination.
Sample 1
Treatment, Payment and Health Care Operations. The most common reason why we use or disclose your health information is for treatment, payment or health care operations Examples of how we use or disclose information for treatment purposes are setting an appointment examining your teeth prescribing medications and faxing them to be filled referring you to another doctor or getting copies from another professional that you may have seen before us Examples of how we use or disclose your health information for payment purposes are asking you about your health or dental care plans, or other sources of payment preparing and sending bills or claims and collecting unpaid amounts (wither ourselves or through a collection agency or attomey) Health care operations" mean those administrative and manageable functions that we have to do in order to run our office Examples of how we use or disclose your health information for health care operations are financial or billing audits personnel decisions defense of legal matters business planning and outside storage of our records. We routinely use your health information inside our office for these purposes without any special permission If we need to disclose your health information outside of our office for these reasons, we usually will not ask you for special written permission. We will ask for special written permission in the following situation
Sample 1
Treatment, Payment and Health Care Operations. Treatment is when I provide, coordinate or manage your health care and other services related to your health care. An example of treatment would be when I consult with another health care provider, such as your family physician or another psychotherapist. Payment is when I obtain reimbursement for your healthcare. Examples of payment are when I disclose your PHI to your health insurer to obtain reimbursement for your health care or to determine eligibility or coverage. Health Care Operations are activities that relate to the performance and operation of my practice. Examples of health care operations are quality assessment and improvement activities, business-related matters such as audits and administrative services, and case management and care coordination.
Sample 1
Treatment, Payment and Health Care Operations. StarCare can use your health information to provide treatment to you, to obtain payment for services provided to you, or for health care operations of Silver Star, as allowed by law. Treatment: Silver Star can use your health information to provide, coordinate or manage health care or related services. This includes providing care to you, consulting with another health care provider about you, and referring you to another provider. Example: Silver Star can use your health information to prescribe medication for you. Payment: Silver Star can use your health information to get paid for providing health care to you or to provide benefits to you under a health plan such as the Medicaid program. Example: Silver Star can use your health information to bill your insurance company for the services provided to you, or to provide benefits to you under a health plan such as the Medicaid program. Health Care Operations: Silver Star can use your health information for its health care operations. This includes: activities to improve the quality of health care; evaluating Silver Star programs; developing procedures; case management; case coordination; reviewing the competence, qualification and performance of health care professionals and others; conducting training programs in areas related to health care; conducting accreditation, certification, licensing or credentialing activities; providing medical review, legal services, or auditing functions; resolution of internal grievances; and engaging in business, planning and management or the general administrative activities of Silver Star. Example: Silver Star can use your health information to develop procedures for managing your health needs. If you are receiving treatment for chemical dependency, Silver Star will not disclose information related to your treatment to anyone without your written authorization. However, we can use that information to provide services to you. Silver Star will not disclose health information about you pertaining to HIV or AIDS without your specific authorization. Unless you receive treatment for chemical dependency, Silver Star is permitted to use or disclose your health information without your authorization for the following purposes: When required by certain judicial and administrative proceedings: In a license revocation proceeding. Silver Star may disclose your health information if you have filed a complaint against a doctor or other mental health or mental retardation professional an...
Sample 1
Treatment, Payment and Health Care Operations. “Treatment,” “Payment” and “Health Care Operations” shall have the same meanings given under 45 CFR Section 164.501
Sample 1
Treatment, Payment and Health Care Operations. Treatment is when we provide, coordinate or manage your health care and other services related to your health care. An example of treatment would be when we consult with another health care provider, such as your family physician or another psychologist. • Payment is when we obtain reimbursement for your healthcare. Examples of payment are when we disclose your PHI to your health insurer to obtain reimbursement for your health care or to determine eligibility or coverage. • Health Care Operations are activities that relate to the performance and operation of our practice. Examples of health care operations are quality assessment and improvement activities, business-related matters such as audits and administrative services, and case management and care coordination. • “Use" applies only to activities within our (office, clinic, practice group, etc.) such as sharing, employing, applying, utilizing, examining, and analyzing information that identifies you.
Sample 1
AutoNDA by SimpleDocs

Related to Treatment, Payment and Health Care Operations

  • Health Care Operations Health Care Operations shall have the meaning set out in its definition at 45 C.F.R. § 164.501, as such provision is currently drafted and as it is subsequently updated, amended or revised.

  • Health Promotion and Health Education Both parties to this Agreement recognize the value and importance of health promotion and health education programs. Such programs can assist employees and their dependents to maintain and enhance their health, and to make appropriate use of the health care system. To work toward these goals:

  • Covered Health Care Services We agree to provide coverage for medically necessary covered health care services listed in this agreement. If a service or category of service is not specifically listed as covered, it is not covered under this agreement. Only services that we have reviewed and determined are eligible for coverage under this agreement are covered. All other services are not covered. See Section 1.4 for how we identify new services and our guidelines for reviewing and making coverage determinations. We only cover a service listed in this agreement if it is medically necessary. We review medical necessity in accordance with our medical policies and related guidelines. The term medically necessary is defined in Section 8.0 - Glossary. It does not include all medically appropriate services. The amount of coverage we provide for each health care service differs according to whether or not the service is received: • as an inpatient; • as an outpatient; • in your home; • in a doctor’s office; or • from a pharmacy. Also coverage differs depending on whether: • the health care provider is a network provider or non-network provider; • deductibles (if any), copayments, or maximum benefit apply; • you have reached your plan year maximum out-of-pocket expense; • there are any exclusions from coverage that apply; or • our allowance for a covered health care service is less than the amount of your copayment and deductible (if any). In this case, you will be responsible to pay up to our allowance when services are rendered by a network provider. Please see the Summary of Medical Benefits to determine the benefit limits and amount that you pay for the covered health care services listed below. Please see the Summary of Pharmacy Benefits to determine the benefit limits and amount that you pay for prescription drug and diabetic equipment and supplies purchased at a pharmacy.

  • Extended Health Care Benefits 12.02(a) The City will provide for all employees by contract through an insurer selected by the City an Extended Health Care Plan which will provide extended health care benefits. The City shall pay one hundred per cent (100%) of the premiums, which will include any premiums payable under The Health Insurance Act, R.S.O. 1990, as amended. Eligible Expenses (Benefit year January 1 – December 31)

  • Extended Health Care Plan (a) The Employer shall pay the monthly premium for regular employees entitled to coverage under a mutually acceptable Extended Health Care Plan.

  • Health and hygiene The Hirer shall, if preparing, serving or selling food, observe all relevant food health and hygiene legislation and regulations. In particular dairy products, vegetables and meat on the premises must be refrigerated and stored in compliance with the Food Temperature Regulations. The premises are provided with a refrigerator and thermometer.

  • Department of Health and Human Services An employee notified of a positive controlled substance or alcohol test result may request an independent test of their split sample at the employee’s expense. If the test result is negative, the Employer will reimburse the employee for the cost of the split sample test. An employee who has a positive alcohol test and/or a positive controlled substance test may be subject to disciplinary action, up to and including dismissal, based on the incident that prompted the testing, including a violation of the drug and alcohol free work place rules.

  • HEALTH CARE PLANS ‌ Notwithstanding the references to the Pacific Blue Cross Plans in this article, the parties agree that Employers, who are not currently providing benefits under the Pacific Blue Cross Plans may continue to provide the benefits through another carrier providing that the overall level of benefits is comparable to the level of benefits under the Pacific Blue Cross Plans.

  • Uncovered Health Care Expenses ☐ Husband ☐ Wife shall be responsible for medical, dental, orthodontic, optical, psychiatric, psychological, and other health care expenses of the Minor Children, to the extent not covered by insurance. The Spouse incurring the expense shall present to the other Spouse an itemized statement of costs accrued or paid, proof of payment of any costs paid by the Spouse, and any necessary information about how to make payment to the provider within a reasonable time, but not more than days after accruing the costs. The reimbursing Spouse shall make the required payment or reimbursement within a reasonable time, but not more than days after notification of the amount due. For purposes of duration and modification, this provision shall be deemed part of the Child Support orders made by the court in the Couples’ dissolution action. ☐ - Other. ☐ Husband the ☐ Wife agrees to make payment to the other Spouse for the following:

  • Health Care Benefits (a) Each regular full-time employee may elect coverage for himself and his eligible dependents* under one of the following health insurance plans:

Time is Money Join Law Insider Premium to draft better contracts faster.