Outpatient hospital services definition

Outpatient hospital services means preventive, diagnostic, therapeutic, observation, rehabilitation, or palliative services provided to an outpatient by or under the direction of a physician, dentist, or other practitioner by an institution that:
Outpatient hospital services means services that are furnished in a hospital for the care and treatment of an outpatient. For information on outpatient-covered services, see the Division’s Hospital Services administrative rules found in chapter 410, division 125.
Outpatient hospital services means preventive, diagnostic, therapeutic, re- habilitative, or palliative services that—

Examples of Outpatient hospital services in a sentence

  • Infertility Services - limited to a lifetime benefit maximum of $10,000 for infertility transfer procedures Inpatient and Outpatient Hospital Services: 90% of eligible charges after the deductible.

  • Outpatient Hospital Services: 80% of eligible charges after the deductible.

  • Hospital Services Outpatient Hospital Services, Ambulatory Care or Surgical Facility Services 90% of eligible charges after the deductible.

  • Inpatient and Outpatient Hospital Services: 80% of eligible charges after the deductible.

  • Physical Therapy, Occupational Therapy and Speech Therapy Outpatient Hospital Services: 90% of eligible charges after the deductible.


More Definitions of Outpatient hospital services

Outpatient hospital services means services which include the facility component of outpatient surgery, pre-admission testing, laboratory and radiology services.
Outpatient hospital services means diagnostic, therapeutic, and rehabilitative services that are provided to Members in an organized medical facility, for less than a 24-hour period, by or under the direction of a physician. To distinguish between the types of services being billed, hospitals must indicate a three-digit type of xxxx (TOB) code in block 4 of the UB-92 claim form. Most commonly for hospitals, this code will be 131 for an outpatient hospital claims.
Outpatient hospital services means, for the purposes of this Agreement, medical or 23 surgical care performed at a Hospital for which there is no expectation of being admitted as an inpatient.
Outpatient hospital services means, in accordance with federal law, preventive, diagnostic, therapeutic, rehabilitative or palliative services that are (A) furnished to an outpatient; (B) furnished by or under the direction of a physician or dentist; and (C) furnished by a hospital;
Outpatient hospital services means those health care services that are within a hospital's licensure and provided to a client who is designated as an outpatient.
Outpatient hospital services means non-capitated facility services for surgery, emergency services, lab, radiology, therapy, observation, and other services provided in an outpatient facility setting and billed by the facility and categorized as such as part of development of the Unified Rate Review Template, excluding services to treat individuals with a primary diagnosis of a behavioral health condition including mental health conditions and substance use disorder conditions.
Outpatient hospital services means diagnostic, therapeutic, and rehabilitative services that are provided to Members in an organized medical facility, for less than a 24-hour period, by or under the direction of a physician. Parties means HHSC and HMO, collectively.