Provider-Preventable Errors Sample Clauses

Provider-Preventable Errors. The Plan will not reimburse for a procedure/service to treat/diagnose a medical condition when the practitioner erroneously performs: 1) a wrong procedure/service on a patient;
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Provider-Preventable Errors. The Plan will not reimburse for a procedure/service to treat/diagnose a medical condition when the practitioner erroneously performs: 1) a wrong procedure/service on a patient; 2) the correct procedure/service but on the wrong body part; or 3) the correct procedure/service but on the wrong patient. This encompasses all related services provided when the error occurs, including those separately performed by other physicians, and all other services performed during the same visit or other related services. Group shall bill for the appropriate modifier to indicate type of Provider-Preventable Error. Amounts for Provider-Preventable Errors may not be collected from the Member, and Group may not obtain a Written Waiver for these services.

Related to Provider-Preventable Errors

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  • OGS Centralized Contract Modifications OGS, an Authorized User, or the Contractor may suggest modifications to the Centralized Contract or its Appendices. Except as specifically provided herein, modifications to the terms and conditions set forth herein may only be made with mutual written agreement of the Parties. Modifications may take the form of an update or an amendment. “

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