Downstream Practitioner definition

Downstream Practitioner means an individual who (1) is a Medicare-Enrolled Physician or Non-Physician Practitioner who furnishes Covered Services to ET3 Model Beneficiaries following a Transport to an Alternative Destination intervention or as part of a Treatment in Place intervention; (2) has a written arrangement with an ET3 Partner that meets all applicable requirements of Article 4.3, under which the Downstream Practitioner agrees to participate in
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Downstream Practitioner means an individual who (1) is a Medicare-Enrolled Physician or
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Examples of Downstream Practitioner in a sentence

  • Any such agreement must be signed by an individual legally authorized to act for the individual or entity through whose TIN the Qualified Health Care Partner, Downstream Practitioner, or Billing Party bills Medicare.

  • The duration of a site visit will depend on the size and complexity of the Participant, ET3 Partner, Downstream Practitioner, or Billing Party.

  • Such list must include the legal name and NPI of each Billing Party and Downstream Practitioner.

  • The duration of a site visit will depend on the size and complexity of the ET3 Partner, Downstream Practitioner, or Billing Party.

  • SAFD must not take any action to limit the ability of an ET3 Partner or Downstream Practitioner to make decisions in the best interest of an ET3 Model Beneficiary, including the selection of care or services furnished to an ET3 Model Beneficiary under the Model, or to offer an ET3 Model Beneficiary an Available Intervention that differs from the Available Intervention identified by SAFD’s Triage Decision.