Episode of care definition

Episode of care means a period of continuous hospital treatment, including readmission within a seven
Episode of care means a specific medical problem, condition, or specific illness being managed including tests, procedures and rehabilitation initially requested by health care practitioner, to be performed at the site of service, excluding out of network care: Provided, That any additional testing or procedures related or unrelated to the specific medical problem, condition, or specific illness being managed may require a separate prior authorization.
Episode of care means services provided to a patient by a health provider that:

Examples of Episode of care in a sentence

  • The selection and design of quality metrics was informed by a stakeholder group (NJ Perinatal Episode of Care Steering Committee) including clinicians,non-clinicians, and advisors.

  • Take all reasonably available measures to reverse any Extraordinary Collection Actions taken against the individual, including removing any adverse information from a credit report that arose as a result of a CMC credit disclosure made for the relevant Episode of Care.

  • The Interim National Cancer Core Data Definitions define nine principal entities:• For each Patient there will be one or more Diagnosis.• For each Diagnosis there may be one or more Episode of Care.• For each Episode of Care there may be one or more instances of treatment.

  • This decision will not constitute Financial Assistance for a full Episode of Care as available through the traditional application process.

  • For dates of service in RY23, Critical Access Hospitals will be paid a Hospital-specific, Episode- specific Adjudicated Payment per Episode of Care (APEC) for those Outpatient Services for which all other in-state Hospitals are paid an APEC.


More Definitions of Episode of care

Episode of care means (i) all services rendered by a SurgeryPlus network provider and provider’s professional and medical staff, as applicable and (ii) all hospital- or facility-related expenses under the diagnosis case code. The Episode of Care begins on the day the patient first receives services from the provider related to the diagnosis case code and ends when the patient is discharged from the hospital or facility to return or travel home. Services and expenses under the diagnosis case code commonly included in the Episode of Care are equipment used while in hospital or facility, in-hospital or in-facility medications or biologics and supplies, implants, labs, in-hospital meals, hospital confinement days, pre- and post in-hospital or in-facility nursing care, in-hospital physical therapy and follow-up consultations, and any other medically necessary care related to the diagnosis case code rendered prior to discharge. An Episode of Care shall not include
Episode of care means a specific medical problem, condition, or specific illness being
Episode of care means medical services, nursing services, or health-related services provided by a health care institution to a patient for a specific period of time, ending in discharge or the completion of the patient’s treatment plan, whichever is later.
Episode of care means medical services, nursing services, or health-related services provided by a hospital to a patient for a specific period of time, ending with a discharge.
Episode of care means a period of consecutive days— ‘‘(i) beginning with the first day on which a veteran
Episode of care means a period of care that ends when the member has been discharged by the provider from receiving outpatient hospital services or when there has been an extended cessation in treatment not less than 120 days from the last time the member was treated at the hospital;
Episode of care means care that begins at treatment admission and ends at discharge. An admission has occurred if, and only if, the Client begins treatment. Events such as initial screening, Referral, and wait-listing for treatment are considered to take place before the admission to treatment and should not be considered as admission.