Hospital Outpatient Department definition

Hospital Outpatient Department means any hospital outpatient department of a health facility as defined in the CaliforniaHealth and Safety Code Section 1250 and any hospital outpatient department that is certified to participate in the Medicare program under Title XVIII (42 U.S.C. SEC. 1395 et seq.) of the federal Social Security Act.
Sample 1Sample 2Sample 3
Hospital Outpatient Department means an entity or site that provides outpatient services and:
Sample 1Sample 2Sample 3
Hospital Outpatient Department means any hospital outpatient department of a health facility as defined in the California Health and Safety Code Section 1250 and any hospital outpatient department that is certified to participate in the Medicare program under Title XVIII(42
Sample 1

Examples of Hospital Outpatient Department in a sentence

  • For any Hospital Outpatient Department, HLHC, or other Satellite Clinic site participating in the Primary Care Payment Reform (PCPR) initiative, outpatient Hospital-Based Physician services are governed by the site’s executed MassHealth PCC Plan Provider contract or MCO provider agreement, and are not payable through this Acute Hospital RFA and Contract.

  • Hospital Outpatient Department ServicesHospitals provide two distinct types of services to outpatients: services that are diagnostic in nature, and other services that aid the physician in the treatment of the patient.

  • For services rendered on or after December 15, 2016, only hospitals as defined in Section 9789.30(p) may charge or collect a facility fee for Hospital Outpatient Department Services rendered to a hospital outpatient and payable under the Medicare (CMS) HOPPS.

  • CONTACT PERSON AND PHONE NUMBER: Hospital Outpatient Department Cost-to-Charge Ratio Pursuant to Section 9789.33(c)(4), the cost-to-charge ratio applicable to a hospital outpatient department participating in the Medicare program shall be the hospital’s cost-to-charge ratio used by the Medicare fiscal intermediary to determine high cost outlier payments under 42 CFR 419.43(d).

  • I&R Site – a location that is neither an Acute Inpatient Hospital nor a Hospital Outpatient Department, such as a hotel or motel, that contracts with EOHHS to provide safe, isolated lodging for individuals with a COVID-19 diagnosis.Insurance Payment – a payment received from any entity or individual legally responsible for paying all or part of the medical claims of MassHealth Members.

  • Hospital Outpatient Department ServicesA hospital outpatient is a person who has not been admitted by the hospital as an inpatient but is registered on the hospital records as an outpatient.63 Generally, payments under the hospital outpatient prospective payment system (OPPS) cover the operating and capital-related costs that are directly related and integral to performing a procedure or furnishing a service on an outpatient basis.

  • Hospital Outpatient Department Expense Covered medical expenses include charges incurred by a covered person for the use of: • Diagnostic X-ray and laboratory services; • Consultants or specialists; or • An operating room, if charges are incurred in a hospital outpatient department.

  • Outpatient Services (also Outpatient Hospital Services) — medical services, including behavioral health services, provided to a Member on an outpatient basis, by or under the direction of a physician or dentist, in a Hospital Outpatient Department or Satellite Clinic for which a reimbursement method is specified in Section 5.C. Such services include, but are not limited to, Emergency Services, Primary Care services, Observation Services, ancillary services, and day surgery services.

  • Payment for professional medical services furnished in a CAH to CAH inpatients is made on a fee schedule, charge, or other fee basis, as would apply if the services had been furnished in a Hospital Outpatient Department (HOPD).

  • Commonwealth of Massachusetts MassHealthProvider Manual Series Hospital Outpatient Department –(1) For an acute hospital, a department or unit within the physical framework of the hospital’s inpatient facility that operates under the hospital's license and provides services to members on an outpatient basis.

Related to Hospital Outpatient Department

  • Outpatient means a person who is receiving care other than on an inpatient basis, such as: • in a provider’s office; • in an ambulatory surgical center or facility; • in an emergency room; or • in a clinic. .

  • Hospital pharmacy means a pharmacy providing pharmaceutical care to

  • 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:

  • Local health department means the same as that term is defined in Section 26A-1-102.

  • Hospice means a public agency or private organization licensed pursuant to Chapter 400, Florida Statutes, to provide Hospice services. Such licensed entity must be principally engaged in providing pain relief, symptom management, and supportive services to terminally ill Members and their families.

  • Hospital means a facility that:

  • Fire Department means an organized fire department as that term is defined in section 1 of the fire prevention code, 1941 PA 207, MCL 29.1.

  • Outpatient status means, with respect to a covered servicemember who is a current member of the Armed Forces, the status of a member of the Armed Forces assigned to:

  • Drug therapy management means the review of a drug therapy regimen of a patient by one or more pharmacists for the purpose of evaluating and rendering advice to one or more practitioners regarding adjustment of the regimen.

  • Nuclear pharmacy means a pharmacy providing radio-pharmaceutical service.

  • Surgery means any of the following:

  • Acute care hospital means a Hospital that provides Acute Care Services. Adjudicate means to deny or pay a Clean Claim. Administrative Services see MCO Administrative Services. Administrative Services Contractor see HHSC Administrative Services Contractor.

  • Psychiatric hospital means an Institution constituted, licensed, and operated as set forth in the laws that apply to Hospitals, which meets all of the following requirements:

  • Pharmacy means prescribed drugs and medicines dispensed by a pharmacist and/or travel and allergy vaccines dispensed by a pharmacist or doctor.

  • Police Department means the law enforcement agency designated by the County Prosecutor to receive such information.

  • Primary care physician or “PCP” means a Plan Provider who has an independent contractor agreement with HPN to assume responsibility for arranging and coordinating the delivery of Covered Services to Members. A Primary Care Physician’s agreement with HPN may terminate. In the event that a Member’s Primary Care Physician’s agreement terminates, the Member will be required to select another Primary Care Physician.