Outpatient Facility Fee definition

Outpatient Facility Fee means hospital outpatient charges approved by the Commission for outpatient clinic services commonly understood to be non-emergent and non-surgical use of hospital facilities, supplies and equipment, including but not limited to the services of nonphysician clinicians, in addition to physician fees billed for professional services provided at the hospital.
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Examples of Outpatient Facility Fee in a sentence

  • Outpatient Facility Fee (e.g., Ambulatory Surgery Center) Services rendered in an outpatient facility that may be performed in physician's office are not covered.

  • Outpatient Facility Fee when an Insured Person is treated for a Covered Sickness or Covered Injury in an appropriately licensed outpatient facility including an Ambulatory Surgical Center.

  • Outpatient Facility Fee – We will pay the enpenses for outpatient facilities, including an ambulatory surgical center, for outpatient surgery and ancillary supplies and services.4. Rehabilitation Therapy – When prescribed by the attending Physician covers physical and occupational and manipulative therapy, as well as cardiac rehabilitation, for treatment of a Covered Injury or Covered Sickness.

  • Confirmation that only in-network cost sharing, including multitier networks, was considered: Yes Description of the standardized plan population data used: Used AV Calculator population data.If the method described in 156.135(b)(2) was used, a description of how the benefits were modified to fit the parameters of the AV calculator: 1 For Outpatient Facility Fee, used the average cost and frequency data from a nationally recognized consulting firm trended to 2014.

  • Miscellaneous supplies.3. Outpatient Facility Fee – We will pay the expenses for outpatient facilities, including an ambulatory surgical center, for outpatient surgeries and procedures.

  • Miscellaneous supplies.]3 Outpatient Facility Fee for outpatient facilities, including an ambulatory surgical center, for outpatient surgeries and procedures not including: removal of wisdom teeth whether or not imbedded in bone.

  • Outpatient Facility Fee – We will pay the expenses for outpatient facilities, including an ambulatory surgical center, for outpatient surgeries and procedures not including: removal of wisdom teeth whether or not imbedded in bone.

  • Outpatient Facility Fee when You are treated for a Covered Sickness or Covered Injury in an appropriately licensed outpatient facility including an ambulatory surgical center.

  • After considering all of the evidence and arguments, the ALJs conclude that the current Hospital Outpatient Facility Fee Guideline (Hospital Outpatient Guideline) methodology provides a reasonable means by which to derive such a reimbursement.

  • Outpatient Facility Fee (e.g., ambulatory surgery) Base Benchmark Benefit that was Substituted: Source: Remove Base Benchmark Explain the substitution or duplication, including indicating the substituted benefit(s) or the duplicate section 1937 benchmark benefit(s) included above under Essential Health Benefits: Duplication: Covered under Nebraska Medicaid State Plan as Clinic Services in EHB 1: Ambulatory Patient Services and Freestanding Birth Center Services in EHB 4: Maternity and Newborn Care.

Related to Outpatient Facility Fee

  • Applicable Facility Fee means the percentage set forth in the table below corresponding to the Level at which the “Applicable Margin” is determined in accordance with the definition thereof: Level Facility Fee 2 0.125% 3 0.150% 4 0.200% 5 0.250%

  • Skilled Nursing Facility means an institution or part thereof that is licensed as a Skilled Nursing Facility by the State of Florida, and is accredited as a Skilled Nursing Facility by The Joint Commission or recognized as a Skilled Nursing Facility by the Secretary of Health and Human Services of the United States under Medicare.

  • 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. .

  • Nursing facility means an institution as defined in Iowa Code chapter 135C. This definition does not include acute care settings.

  • Facility Fee has the meaning specified in Section 2.09(a).

  • Stormwater management facility means a control measure that controls stormwater runoff and changes the characteristics of that runoff including, but not limited to, the quantity and quality, the period of release or the velocity of flow.

  • Outpatient attendance means treatment received in a hospital emergency department where the patient is not admitted to a bed in the hospital.

  • Unused Facility Fee has the meaning specified in Section 2.09(a).

  • Applicable Utilization Fee means, as of any date that the aggregate Advances exceed 33% of the aggregate Commitments, a percentage per annum determined by reference to the Public Debt Rating in effect on such date as set forth below: -------------------------------- ----------------------------- Public Debt Rating Applicable S&P/Moody's Utilization Fee -------------------------------- ----------------------------- Level 1 BBB+ or Baa1 or above 0.125% -------------------------------- ----------------------------- Level 2 BBB or Baa2 0.250% -------------------------------- ----------------------------- Level 3 BBB- and Baa3 0.000% -------------------------------- ----------------------------- Level 4 BBB- or Baa3 0.000% -------------------------------- ----------------------------- Level 5 BB+ and Ba1 0.000% -------------------------------- ----------------------------- Level 6 Lower than Level 5 0.000% -------------------------------- -----------------------------

  • Utilization Fee shall have the meaning assigned to such term in Section 2.06(b).

  • Treatment facility means an institution (or distinct part thereof) for the treatment of alcoholism or drug abuse, which meets fully every one of the following tests:

  • Provider fee means the consideration paid for a service contract.

  • Facility Fees has the meaning provided in Section 2.11(a).

  • Wastewater treatment facility means a treatment works, as

  • Attachment Facilities means the facilities necessary to physically connect a Customer Facility to the Transmission System or interconnected distribution facilities.

  • Applicable Facility Fee Rate means, at any time, the percentage rate per annum at which Facility Fees are accruing on the Aggregate Commitment (without regard to usage) at such time as set forth in the Pricing Schedule.

  • Outpatient services means those services rendered in a practitioner’s office or in the department of an approved facility where services are rendered to persons who have not had an overnight stay and are not charged for room and board.

  • Medical facility means any of the following:

  • Facility means the entire operation located on the property where the Equipment is located;

  • Replacement Facility means 1 of the following:

  • Professional Fee Reserve Amount means the total amount of Professional Fee Claims estimated in accordance with Article II.A.2(c) of the Plan.

  • Applicable Facility Fee Percentage means, as at any date of determination, the rate per annum then applicable in the determination of the amount payable under Section 2.14(C)(i) hereof determined in accordance with the provisions of Section 2.14(D)(ii) hereof.

  • Contingent Facilities means those unbuilt Interconnection Facilities and Network Upgrades upon which the Interconnection Request’s costs, timing, and study findings are dependent and, if delayed or not built, could cause a need for restudies of the Interconnection Request or a reassessment of the Interconnection Facilities and/or Network Upgrades and/or costs and timing.

  • Non-Administrator Skilled Nursing Facility means a Skilled Nursing Facility which does not have an agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan but has been certified in accordance with guidelines established by Medicare.

  • Outpatient treatment means mental health or substance abuse treatment services rendered to a

  • 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: