Outpatient hospital services definition

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:

Outpatient hospital services means services that are furnished in a hospital for the care and treatment of an outpatient. For information on outpatient-covered services, see the Division’s Hospital Services administrative rules found in chapter 410, division 125.

Outpatient hospital services means services which include the facility component of outpatient surgery, pre-admission testing, laboratory and radiology services.

Examples of Outpatient hospital services in a sentence

• For Emergency Services and Outpatient Hospital Services - No Contracting Hospital shall 19 be reimbursed more than one hundred percent (100%) of CalOptima fee-for-service rates or Allowable 20 Costs, less the required co-payments, whichever is less.

• The days during which a Member is not physically present for Inpatient care are not counted as Inpatient days.2. Outpatient Hospital Services – Include:a.

• Acute Medical Detoxification Benefits are Covered under Inpatient and Outpatient Hospital Services found in the Benefits Section of this Agreement.

• Upon approval of Hospital Claims for Emergency Services and Outpatient Hospital Services, the Intermediary shall make interim reimbursements for these claims at the following specified percentage of the CalOptima fee-for-service rates, less the required co-payments to be collected by 28 as determined by ADMINISTRATOR.

More Definitions of Outpatient hospital services

Outpatient hospital services means diagnostic, therapeutic, and rehabilitative services that are provided to Members in an organized medical facility, for less than a 24-hour period, by or under the direction of a physician. To distinguish between the types of services being billed, hospitals must indicate a three-digit type of bill (TOB) code in block 4 of the UB-92 claim form. Most commonly for hospitals, this code will be 131 for an outpatient hospital claims.

Outpatient hospital services means preventive, diagnostic, therapeutic, re- habilitative, or palliative services that—

Outpatient hospital services means, in accordance with federal law, preventive, diagnostic, therapeutic, rehabilitative or palliative services that are (A) furnished to an outpatient; (B) furnished by or under the direction of a physician or dentist; and (C) furnished by a hospital;

Outpatient hospital services means those health care services that are within a hospital's licensure and provided to a client who is designated as an outpatient.

Outpatient hospital services means diagnostic, therapeutic, and rehabilitative services that are provided to Members in an organized medical facility, for less than a 24-hour period, by or under the direction of a physician. Parties means HHSC and HMO, collectively.

Outpatient hospital services means services provided by a hospital to an outpatient that comply with all applicable requirements, including 42 CFR 440.20, as amended from time to time, and sections 17b-262-967 to 17b-262-981, inclusive, of the Regulations of Connecticut State Agencies;

Outpatient hospital services. All hospital services provided on an ambulatory basis, including, but not limited to emergency room services, surgical day care and outpatient ambulatory procedures, but not including separately billed professional services.