PCP Visit definition
PCP Visit is defined as an evaluation & management (“E/M”) visit rendered by a Primary Care Physician as credentialed by the Plan with a specialty in Internal Medicine or Family Practice (or any midlevel practitioners employed by the practice providing primary care services). E/M visits are defined as CPT® codes 99201-99215 and 99381-99397. NCM codes could also be included once such codes are approved by Medicare. The Plan will calculate the number of Eligible Subscribers each quarter based on twenty-seven (27) months of claims data. Eligible Subscribers must be active Plan Subscriber as of the date indicated below in the payment schedule table (see Section IV d.2 for reporting requirements regarding Eligible Subscribers). A PCP is defined as a primary care physician as credentialed by the Plan with a specialty in Internal Medicine or Family Practice (or any midlevel practitioners employed by the Internal Medicine or Family Practice providing primary care services). CSI Management will track quarterly attribution by the Practice and by the Plan with a report submitted to the Executive Committee.
PCP Visit is defined as an evaluation & management (“E/M”) visit rendered by a Primary Care Physician as credentialed by the Plan with a specialty in Internal Medicine or Family Practice (or any midlevel practitioners employed by the practice providing primary care services). E/M visits are defined as CPT® codes 99201-99215 and 99381-99397. The Plan will calculate the number of Eligible Subscribers each quarter based on twenty-seven (27) months of claims data. Eligible Subscribers must be active Plan Subscriber as of the date indicated below in the payment schedule table (see Section IV d.2 for reporting requirements regarding Eligible Subscribers). A PCP is defined as a primary care physician as credentialed by the Plan with a specialty in Internal Medicine or Family Practice (or any midlevel practitioners employed by the Internal Medicine or Family Practice providing primary care services). CSI-RI Management will track quarterly attribution by the Practice and by the Plan with a report submitted to the Executive Committee.
Examples of PCP Visit in a sentence
Eligible Subscribers with the most recent PCP Visit rendered by the Practitioner/Provider.