Academy of Family Physicians. The written opinion of the physician as to the matter in dispute shall be final and binding on the parties.
Academy of Family Physicians. The written opinion of the physician as to the matter in dispute shall be final and binding on the parties. If Executive's employment is terminated pursuant to this Section 2.7(b), Employer shall pay to Executive or his personal representative, in a lump sum, an amount equal to his Base Salary for the lesser of one year or the then remaining term of this Agreement.
Academy of Family Physicians. Abuse – Means provider practices that are inconsistent with sound fiscal, business, or medical practices, and result in an unnecessary cost to the SCHIP program, or in reimbursement for services that are not medically necessary or that fail to meet professionally recognized standards for health care. It also includes beneficiary practices that result in unnecessary cost to the SCHIP program. ACIP – Centers for Disease Control Advisory Committee on Immunization Practices Actuarially sound capitation rates - Capitation rates that--(1) have been developed in accordance with generally accepted actuarial principles and practices; (2) are appropriate for the populations to be covered, and the services to be furnished under the contract; and (3) have been certified, as meeting the requirements of this paragraph, by actuaries who meet the qualification standards established by the American Academy of Actuaries and follow the practice standards established by the Actuarial Standards Board. Adjustments to smooth data – Adjustments made, by cost-neutral methods, across rate cells, to compensate for distortions in costs, utilization, or the number of eligibles. Applicant - An individual seeking SCHIP eligibility through written application CFR - Code of Federal Regulations CPT - Current Procedural Terminology, fourth edition, revised 2007 CAHPS - The Consumer Assessment of Healthcare Providers and Systems is a standardized survey of patients’ experiences with ambulatory and facility-level care established by the Agency for Healthcare Research and Quality. Capitation Payment - The monthly payment which is paid by SCDHHS to a Contractor for each enrolled plan member for the provision of benefits during the payment period. Care Coordination - The manner or practice of planning, directing and coordinating health care needs and services of MCO Program members. Care Coordinator - The individual responsible for planning, directing and coordinating services to meet identified health care needs of SCHIP Program members. Case - An event or situation Case Manager - The individual responsible for identifying and coordinating services necessary to meet service needs of MCO Program members. Clean Claim - Claims that can be processed without obtaining additional information from the Provider of the service or from a third party. CMS – Centers for Medicare and Medicaid Services CMS 1500 - Universal claim form, required by CMS, to be used by non- institutional and institutional Contra...
Academy of Family Physicians. The written opinion of the doctor shall be final and binding upon the parties. In order to facilitate such determination, the Executive will, as reasonably requested by the Company, (i) make himself available for medical examinations by a doctor in accordance with this Section 2.2(b), and (ii) grant the Company and any such doctor access to all relevant medical information concerning him, arrange to furnish copies of medical records to such doctor and use his best efforts to cause his own doctor to be available to discuss his health with such doctor.
Academy of Family Physicians. The physician patient relationship. C PHO intends to enter into on Physician’s behalf to arrange for Physician to enter into written agreements hereinafter referred to as “PHO Agreements” with licensed health care service organizations insurance companies union trust funds employers and other third party payors hereinafter individually and collectively referred to as the “Plan” which agreements shall obligate Physician to provide Covered Services to Plan Members PATIENT PHYSICIAN AGREEMENT PAL has earned the distinction of becoming a Patient Centered Medical Home PCMH The PCMH is health care centered on your child the patient It is a partnership between your child you and the doctor Patient Doctor Agreement We are proud of the services we provide for our patients We value your time and respect your individual circumstances We make every effort to treat each patient with the respect they deserve Patient and the Physician intend and agree that the Physician in performing her duties under this Agreement is an independent contractor as defined by the guidelines promulgated by the United States Internal Revenue Service and or the United States Department of Labor and the Physician shall have exclusive control of his work and the manner in which it is performed Patient and the Physician intend and agree that the Physician in performing his duties under this Agreement is an independent contractor as defined by the guidelines promulgated by the United States Internal Revenue Service and or the United States Department of Labor and the Physician shall have exclusive control of his work and the manner in which it is performed The patient transfer agreement should begin by specifying the details of the hospitals It means the hospital the patient was admitted in and the one in which he or she is being transferred to Step 2 Matter Description The reason to make such a transfer needs to be specified in the description
