AMBULATORY SURGERY. Ambulatory or out-patient surgical procedures performed in a hospital, clinic, or doctor’s office are covered according to the Table of benefits. These surgeries allow the patient to go home the same day that they have the surgi- cal procedure.
AMBULATORY SURGERY. Ambulatory or out-patient surgical procedures per- formed in a hospital, clinic, or doctor’s office are covered according to the Table of benefits. These surgeries allow the patient to go home the same day that they have the surgical procedure.
AMBULATORY SURGERY. Services include preoperative examinations, operating and recovery room services, and all required drugs and medicine.
AMBULATORY SURGERY. The Contractor shall provide surgical services for either emergency or scheduled surgeries when provided in an ambulatory or outpatient setting, such as a freestanding surgical center or a hospital-based outpatient surgical setting.
AMBULATORY SURGERY. 6 1. Ambulatory Surgery nurses required to be on on-call may arrange for 7 qualified nurse volunteers from other nursing service department to take 8 such on-call; provided that this would not lead to total compensation for 9 the involved nurses greater than that which would have been payable if 10 such arrangement had not been made, and provided further that the 11 specific arrangement has been approved by Hospital.
13 2. Ambulatory Surgery nurses shall be scheduled for on-call as follows:
14 a. On a rotating basis Monday through Friday, not to exceed sixteen 15 (16) hours 16
17 b. On a rotating basis on a weekend (Saturday and Sunday), not to 18 exceed one (1) weekend every five (5) weeks; and
20 c. On a rotating basis for holidays referred to in the PTO Article 8 and 21 days when the operating room is closed.
23 1 3. PACU nurses required to be on on-call shall be called back to recover 24 surgical patients except that Hospital may use OB nurses to recover OB 25 patients instead of such callback.
AMBULATORY SURGERY. A cost management program referred to in the Network Agreement. For present purposes, this shall mean any requirement contained in a Policy or the Provider Manual that the Medical Necessity of a particular type of ambulatory surgery service be precertified or preauthorized in advance of the provision of service. The term shall also include any program of retrospective review of the Medical Necessity of such services.
AMBULATORY SURGERY. Center development; (3) HCAP/ER benefit-review; (4) The ongoing review of the Managed Physical Medicine Program; (5) Review of the appropriateness
AMBULATORY SURGERY. Centers (ASCs) must maintain the following current licenses, permits, and registrations (where required):
a) Pharmacy License (if required)
b) Drug Enforcement Agency (DEA) Registration (if required)
c) Power-of-Attorney for anyone authorized to order controlled substances and additional DEA-222 forms.
d) Power-of-Attorney for anyone authorized to use the Drug Enforcement Agency’s (DEA) Controlled Substance Ordering System (CSOS).
AMBULATORY SURGERY. The Contractor shall provide surgical services for either emergency or scheduled surgeries when provided in an ambulatory or outpatient setting such as a freestanding surgical center or a hospital-based outpatient surgical setting. American Indian Health Program (AIHP): The AHCCCS Division of Fee For Service (DFSM) will reimburse claims for acute care services that are medically necessary, and are provided to Title XIX members enrolled with the Contractor in an IHS or a tribal 638 facility, eligible for 100% Federal reimbursement when the member is eligible to receive services at the HIS or tribally operated 638 program. Encounters for Title XIX services billed by an IHS or tribal facilities will not be accepted by AHCCCS or considered in capitation rate development.
AMBULATORY SURGERY. PACU nurses required to be on on-call shall be 5 called back to recover surgical patients except that the Hospital may use OB 6 nurses to recover OB patients instead of such callback. PACU and 7 Endoscopy nurses required to be on call shall not ordinarily be required to 8 recover a patient past Phase I. These nurses will recover patients through 9 Phase II or discharge only when Hospital staffing does not permit the nurse 10 to safely transition their patient to another nurse.
