Chemotherapy. Shall be defined as remedial Services of a euplastic Illness or tumor by means of systemic cytotoxic agents or systemic hormonal agents.
Chemotherapy. Chemotherapy involves the treatment of infections or other diseases with chemical or biological antineoplastic agents approved by and used in accordance with the Food and Drug Administration (FDA) guidelines. Benefits for chemotherapy include chemotherapy drugs (except for outpatient oral chemotherapy drugs) and the administration of these drugs provided in either an inpatient or outpatient setting.
Chemotherapy. Benefits are payable for necessary treatment through the use of chemotherapy under the direction of a Physician.
Chemotherapy. Use of chemical agents prescribed by a physician for the treatment and control of cancer.
Chemotherapy. Eligible health services for chemotherapy depend on where treatment is received. In most cases, chemotherapy is covered as outpatient care. However, your hospital benefit covers the initial dose of chemotherapy after a cancer diagnosis during a hospital stay. • A free-standing outpatient facility • The outpatient department of a hospital • A physician in his/her office • A home care provider in your home You can access the list of preferred infusion locations by contacting Member Services by logging onto your secure member website at xxx.xxxxx.xxx or calling the number on the back of your ID card. Infusion therapy is the parenteral (i.e. intravenous) administration of prescribed medications or solutions. Certain infused medications may be covered under the outpatient prescription drug rider. You can access the list of specialty prescription drugs by contacting Member Services or by logging onto your secure member website at xxx.xxxxx.xxx or calling the number on the back of your ID card to determine if coverage is under the outpatient prescription drug rider or this EOC. When Infusion therapy services and supplies are provided in your home, they will not count toward any applicable home health care maximums. Eligible health services include the following radiology services provided by a health professional: • Radiological services • Gamma ray • Accelerated particles • Mesons • Neutrons • Radium • Radioactive isotopes Eligible health services include cardiac rehabilitation services you receive at a hospital, skilled nursing facility or physician’s office, but only if those services are part of a treatment plan determined by your risk level and ordered by your physician. Eligible health services include pulmonary rehabilitation services as part your inpatient hospital stay if it is part of a treatment plan ordered by your physician. A course of outpatient pulmonary rehabilitation may also be eligible for coverage if it is performed at a hospital, skilled nursing facility, or physician’s office, is used to treat reversible pulmonary disease states, and is part of a treatment plan ordered by your physician. Short-term rehabilitation services help you restore or develop skills and functioning for daily living. Eligible health services include short-term rehabilitation services your physician prescribes. The services have to be performed by: • A licensed or certified physical, occupational or speech therapist • A hospital, skilled nursing facility, or hospice fa...
Chemotherapy. The treatment of malignant disease by chemical or biological antineoplastic agents.
Chemotherapy. In case of the emergency, all services mentioned above shall be insured by “Party A”; the service payment shall be set forth in Inter-Ministerial Xxxxxx No. 173 LV/PrK., dated 05 May 2016, on Provider Payment Method for Health Care; and
A.8. To refer patient or victim whom “Party B” cannot diagnose and/or treat or provide the para-clinic services to other health facilities, which have higher technics together with adequate referral documents, signed the agreemment with “Party A”
B. To ensure the effectiveness of service quality promotion and service payment, “Party B” shall cooperate with officials, staff, or medical commission of NSSF in order to implement the following duties:
B.1. Check and verify the validity of service consumption of the NSSF member through membership card, Khmer national identity card, SMS, finger print, or phoning to request the identity certification from NSSF prior to providing the service, except for the emergency. “Party A” will not pay back to “Party B” in case “Party B” provides the services to the NSSF member with invalid service consumption.
B.2. Allow the officials, staff, medical commissions, or general practitioners of NSSF designated officially to monitor and inspect the service quality when there is a request in writing from the NSSF Executive Director in order to: - check the document of patients or victims as the NSSF member or other necessary documents involved with the service provision and payment.
B.3. Ensure that the pregnant, the NSSF member, takes the blood test and detects the positive result of HIV. Consequently, the delivery shall be complied with the guidelines on Prevention of Mother-to-Child Transmission (PMTCT).
B.4. Prepare and implement the action plans with a view to adjusting the service quality punctually following the date of receiving the official recommendation from NSSF based on the result of service quality indicator assessment conducted every 6 (six) months by NSSF as stipulated in 3.4 in this annex.
B.5. Determine the diagnoses and services with a view to appending to any cases as stipulated in Inter-Ministerial Xxxxxx No. 173 LV/PrK., dated 05 May 2016, on Provider Payment Methods for Health Care.
B.6. Take responsibility for recording and keeping all medical documents and other relevant documents of the NSSF member consuming the services as the data for “Party A” in order to monitor, verify, and assess.
B.7. Ensure that the NSSF member pay the contribution before the determination of validi...
Chemotherapy. 7.5.1 The Commonwealth intends to reform the current arrangements for the payment of fees for chemotherapy infusions prepared under special arrangements made by the Minister under section 100 of the Act.
7.5.2 It is proposed that under the new arrangements:
(a) fees would be paid directly to chemotherapy compounders under new arrangements determined by the Minister; and
(b) the fees paid to compounders who are licensed by the TGA to undertake such compounding would be higher than those paid to compounders who are not licensed by the TGA, recognising that TGA licensed compounders incur additional costs in complying with the TGA's licensing requirements, as compared to chemotherapy compounders who are not TGA licensed.
7.5.3 Under this arrangement, the fees paid to compounders would be $40 for non-TGA licenced providers and $60 for TGA licenced providers (Compound Fees). Compound Fees will remain fixed for the Term, with no indexation applied.
7.5.4 The Commonwealth will implement changes to bring about the payment of Compound Fees in consultation with chemotherapy compounders and approved pharmacists who supply chemotherapy infusions.
Chemotherapy. Chemotherapy means the treatment of malignant disease by chemical or biological antineoplastic agents, monoclonal antibodies, bone marrow stimulants, antiemetics and other related biotech products. Such chemotherapeutic agents are eligible if administered intravenously or intramuscularly (through intra- arterial injection, infusion, perfusion or subcutaneous, intracavitary and oral routes). The cost of drugs, approved by the Federal Food and Drug Administration (FDA) and only for those uses for which such drugs have been specifically approved by the FDA as antineoplastic agents is covered, provided they are administered as described in this paragraph.
Chemotherapy. The per diem service is composed of the daily per diem rate plus the Average Wholesale Price (AWP) minus 10 % of the chemotherapeutic agent. Rate /Code ---------- Chemotherapy, one drug: $ 70.00/CH001 plus the AWP minus 10% of the drug Additional Drug Therapy: Chemotherapy, additional drug: $ 35.00/CH002 plus the AWP minus 10% of the drug Attachment A
