Common use of HEALTH CARE MANAGEMENT SERVICES Clause in Contracts

HEALTH CARE MANAGEMENT SERVICES. a program which integrates all activity related to managing a Member’s medical care from the time that an admission, surgical or diagnostic procedure, or certain services become necessary. The program consists of any applicable pre-admission Certification, Admission Certification of Emergency Admissions, Outpatient Procedure or Covered Service Precertification, Continued Stay Review, Discharge Planning, and Individual Case Management.

HEALTH CARE MANAGEMENT SERVICES. a program which integrates all activity related to managing a Member’s medical care from the time that an admission, surgical or diagnostic procedure, or certain services become necessary. The program consists of any applicable prePre-admission Certification, Admission Certification of Emergency Admissions, Outpatient Procedure or Covered Service Precertification, Continued Stay Review, Discharge Planning, and Individual Case Management.

HEALTH CARE MANAGEMENT SERVICES. a program which integrates all activity related to managing a Member’s medical care from the time that an admission, surgical or diagnostic procedure, or certain services become necessary. The program consists of any applicable pre-admission Certification, Admission Certification of Emergency Admissions, Outpatient Procedure or Covered Service Precertification, Continued Stay Review, Discharge Planning, and Individual Case Management.