Medical Provider Component Sample Clauses

Medical Provider Component. The MEPS MPC supplements and/or replaces information on medical care events reported in the MEPS HC by contacting medical providers and pharmacies identified by household respondents. The MPC sample includes all home health agencies and pharmacies reported by HC respondents. Office-based physicians, hospitals, and hospital physicians are also included in the MPC but may be subsampled at various rates, depending on burden and resources, in certain years. Data are collected on medical and financial characteristics of medical and pharmacy events reported by HC respondents. The MPC is conducted through telephone interviews and record abstraction.
Sample 1Sample 2Sample 3See All (21)
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Medical Provider Component. The MEPS MPC supplements and validates information on medical care events reported in the MEPS HC by contacting medical providers and pharmacies identified by household respondents. The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported in the HC. Also included in the MPC are all office-based physicians who: were identified by the household respondent as providing care for HC respondents receiving Medicaid. were selected through a 75-percent sample of HC households receiving care through an HMO (health maintenance organization) or managed care plan. were selected through a 25-percent sample of the remaining HC households. Data are collected on medical and financial characteristics of medical and pharmacy events reported by HC respondents, including: Diagnoses coded according to ICD-9-CM (9th Revision, International Classification of Diseases) and DSM-IV (Fourth Edition, Diagnostic and Statistical Manual of Mental Disorders). Physician procedure codes classified by CPT-4 (Common Procedure Terminology, Version 4). Inpatient stay codes classified by DRGs (diagnosis-related groups). Prescriptions coded by national drug code (NDC), medication name, strength, and quantity dispensed. Charges, payments, and the reasons for any difference between charges and payments. The MPC is conducted through telephone interviews and mailed survey materials. In some instances, providers sent medical and billing records which were abstracted into the survey instruments.
Sample 1Sample 2Sample 3See All (5)
Medical Provider Component. The MEPS MPC supplements and validates information on medical care events reported in the MEPS HC by contacting medical providers and pharmacies identified by household respondents. The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported in the HC. Also included in the MPC are all office-based physicians who: • were identified by the household respondent as providing care for HC respondents receiving Medicaid. • were selected through a 75-percent sample of HC households receiving care through an HMO (health maintenance organization) or managed care plan. • were selected through a 25-percent sample of the remaining HC households. Data are collected on medical and financial characteristics of medical and pharmacy events reported by HC respondents, including: • Diagnoses coded according to ICD-9-CM (9th Revision, International Classification of Diseases) and DSM-IV (Fourth Edition, Diagnostic and Statistical Manual of Mental Disorders). • Physician procedure codes classified by CPT-4 (Common Procedure Terminology, Version 4). • Inpatient stay codes classified by DRGs (diagnosis-related groups). • Prescriptions coded by national drug code (NDC), medication name, strength, and quantity dispensed. • Charges, payments, and the reasons for any difference between charges and payments. The MPC is conducted through telephone interviews and mailed survey materials. In some instances, providers sent medical and billing records which were abstracted into the survey instruments.
Sample 1Sample 2See All (4)
Medical Provider Component. Upon completion of the household CAPI interview and obtaining permission from the household survey respondents, a sample of medical providers are contacted by telephone to obtain information that household respondents can not accurately provide. This part of the MEPS is called the Medical Provider Component (MPC) and information is collected on dates of visit, diagnosis and procedure codes, charges and payments. The Pharmacy Component (PC), a subcomponent of the MPC, does not collect charges or diagnosis and procedure codes but does collect drug detail information, including National Drug Code (NDC) and medicine name, as well as date filled and sources and amounts of payment. The MPC is not designed to yield national estimates. It is primarily used as an imputation source to supplement/replace household reported expenditure information.
Sample 1Sample 2Sample 3
Medical Provider Component. The MEPS MPC supplements and validates information on medical care events reported in the MEPS HC by contacting medical providers and pharmacies identified by household respondents. The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported in the HC. Also included in the MPC are all office-based physicians who: were identified by the household respondent as providing care for HC respondents receiving Medicaid. were selected through a 75-percent sample of HC households receiving care through an HMO (health maintenance organization) or managed care plan. were selected through a 25-percent sample of the remaining HC households. Data are collected on medical and financial characteristics of medical and pharmacy events reported by HC respondents, including: Diagnoses coded according to ICD-9-CM (Health Care Financing Administration, 1980) and DSM-IV (American Psychiatric Association, 1994). Physician procedure codes classified by CPT-4 (Common Procedure Terminology, Version 4). Inpatient stay codes classified by DRGs (diagnosis-related groups). Prescriptions coded by national drug code (NDC), medication name, strength, and quantity dispensed. Charges, payments, and the reasons for any difference between charges and payments. The MPC is conducted through telephone interviews and mailed survey materials. In some instances, providers sent medical and billing records, which were abstracted into the survey instruments.
Sample 1
Medical Provider Component. The MEPS MPC supplements and validates information on medical care events reported in the MEPS HC by obtaining data directly from medical providers and pharmacies identified by household respondents. The MPC sample includes all hospitals, hospital physicians, home health agencies, and pharmacies reported in the HC. Also included in the MPC are office-based physicians: Providing care for HC respondents receiving Medicaid Identified through a 75 percent sample of HC households receiving care through an HMO (health maintenance organization) or managed care plan Identified through a 25 percent sample of the remaining HC households Data are collected on medical and financial characteristics of medical and pharmacy events reported by HC respondents, including: Diagnoses coded according to ICD-9-CM (9th Revision, International Classification of Diseases) and DSM-IV (Fourth Edition, Diagnostic and Statistical Manual of Mental Disorders) Physician procedure codes classified by CPT-4 (Common Procedure Terminology, Version 4) Inpatient stay codes classified by DRGs (diagnosis-related groups) Prescriptions coded by national drug code (NDC), medication names, strength, and quantity dispensed Charges, payments, and the reasons for any difference between charges and payments The MPC is conducted through telephone interviews and mailed survey materials.
Sample 1

Related to Medical Provider Component

  • Non-Medical, Personalized Services The Practice shall also provide Members with the following non-medical services:

  • Medical Exams 17.1: The Sheriff's Department may require a physical and/or psychological exam by a doctor, at the Employer's expense, to determine the employee's ability to perform his/her regular duties, if deemed appropriate. The employee may obtain a second opinion, at the employee's expense, and in the event there is a dispute between the Employer's doctor and the employee's doctor, both of these doctors shall select a third doctor, whose decision shall be final and binding on the parties. The expense for the third doctor's opinion shall be split 50-50 by the Employer and the employee if not covered by the employee's insurance.

  • Provider Selection To the extent applicable to Provider in performance of the Agreement, Provider shall comply with 42 CFR 438.214, as may be amended from time to time, which includes, but is not limited to the selection and retention of providers, credentialing and recredentialing requirements and nondiscrimination. If Subcontractor and/or Health Plan delegate credentialing to Provider, Subcontractor and/or Health Plan will provide monitoring and oversight and Provider shall ensure that all licensed medical professionals are credentialed in accordance with Health Plan’s and the State Contract’s credentialing requirements.

  • Medical Verification The Town may require medical verification of an employee’s absence if the Town perceives the employee is abusing sick leave or has used an excessive amount of sick leave. The Town may require medical verification of an employee’s absence to verify that the employee is able to return to work with or without restrictions.

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