Patient Safety Physician Education Project Sample Clauses

Patient Safety Physician Education Project. This program was removed from the MSA for 2010. • The Prescription Drug Management Fund thresholds have been revised. Refer directly to page 65 for the details. Please note that there may be two typographical errors in this section. The first is in the description of the top tier. Eleven percent (11 %) is available for reaching at least seventy-six percent of all prescriptions for members enrolled in the IPA are generic. The second is tier four percent tier is from sixty to sixty-three point nine-nine percent (60.00% - 63.99%). Also note that the HMO now provides a report on the top 150 prescribers for the IPA instead of the 25 that was previously available. In addition, the Prescription Drug Fund will now be paid on or about five (5) months after the end of the calendar year. Submission Grid HMOs* of Blue Cross Blue Shield of Illinois 2010 Submission Grid Due Date: 10th of each Month 2/15/2010 1st qtr 05/01/2010 1st qtr 05/31/2010 2nd qtr 07/31/2010 2nd qtr 08/31/2010 3rd qtr 10/31/2010 3rd qtr 11/30/2010 4th qtr 01/31/2011 4th qtr 02/28/2011 Annual - 150 days after the end of the IPA's fiscal year Denial/Appe al Log & Files UM Plan IPA/CMF Oversight report (if applicable) Capitated/Employed Provider Encounter Report IPA/CMF Oversight report (if applicable) Capitated/ Employed Provider Encounter Report IPA/CMF Oversight report (if applicable) Capitated/ Employed Provider Encounter Report IPA/CMF Oversight report (if applicable) Capitated/ Employed Provider Encounter Report Annual Financial Statement (incl balance sheet) (audited or independently prepared) Case Mngmt Report due the 10th of the month after the quarter ends (April 10, July 10, Oct 10, January 10) IPA attestation Income and Expense Report, electronically submitted, YTD, cash basis, contract specific BH telephone Access standards report - if applicable Income and Expense Report, electronically submitted, YTD, cash basis, contract specific BH telephone Access standards report - if applicable Income and Expense Report, electronically submitted, YTD, cash basis, contract specific BH telephone Access standards report - if applicable Income and Expense Report, electronically submitted, YTD, cash basis, contract specific IPA Provider Roster Spreadsheet electronically submitted Welcome letter - (if not already submitted with UM plan) CMF Service Agreement + Oversight Plan, incl. Beh. Health Care CMFs, if appl. BH telephone Access standards report - if applicable Upon HMO Request: 1. Behavioral Health...
Sample 1
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Related to Patient Safety Physician Education Project

  • PROFESSIONAL DEVELOPMENT AND EDUCATIONAL IMPROVEMENT A. The Board agrees to implement the following:

  • Outpatient Dental Anesthesia Services This plan covers anesthesia services received in connection with a dental service when provided in a hospital or freestanding ambulatory surgical center and: • the use of this is medically necessary; and • the setting in which the service is received is determined to be appropriate. This plan also covers facility fees associated with these services.

  • Patient Care Resident shall participate in safe, effective, and compassionate patient care, under supervision, commensurate with Resident's level of advancement and responsibility.

  • Project Management Plan 1 3.4.1 Developer is responsible for all quality assurance and quality control 2 activities necessary to manage the Work, including the Utility Adjustment Work.

  • In-Service Education The parties recognize the value of in-service both to the employee and the Employer and shall encourage employees to participate in in-service. All employees scheduled by the Employer to attend in-service seminars shall receive regular wages.

  • HEALTH PROGRAM 3701 Health examinations required by the Employer shall be provided by the Employer and shall be at the expense of the Employer. 3702 Time off without loss of regular pay shall be allowed at a time determined by the Employer for such medical examinations and laboratory tests, provided that these are performed on the Employer’s premises, or at a facility designated by the Employer. 3703 With the approval of the Employer, a nurse may choose to be examined by a physician of her/his own choice, at her/his own expense, as long as the Employer receives a statement as to the fitness of the nurse from the physician. 3704 Time off for medical and dental examinations and/or treatments may be granted and such time off, including necessary travel time, shall be chargeable against accumulated income protection benefits.

  • Durable Medical Equipment (DME), Medical Supplies Prosthetic Devices, Enteral Formula or Food, and Hair Prosthesis (Wigs) • Items typically found in the home that do not need a prescription and are easily obtainable such as, but not limited to: o adhesive bandages; o elastic bandages; o gauze pads; and o alcohol swabs. • DME and medical supplies prescribed primarily for the convenience of the member or the member’s family, including but not limited to, duplicate DME or medical supplies for use in multiple locations or any DME or medical supplies used primarily to assist a caregiver. • Non-wearable automatic external defibrillators. • Replacement of durable medical equipment and prosthetic devices prescribed because of a desire for new equipment or new technology. • Equipment that does not meet the basic functional need of the average person. • DME that does not directly improve the function of the member. • Medical supplies provided during an office visit. • Pillows or batteries, except when used for the operation of a covered prosthetic device, or items for which the sole function is to improve the quality of life or mental wellbeing. • Repair or replacement of DME when the equipment is under warranty, covered by the manufacturer, or during the rental period. • Infant formula, nutritional supplements and food, or food products, whether or not prescribed, unless required by R.I. Law §27-20-56 for Enteral Nutrition Products, or delivered through a feeding tube as the sole source of nutrition. • Corrective or orthopedic shoes and orthotic devices used in connection with footwear, unless for the treatment of diabetes. Experimental or Investigational Services • Treatments, procedures, facilities, equipment, drugs, devices, supplies, or services that are experimental or investigational except as described in Section 3. Gender Reassignment Services • Reversal of gender reassignment surgery.

  • Distance Education Distance education means instruction in which the instructor and student are separated by distance and interact through the assistance of communication technologies. All distance education courses and sections will be designated as such in the District schedule of classes. Distance education courses include hybrid (see glossary) instruction and fully online instruction.

  • Required Education (a) The Employer shall provide and fund any Employer required training/education for a Nurse.

  • Physician Visits This plan covers the services of a physician or other provider in charge of your medical care while you are inpatient in a general or specialty hospital.

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