Provider-Preventable Conditions. Provider-preventable condition means a condition occurring in any health care setting that meets the following criteria: (1) is identified in the State plan, (2) has been found by the State, based upon a review of medical literature by qualified professionals, to be reasonably preventable through the application of procedures supported by evidence-based guidelines, (3) has a negative consequence for the beneficiary, (4) is auditable, and (5) includes, at a minimum, wrong surgical or other invasive procedure performed on a patient; surgical or other invasive procedure performed on the wrong body part; surgical or other invasive procedure performed on the wrong patient.
Appears in 4 contracts
Samples: Medicaid Program Agreement, Medicaid Rite Smiles Program Agreement, Agreement for the Medicaid Rite Smiles Program
Provider-Preventable Conditions. Provider-preventable condition means a condition occurring in any health care setting that meets the following criteria: (1) is identified in the State plan, (2) has been found by the State, based upon a review of medical literature by qualified professionals, to be reasonably preventable through the application of procedures supported by evidence-based guidelines, (3) has a negative consequence for the beneficiary, (4) is auditable, and (5) includes, at a minimum, wrong surgical or other invasive procedure performed on a patient; surgical or other invasive procedure performed on the wrong body part; surgical or other invasive procedure performed on the wrong patient.patient.
Appears in 1 contract
Provider-Preventable Conditions. Provider-preventable condition means a condition occurring in any health care setting that meets the following criteria: (1) is identified in the State plan, (2) has been found by the State, based upon a review of medical literature by qualified professionals, to be reasonably preventable through the application of procedures supported by evidence-based guidelines, (3) has a negative consequence for the beneficiary, (4) is auditable, and (5) includes, at a minimum, wrong surgical or other invasive procedure performed on a patient; surgical or other invasive procedure performed on the wrong body part; surgical or other invasive procedure performed on the wrong patient.
Appears in 1 contract
Samples: Medicaid Agreement
