Common use of Referrals for Items and Services Clause in Contracts

Referrals for Items and Services. To promote patient satisfaction and continuity of care and to the extent permitted by applicable law and subject to the terms of this Section 1.5, Resident shall utilize Hospital facilities and refer patients to a facility owned or operated by the Hospital or Centura for items and services provided by Hospital or Centura-owned or - operated facilities. Accordingly, Resident shall not utilize or refer patients to another facility unless: (1) Resident notifies Hospital; and (2) one of the following conditions is met: 1.5.1 A Hospital or Centura-owned or -operated facility does not provide the item or service; or 1.5.2 The patient is already admitted to another facility ER unit and Resident is providing call coverage to said facility; or 1.5.3 The patient’s insurer directs that a different provider must furnish the item or service; or 1.5.4 The patient expresses a preference for a different provider, practitioner or supplier; or 1.5.5 The referral to a Hospital or Centura-owned or -operated facility is not in the patient’s best medical interests in Resident’s judgment. The required referrals relate solely to the Resident’s services covered by the scope of the employment or this Agreement, and the referral requirement is reasonably necessary to effectuate the legitimate business purposes of the compensation arrangement. In no event will Resident be required to make referrals that relate to services that are not provided by Resident under the scope of this Agreement.

Appears in 2 contracts

Samples: Resident Employment Agreement, Resident Employment Agreement

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Referrals for Items and Services. To promote patient satisfaction and continuity of care and to the extent permitted by applicable law and subject to the terms of this Section 1.5, Resident shall utilize Hospital facilities and refer patients to a facility owned or operated by the Hospital or Centura for items and services provided by Hospital or Centura-owned or - operated -operated facilities. Accordingly, Resident shall not utilize or refer patients to another facility unless: (1) Resident notifies Hospital; and (2) one of the following conditions is met: 1.5.1 A Hospital or Centura-owned or -operated facility does not provide the item or service; or 1.5.2 The patient is already admitted to another facility ER unit and Resident is providing call coverage to said facility; or 1.5.3 The patient’s insurer directs that a different provider must furnish the item or service; or 1.5.4 The patient expresses a preference for a different provider, practitioner or supplier; or 1.5.5 The referral to a Hospital or Centura-owned or -operated facility is not in the patient’s best medical interests in Resident’s judgment. The required referrals relate solely to the Resident’s services covered by the scope of the employment or this Agreement, and the referral requirement is reasonably necessary to effectuate the legitimate business purposes of the compensation arrangement. In no event will Resident be required to make referrals that relate to services that are not provided by Resident under the scope of this Agreement.

Appears in 1 contract

Samples: Resident Employment Agreement

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Referrals for Items and Services. To promote patient satisfaction and continuity of care and to the extent permitted by applicable law and subject to the terms of this Section 1.5, Resident shall utilize Hospital facilities and refer patients to a facility owned or operated by the Hospital or Centura for items and services provided by Hospital or Centura-owned or - operated -operated facilities. Accordingly, Resident shall not utilize or refer patients to another facility unless: (1) Resident notifies Hospital; and (2) one of the following conditions is met: 1.5.1 1.7.1 A Hospital or Centura-owned or -operated facility does not provide the item or service; or 1.5.2 1.7.2 The patient is already admitted to another facility ER unit and Resident is providing call coverage to said facility; or 1.5.3 1.7.3 The patient’s insurer directs that a different provider must furnish the item or service; or 1.5.4 1.7.4 The patient expresses a preference for a different provider, practitioner or supplier; or 1.5.5 1.7.5 The referral to a Hospital or Centura-owned or -operated facility is not in the patient’s best medical interests in Resident’s judgment. The required referrals relate solely to the Resident’s services covered by the scope of the employment or this Agreement, and the referral requirement is reasonably necessary to effectuate the legitimate business purposes of the compensation arrangement. In no event will Resident be required to make referrals that relate to services that are not provided by Resident under the scope of this Agreement.

Appears in 1 contract

Samples: Resident Employment Agreement

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