Ambulatory surgical center services definition

Ambulatory surgical center services means, in accordance with 42 CFR 433.56(a)(9), as amended from time to time, services that are furnished in connection with covered surgical procedures performed in an ambulatory surgical center as provided in 42 CFR 416.164(a), as amended from time to time, for which payment is included in the ambulatory surgical center payment established under 42 CFR 416.171, as amended from time to time, for the covered surgical procedure. "Ambulatory surgical center services" includes facility services only and does not include surgical procedures;
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Ambulatory surgical center services means only those items
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Ambulatory surgical center services means only those items and services included in a facility fee payment to an ambulatory surgical center associated with each surgical procedure, that are not separately reimbursable ancillary or professional services. "Ambulatory surgical center services" does not include surgical procedures, physicians' services, anesthetists' services, radiology services, diagnostic services or ambulance services, that are reimbursed separately from the facility fee payment to an ambulatory surgical center.
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Examples of Ambulatory surgical center services in a sentence

  • Ambulatory surgical center services are subject to the limitations and coverage restrictions which exist for other medicaid services.

  • Ambulatory surgical center services are outlined in applicable Department rules and must be provided in a facility certified by Medicare as an ASC, and are restricted to those procedures identified by the Medicare program in accordance with 42 CFR 416.65, or identified by the Department as meeting such requirements.

  • Ambulatory surgical center services are subject to pre-service review to determine medical necessity.

  • Ambulatory surgical center services are not included in the I/T/U outpatient encounter rate and shall be billed outside the encounter rate within the scope of the SoonerCare fee-for-service (FFS) contract.

  • Payment basics: Ambulatory surgical center services payment system.

  • Ambulatory surgical center services do not include:• Physician services• Lab and x-ray not directly related to the surgical procedure• Diagnostic procedures (other than those directly related to performance of the surgical procedure)• Prosthetic devices (except intraocular lens implant)• Ambulance services• Leg, arm, back, and neck braces• Artificial limbs• Durable medical equipment for use in the patient's home ASC services are reimbursed by means of a predetermined fee established by Medicaid.


More Definitions of Ambulatory surgical center services

Ambulatory surgical center services means, in accordance with 42 CFR 433.56(a)(9), as amended from time to time, services for which payment is received from any payer that, if such services were furnished under the federal Medicare program (A) would be furnished in connection with covered surgical procedures performed in an ambulatory surgical center as provided in 42 CFR 416.164(a), as amended from time to time, and (B) for which payment would be included in the ambulatory surgical center payment established under 42 CFR 416.171, as amended from time to time, for the covered surgical procedure. "Ambulatory surgical center services" includes facility services only and does not include surgical procedures, physicians' services, anesthetists' services, radiology services, diagnostic services or ambulance services, if such items or services would be reimbursed separately from facility services under 42 CFR 416.164(a), as amended from time to time;
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Ambulatory surgical center services means, in accordance with
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Related to Ambulatory surgical center services

  • Ambulatory surgical center means any public or private State licensed and approved (whenever required by law) establishment with an organized medical staff of Physicians, with permanent facilities that are equipped and operated primarily for the purpose of performing Surgical Procedures, with continuous Physician services and registered professional nursing service whenever a patient is in the facility, and which does not provide service or other accommodations for patients to stay overnight.

  • Ambulatory surgical facility means a facility that:

  • Non-Administrator Ambulatory Surgical Facility means an Ambulatory Surgical Facility which does not meet the definition of an Administrator Ambulatory Surgical Facility.

  • Pharmacy services means the practice of pharmacy as defined in chapter 18.64 RCW and includes any drugs or devices as defined in chapter 18.64 RCW.

  • Ambulatory means the condition of a person who immediately and without aid of another is physically or mentally capable of traveling a normal path to safety, including the ascent and descent of stairs.

  • veterinary surgeon means a veterinary surgeon within the meaning of the Veterinary Surgeons Act 1936.

  • Radiation therapist means a person, other than a Licensed Practitioner or Nuclear Medicine Technologist, who applies radiation to humans for therapeutic purposes under the supervision of a Licensed Practitioner;

  • Homemaker services means the professionally directed or supervised simple household maintenance or management services provided by trained homemakers or individuals to families in their own homes.

  • Hospice services means palliative and supportive care and other services provided by an interdisciplinary team under the direction of an identifiable hospice administration to terminally ill hospice patients and their families to meet the physical, nutritional, emotional, social, spiritual, and special needs experienced during the final stages of illness, dying, and bereavement, as defined in Minnesota Statutes, § 144A.75, subd. 8, and includes the set of services as determined by the Medicare program under §1861(dd) of the Social Security Act and defined in 42 CFR § 418.3.

  • Centers means the international agricultural and natural resources research centers that are members of the Consortium; and each a “Center”.

  • Clinic means a health facility providing health care services to individuals associated with a college or university.

  • Cemetery services means cremations, grave openings and closings, and installation of grave memorials.

  • Pet Ambulance means a Pet medical transportation service vehicle equipped with stretchers, hydraulic tables, oxygen and a driver and/or veterinary technician.

  • Roomer means a person occupying a dwelling unit that lacks a major bathroom or kitchen facility, in a structure where one or more major facilities are used in common by occupants of the dwelling unit and other dwelling units. Major facility in the case of a bathroom means toilet, or either a bath or shower, and in the case of a kitchen means refrigerator, stove or sink.

  • Distribution center means a building or structure used primarily for the storage of goods which are intended for subsequent shipment to retail outlets. Distribution center does not mean a building or structure used primarily to store raw agricultural products, used primarily by a manufacturer to store goods to be used in the manufacturing process, used primarily for the storage of petroleum products, or used for the retail sale of goods.

  • Youth center means any public or private facility that is primarily used to host recreational or social activities for minors, including, but not limited to, private youth membership organizations or clubs, social service teenage club facilities, video arcades, or similar amusement park facilities.

  • DEVELOPMENTAL SERVICES means therapies, typically provided by a qualified professional using a treatment plan, that are intended to lessen deficiencies in normal age appropriate function. The therapies generally are meant to limit deficiencies related to injury or disease that have been present since birth. This is true even if the deficiency was detected during a later developmental stage. The deficiency may be the result of injury or disease during the developmental period. Developmental services are applied for sustained periods of time to promote acceleration in developmentally related functional capacity. This plan covers developmental services unless specifically listed as not covered.

  • Outpatient hospital services means preventive, diagnostic, therapeutic, observation, rehabilitation, or palliative services provided to an outpatient by or under the direction of a physician, dentist, or other practitioner by an institution that:

  • Specialty fertilizer means a fertilizer distributed primarily for nonfarm use.

  • Dental Services means diagnostic, preventive, or corrective

  • Medical cannabis pharmacy means the same as that term is defined in Section 26-61a-102.

  • Center means the center for educational performance and information created in section 94a.

  • Telehealth services means the mode of delivering health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patient's health care while the patient is at the originating site and the provider for telehealth is at a distant site. Telehealth facilitates patient self-management and caregiver support for patients and includes synchronous interactions and asynchronous store and forward transfers.

  • Pharmacist services means products, goods, and services, or any combination of products, goods, and services, provided as a part of the practice of pharmacy.

  • Ambulance service means an entity, its personnel and equipment including, but not limited to, automobiles, airplanes, boats or helicopters, which are licensed to provide Emergency medical and Ambulance services in the state in which the services are rendered.

  • Trauma Center or "designated trauma center" means a licensed hospital, accredited by the Joint Commission on Accreditation of Healthcare Organizations, which has been designated as a Level I, II, III, or IV trauma center and/or Level I or II pediatric trauma center by the local EMS agency, in accordance with California Trauma Care System Regulations.