Generally accepted standards of medical practice definition

Generally accepted standards of medical practice means standards that are based upon: credible scientific evidence published in peer-reviewed medical literature and generally recognized by the relevant medical community; physician and health care provider specialty society recommendations; the views of physicians and health care providers practicing in relevant clinical areas and any other relevant factor as determined by statute(s) and/or regulation(s).

Generally accepted standards of medical practice. , as used above, means standards that are based on:

Generally accepted standards of medical practice means standards that are based on credible scientific evidence published in peer reviewed medical literature generally recognized by the relevant medical community. Otherwise, the standards must be consistent with physician specialty society recommendations. They must be consistent with the views of physicians practicing in relevant clinical areas and any other relevant factors.

Examples of Generally accepted standards of medical practice in a sentence

• Generally Accepted Standards of Medical Practice are standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, relying primarily on controlled clinical trials, or, if not available, observational studies from more than one institution that suggest a causal relationship between the service or treatment and health outcomes.

• We develop and maintain clinical policies that describe the Generally Accepted Standards of Medical Practice scientific evidence, prevailing medical standards and clinical guidelines supporting our determinations regarding specific services.

• Group shall provide or arrange for the provision of Covered Services in conformity with Generally Accepted Standards of Medical Practice in the market in effect at the time the Covered Service is rendered.

• Provider shall provide or arrange for the provision of Covered Services in conformity with Generally Accepted Standards of Medical Practice in the market in effect at the time the Covered Service is rendered.

• Medically Necessary - health care services that are all of the following as determined by us or our designee: • In accordance with Generally Accepted Standards of Medical Practice.

More Definitions of Generally accepted standards of medical practice

Generally accepted standards of medical practice means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community or otherwise consistent with the standards set forth in policy issues involving clinical judgment.

Generally accepted standards of medical practice means standards that are based on credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community, national physician specialty society recommendations, and the views of medical practitioners practicing in relevant clinical areas and any other relevant factors.

Generally accepted standards of medical practice means United States standards that are based on credible scientific evidence published in peer-reviewed medical and/or behavioral health literature generally recognized by the relevant United States Medical and or behavioral health community, Physician or behavioral health specialty society recommendations, and/or any other relevant factors determined in our discretion; and

Generally accepted standards of medical practice means standards that are based on credible scientific evidence published in peer reviewed medical literature generally recognized by the relevant medical community when available, Physician Specialty Society recommendations, the views of prudent physicians practicing in relevant clinical areas, and any other clinically relevant factors.

Generally accepted standards of medical practice means the standards relied upon by the applicable PPO clinical policy, if there is an applicable policy, or, if not, standards that are based on credible scientific evidence published in peer-reviewed, medical literature that is generally recognized by the relevant medical community.

Generally accepted standards of medical practice means standards that are based on: credible scientific evidence published in peer-reviewed medical literature generally recognized by the relevant medical community; physician and health care provider specialty society recommendations; and the views of physicians and health care providers practicing in relevant clinical areas.

Generally accepted standards of medical practice means standards that are based upon credible scientific evidence published in peer‐reviewed medical literature recognized by the medical community at large or otherwise consistent with the standards set forth in policy issues involving clinical judgment.