Medical Management definition

Medical Management means treatment and other necessary activities for providing the medical care to complement the treatment;
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Medical Management means an integrated process or system that is designed to assure appropriate utilization of health care resources, in the amount and duration necessary to achieve desired health outcomes, across the continuum of care (from prevention to end of life care).
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Medical Management means a program component of Health Plan coverage that may contain multiple systems to manage and ensure all care is appropriate, within the HCA established benefit design, and is medically necessary, effective, and cost-efficient across all medical services, procedures and facilities.
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Examples of Medical Management in a sentence

  • Highmark Medical Management & Policy (MM&P) must be contacted prior to a planned inpatient admission or within 48 hours of an emergency or maternity-related inpatient admission.

  • These include but are not limited to Medical Management, Benefit Configuration and Claims Departments.

  • So, take the openings which are alreadyavailable and exploit them.

  • The Contractor shall implement processes to assess, plan, implement, evaluate, and as mandated, report Medical Management (MM) monitoring activities as specified in the AMPM Chapter 1000.

  • Medical Management: Medication for treatment and to reduce withdrawal effects.

  • Coordinate trainings with other departments such as Provider Services, Contracting and Medical Management.

  • Failure to comply with Empire’s Medical Management or Behavioral Healthcare Management Program requirements could result in benefit reductions.This summary of benefits has been updated to comply with federal and state requirements, including applicable provisions of the recently enacted federal health care reform laws.

  • Working directly with your Physician, the Medical Management Program Administrator will identify and approve the most appropriate and cost-effective setting for the treatment as it progresses.

  • The Medical Management Program Administrator will assist and coordinate the initial implementation of any services the patient will need post hospitalization with the attending Physician and the facility.

  • If You or a covered Dependent need covered services recommended by Your Physician that are not available within the Network, Medical Management Review/ medical Claims Administrator may, at its Discretion, determine the services are Medically Necessary and Appropriate, and approve the use of an Out-of-Network Provider.


More Definitions of Medical Management

Medical Management means activities related to ensuring clients receive necessary medical services. This may include traditional activities, such as integrating disease management into the care of members with multiple chronic illnesses, and non-traditional methods, such as using technology enhanced communication (e.g. texts) or delivering care in alternative formats (e.g. group visits).
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Medical Management means administrative activities established by the payor to manage the utilization of services through preservice or postservice reviews. "Medical management" includes, but is not limited to:
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Medical Management means a comprehensive program developed and administered by Doctors Health to facilitate the delivery of the highest quality, most appropriate care in a cost effective manner. The components of Medical Management include Referral Management, Utilization Management and Case Management.
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Medical Management means to assess, direct, provide, control, or supervise the care and services provided to a patient, either directly or indirectly;
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Medical Management means treatment and other necessary activities for providing the medical
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Medical Management means treatment including ancillary care.
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Related to Medical Management

  • Drug therapy management means the review of a drug therapy regimen of a patient by one or more pharmacists for the purpose of evaluating and rendering advice to one or more practitioners regarding adjustment of the regimen.

  • Medical care means amounts paid for:

  • Medical services means Medically Necessary services, including, as the context requires, Confinement, treatments, procedures, tests, examinations or other related services for the investigation or treatment of a Disability.

  • Asset management is a principle/practice that includes planning processes, approaches, plans, or related documents that support an integrated lifecycle approach to the effective stewardship of infrastructure assets to maximize benefits and effectively manage risk.

  • Medical marijuana means marijuana that is grown, processed, dispensed, tested, possessed, or used for a medical purpose.

  • Medical physicist means a person trained in evaluating the performance of mammography equipment and facility quality assurance programs and who meets the qualifications for a medical physicist set forth in 41.6(3)“c.”

  • Appraisal management services means one or more of the following:

  • Executive Management means the CEO and the CFO for purposes of administering this Plan.

  • Adaptive management means reliance on scientific methods to test the results of actions taken so that the management and related policy can be changed promptly and appropriately.

  • Management Group means the group consisting of the directors, executive officers and other management personnel of the Borrower, Holdings or any Parent Entity, as the case may be, on the Closing Date together with (a) any new directors whose election by such boards of directors or whose nomination for election by the shareholders of the Borrower, Holdings or any Parent Entity, as the case may be, was approved by a vote of a majority of the directors of the Borrower, Holdings or any Parent Entity, as the case may be, then still in office who were either directors on the Closing Date or whose election or nomination was previously so approved and (b) executive officers and other management personnel of the Borrower, Holdings or any Parent Entity, as the case may be, hired at a time when the directors on the Closing Date together with the directors so approved constituted a majority of the directors of the Borrower or Holdings, as the case may be.

  • Project Management Consultant means --------------Not Applicable --------------

  • UCITS management company means a management company as defined in Directive 2009/65/EC of the European Parliament and of the Council of 13 July 2009 on the coordination of laws, regulations and administrative provisions relating to undertakings for collective investment in transferable securities (UCITS)1;

  • Financial Management Manual means the Financial Management Manual, referred to in paragraph B of Schedule 4 to this Agreement, that sets out the financial and accounting arrangements for Implementing Partners and the Recipient’s entities, in form and substance satisfactory to the Association;

  • 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:

  • Investment Management Services means any services which involve: (i) the management of an investment account or Fund (or portions thereof or a group of investment accounts or Funds); (ii) the giving of advice with respect to the investment and/or reinvestment of assets or funds (or any group of assets or funds); or (iii) otherwise acting as an “investment adviser” within the meaning of the Investment Advisers Act of 1940, as amended, including, without limitation, in each of the foregoing cases, performing activities related or incidental thereto.