Observation services definition

Observation services means a set of clinically appropriate services, such as ongoing short-term treatment, assessment, and reassessment, that is provided before a decision can be made regarding whether a patient needs further treatment as a hospital inpatient or is able to be discharged from the hospital.
Observation services means services rendered to a person who is designated or admitted as observation status.
Observation services means services furnished by a hospital on the hospital's premises, including use of a bed and periodic monitoring by hospital staff, which are reasonable and necessary to evaluate an outpatient's condition or deter- mine the need for possible admission to the hospital as an inpatient.

Examples of Observation services in a sentence

  • Observation services may be provided on an outpatient basis if determined reasonable and necessary to decide whether the member should be admitted for inpatient care For information regarding coverage and provisions of observation services, refer to AMPM Policy 310-S.

  • Observation services help the physician decide if you need to be admitted for care as an inpatient or if you can be discharged.

  • Observation services received from a non-network provider that are related to an emergency room service are covered at a network level of benefits as described in Section 6.


More Definitions of Observation services

Observation services or “Observation” means assessment, short-term treatment, reassessment, and stabilization before decision to admit to Inpatient or discharge.
Observation services means health care services fur- nished by a hospital on the hospital's premises, including use of a bed and periodic monitoring by hospital staff, which are reasonable and necessary to evaluate an outpatient's condi- tion or determine the need for possible admission to the hos- pital as an inpatient.
Observation services means health care services furnished by a hospital on the hospital's premises, including use of a bed and periodic monitoring by hospital staff, which are reasonable and necessary to evaluate an outpatient's con- dition or determine the need for possible admission to the hospital as an inpatient)) - A well-defined set of clinically appropriate services furnished while determining whether a client will require formal inpatient admission or be dis- charged from the hospital. Services include ongoing short- term treatment, monitoring, assessment, and reassessment. Rarely do reasonable and necessary observation services exceed forty-eight hours. The agency or its designee may determine through the retrospective utilization review pro- cess that an inpatient hospital service should have been billed as an observation service.
Observation services means services, often less than 24 hours, including use of a bed and monitoring by hospital staff, which are reasonable and necessary to evaluate the medical condition or determine the need for a possible admission to the hospital.
Observation services means the medically necessary services used to assess the participant’s outpatient condition to determine the need for possible admission to an inpatient acute care setting.
Observation services means a set of clinically appropri- ate services, such as ongoing short-term treatment, assess- ment, and reassessment, that is provided before a decision can be made regarding whether a patient needs further treat- ment as a hospital inpatient or is able to be discharged from the hospital.
Observation services means a set of clinically appropriate services, such as ongoing short-term treatment, assessment, and reassessment, that is provided before a decision can be made regarding