Outpatient setting definition

Outpatient setting means a location that provides medical treatment to an outpatient.
Outpatient setting means any facility, clinic, unlicensed facility, clinic, unlicensed clinic, center, office, or other setting that is not part of a general acute care facility, and where anesthesia, except local anesthesia or peripheral nerve blocks, or both, is used in compliance with the community standard of practice, in doses that, when administered have the probability of placing a patient at risk for loss of the patient’s life-preserving protective reflexes.
Outpatient setting also means facilities that offer in vitro

Examples of Outpatient setting in a sentence

  • Short-term Rehabilitation benefits are available for physical therapy and occupational therapy, provided in a Rehabilitation Facility, Skilled Nursing Facility, Home Health Agency, or Outpatient setting.

  • Short-term Rehabilitation benefits are available for physical therapy, occupational therapy, and speech therapy, provided in a Rehabilitation Facility, Skilled Nursing Facility, Home Health Agency, or Outpatient setting.

  • Benefits are also provided for the administration of Anesthesia for covered oral surgical procedures in an Outpatient setting when ordered and administered by the attending Professional Provider.

  • Short-term Rehabilitation benefits are available for physical therapy, speech therapy, and occupational therapy, provided in a Rehabilitation Facility, Skilled Nursing Facility, Home Health Agency, or Outpatient setting.

  • Services for general anesthesia and associated facili- ty charges in connection with dental procedures when performed in a Hospital Outpatient setting be- cause of an underlying medical condition or clinical status and the Member is under the age of 7 or de- velopmentally disabled regardless of age or when the Member’s health is compromised and for whom general anesthesia is Medically Necessary regard- less of age.

  • These services consist of physical therapy, occupational therapy, and speech therapy in an Inpatient and/or Outpatient setting.

  • Short-term Rehabilitation benefits are available for physical therapy, occupational therapy, and speech therapy provided in a Rehabilitation Facility, Skilled Nursing Facility, Home Health Agency, or Outpatient setting.

  • Care and consultation by a Physician or other Clinician in an Outpatient setting for the examination, diagnosis or treatment of an injury, illness, or Behavioral Services treatment.

  • Even if We issue a prior approval for the Covered Transplant Procedure, You or Your Provider must call Our Transplant Department for precertification prior to the transplant whether this is performed in an Inpatient or Outpatient setting.

  • We shall reimburse the Reasonable and Customary Charges for medical and professional charges incurred in respect of a Day Surgery (Surgical and Medical) performed in an Outpatient setting (without Hospital admission) up to maximum limit per Disability stated in the Schedule of Benefits.


More Definitions of Outpatient setting

Outpatient setting also means facilities that offer in vitro fertilization, as defined in subdivision (b) of Section 1374.55.

Related to Outpatient setting

  • Outpatient services means behavioral health treatment services provided to an individual in a nonresidential setting. A residential treatment facility (RTF) may become certified to provide outpatient services.

  • Outpatient means a person who is receiving care other than on an inpatient basis, such as: • in a provider’s office; • in an ambulatory surgical center or facility; • in an emergency room; or • in a clinic. .

  • Inpatient services means services provided to you as an admitted inpatient in a recognised private or public hospital for treatment that is in an included clinical category, has a Medicare item number allocated and a Medicare benefit is payable.

  • Outpatient status means, with respect to a covered servicemember who is a current member of the Armed Forces, the status of a member of the Armed Forces assigned to:

  • Outpatient treatment means mental health or substance abuse treatment services rendered to a