(153) National Provider Identification (NPI) means federally administered provider number mandated for use on HIPAA covered transactions; individuals, provider organizations, and subparts of provider organizations that meet the definition of health care provider (45 CFR 160.103) and who conduct HIPAA covered transactions electronically are eligible to apply for an NPI. (222) Retroactive Medical Eligibility means eligibility for medical assistance granted to a client retroactive to a date prior to the clients application for medical assistance. (109) Home Enteral Nutrition means services provided in the clients place of residence to an individual who requires nutrition supplied by tube into the gastrointestinal tract as described in the Home Enteral/Parenteral Nutrition and IV Services program provider rules. (159) Nurse Anesthetist, C.R.N.A. means a registered nurse licensed in the State of Oregon as a CRNA who is currently certified by the National Board of Certification and Recertification for Nurse Anesthetists. It is usually a fixed amount that is paid at the time service is rendered. (69) Dental Emergency Services means dental services provided for severe tooth pain, unusual swelling of the face or gums, or an avulsed tooth. (4) Acupuncture Services means services provided by a licensed acupuncturist within the scope of practice as defined under state law. Word(s) in meaning: chat (53) Community Health Worker means an individual who: (a) Has expertise or experience in public health; (b) Works in an urban or rural community either for pay or as a volunteer in association with a local health care system; (c) To the extent practicable, shares ethnicity, language, socioeconomic status, and life experiences with the residents of the community where the worker serves; (d) Assists members of the community to improve their health and increases the capacity of the community to meet the health care needs of its residents and achieve wellness; (e) Advocates for the individual patient and community health needs, building individual and community capacity to advocate for their health; (f) Provides health education and information that is culturally appropriate to the individuals being served; (g) Assists community residents in receiving the care they need; (h) May give peer counseling and guidance on health behaviors; and. (249) Urban means a geographic area that is less than ten map miles from a population center of 30,000 people or more. (i) May provide direct services such as first aid or blood pressure screening. No payments, Title XIX, or state funds will be made for services provided after the date of termination. (108) Hearing Aid Dealer means an individual licensed by the Board of Hearing Aid Dealers to sell, lease, or rent hearing aids in conjunction with the evaluation or measurement of human hearing and the recommendation, selection, or adaptation of hearing aids. (223) Ride means non-emergent medical transportation services for a client either to or from a location where covered services are provided. (a) Ancillary services (OAR 410-141-0480); (b) Diagnostic services necessary to determine the existence, nature, or extent of the client or members disease, disorder, disability or condition; (c) Necessary for compliance with the requirements for parity in mental health and substance use disorder benefits in 42 CFR part 438, subpart k; (d) Necessary for compliance with the requirements for Early and Periodic Screening, Diagnosis and Treatment as specified in the Oregon Health Plan 1115 Demonstration Project (waiver). (32) Behavioral Health Case Management means services provide to members who need assistance to ensure access to mental health benefits and services from local, regional, or state allied agencies or other service providers. Therefore, the astrological explanation of each word in each OAR abbreviation is also included. (242) Third Party Liability (TPL), Third Party Resource (TPR), or Third party payer means a medical or financial resource that, under law, is available and applicable to pay for medical services and items for an Authority client. Physician assistants provide medical services under the direction and supervision of an Oregon licensed physician according to a practice description approved by the Board of Medical Examiners. Abbreviations.com. (64) Current Dental Terminology (CDT) means a listing of descriptive terms identifying dental procedure codes used by the American Dental Association. (248) Type B Hospital means a hospital identified by the Office of Rural Health as a Type B hospital. (18) Ambulatory Payment Classification means a reimbursement method that categorizes outpatient visits into groups according to the clinical characteristics, the typical resource use, and the costs associated with the diagnoses and the procedures performed. (217) Referral means the transfer of total or specified care of a client from one provider to another. (104) Health Evidence Review Commission means a commission that, among other duties, develops and maintains a list of health services ranked by priority from the most to the least important representing the comparative benefits of each service to the population served. (124) Individual Adjustment Request Form (OHP 1036) means a form used to resolve an incorrect payment on a previously paid claim, including underpayments or overpayments. (83) Durable Medical Equipment, Prosthetics, Orthotics and Medical Supplies (DMEPOS) means equipment that can stand repeated use and is primarily and customarily used to serve a medical purpose. (120) Indian Health Program means any Indian Health Service (IHS) facility, any federally recognized tribe or tribal organization, or any FQHC with a 638 designation. (38) By Report (BR)": means services designated, as BR requires operative or clinical and other pertinent information to be submitted with the billing as a basis for payment determination. . CAWEM emergency services are governed by.

The meaning of OAR is Ocean Atmospheric Research Facility and other meanings are located at the bottom which take place within Common Medical terminology and OAR has 1 different meaning. An EDI submitter may be a trading partner or an agent of a trading partner. You have no patience for flirting and can't be bothered with someone who is trying to be coy, cute, demure, and subtly enticing. (43) Chiropractor means an individual licensed to practice chiropractic by the relevant state licensing board. (196) Post-Payment Review means review of billings or other medical information for accuracy, medical appropriateness, level of service, or for other reasons subsequent to payment of the claim. (52) Comfort Care means medical services or items that give comfort or pain relief to an individual who has a terminal Illness, including the combination of medical and related services designed to make it possible for an individual with terminal Illness to die with dignity and respect and with as much comfort as is possible given the nature of the illness. (55) Condition/Treatment Pair means diagnoses described in the International Classification of Diseases Clinical Modifications, 10th edition (ICD-10-CM); the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-V); and treatments described in the Current Procedural Terminology (CPT); or American Dental Association Codes (CDT) or the Authority Behavioral Health Fee Schedule, that, when paired by the Health Evidence Review Commission, constitute the line items in the Prioritized List of Health Services. (9) Administrative Medical Examinations and Reports means examinations, evaluations, and reports, including copies of medical records requested on the OHP 729 form through the local Department branch office or requested or approved by the Authority to establish client eligibility for a medical assistance program or for casework planning. (164) Nutritional Counseling means counseling that takes place as part of the treatment of an individual with a specific condition, deficiency, or disease such as diabetes, hypercholesterolemia, or phenylketonuria. (11) Adverse determination means a determination made that the individual does not require the level of services provided by a nursing facility or that the individual does or does not require specialized services. (123) Indigent means for the purposes of access to the Intoxicated Driver Program Fund (. (19) Ambulatory Surgical Center (ASC) means a facility licensed as an ASC by the Authority. (b) All data fields required for processing the request or payment of the service including the appropriate billing codes. (158) Non-Paid Provider means a provider who is issued a provider number for purposes of data collection or non-claims-use of the Provider Web Portal (e.g., eligibility verification). For the definition as it is related to a CCO member, refer to OAR 410-141-3000. (194) Podiatric Services means services provided within the scope of practice of podiatrists as defined under state law. (68) Declaration for Mental Health Treatment means a written statement of an individuals decisions concerning his or her mental health treatment. (63) Covered Services means medically necessary and appropriate health services and items described in. This rate includes all services, supplies, drugs, and equipment as described in. (178) Overuse means use of medical goods or services at levels determined by Authority medical staff or medical consultants to be medically unnecessary or potentially harmful. It also includes recipient practices that result in unnecessary cost to the Authority. It includes, but is not limited to, automobile liability insurance, uninsured and underinsured motorist insurance, homeowners liability insurance, malpractice insurance, product liability insurance, Workers Compensation, and general casualty insurance. (209) Qualified Medicare Beneficiary (QMB) means a Medicare beneficiary as defined by the Social Security Act and its amendments. Thus, you will be directed to page which indicates all meanings of OAR. (142) Medical Care Identification means the card commonly called the medical card or medical ID issued to clients (called the Oregon Health ID starting Aug. 1, 2012). (106) Health Maintenance Organization (HMO) means a public or private health care organization that is a federally qualified HMO under Section 1310 of the U.S. Public Health Services Act. (16) Alternative Care Settings means sites or groups of practitioners that provide care to members under contract with an MCE, including urgent care centers, hospice, birthing centers, out-placed medical teams in community or mobile health care facilities, long-term care facilities, and outpatient surgical centers.

(160) Nurse Practitioner means an individual licensed as a registered nurse and certified by the Board of Nursing to practice as a nurse practitioner pursuant to state law. (12) Adverse Event means an undesirable and unintentional, though not necessarily unexpected, result of medical treatment. (66) Date of Receipt of a Claim means the date on which the Authority receives a claim as indicated by the Internal Control Number (ICN) assigned to a claim. (147) Medicare means a federally administered program offering health insurance benefits for persons aged 65 or older and certain other aged or disabled persons. (113) Home Parenteral Nutrition means services provided in the clients residence to an individual who is unable to absorb nutrients via the gastrointestinal tract, or for other medical reasons, requires nutrition be supplied parenterally as described in the Home Enteral/Parenteral Nutrition and IV Services program administrative rules. (244) Service Authorization Request means a members initial or continuing request for the provision of a service including member requests made by their provider or the members authorized representative. A physician may be an individual licensed under ORS 677 or ORS 685. HCPCS consists of the Level l American Medical Associations Physicians Current Procedural Terminology (CPT), Level II National codes, and Level III Local codes. See the individual program rules for services requiring authorization. External clinical evidence both invalidates previously accepted diagnostic tests and treatments and replaces them with new ones that are more powerful, more accurate, more efficacious, and safer. However, physical attractiveness is very important to you. Information such as complexity of symptoms, final diagnosis, pertinent physical findings, diagnostic and therapeutic procedures, concurrent problems, and follow-up care will facilitate evaluation. (151) National Correct Coding Initiative (NCCI) means the Centers for Medicare and Medicaid Services (CMS) developed the National Correct Coding Initiative (NCCI) to promote national correct coding methodologies and to control improper coding leading to inappropriate payment. Medical supplies are non-reusable items used in the treatment of illness or injury. (30) Behavioral Health means mental health, mental illness, addiction disorders, and substance use disorders.

In addition, (91) Emergency Services means health services from a qualified provider necessary to evaluate or stabilize an emergency medical condition, including inpatient and outpatient treatment that may be necessary to assure within reasonable medical probability that the patients condition is not likely to materially deteriorate from or during a clients discharge from a facility or transfer to another facility. (219) Rendering provider means an individual, facility, institution, corporate entity, or other organization that supplies health services or items, also termed a provider, or bills, obligates, and receives reimbursement on behalf of a provider of services, also termed a billing provider (BP). We thought you asked a similar OAR question (for Common Medical) to the search engine to find the meaning of the OAR full form in Common Medical, and we are sure that the following Common Medical OAR query list will catch your attention. You are an up front person. (73) Denturist Services means services provided within the scope of practice as defined under state law by or under the personal supervision of a denturist. (111) Home Health Services means part-time or intermittent skilled nursing services, other therapeutic services (physical therapy, occupational therapy, speech therapy), and home health aide services made available on a visiting basis in a place of residence used as the clients home. The manufacturer assigns the remaining digits to identify the specific product and package size. (34) Benefit Package means the package of covered health care services for which the client is eligible. (b) Has been received within the time limitations prescribed in these General Rules (OAR 410 division 120). (143) Medical Services means care and treatment provided by a licensed medical provider directed at preventing, diagnosing, treating, or correcting a medical problem. Join thousands of people who receive monthly site updates. You can easily have extended periods of celibacy. (214) Recipient means an individual who is currently eligible for medical assistance (also known as a client). (81) Diagnostic Services mean those services required to diagnose a condition, including but not limited to: radiology, ultrasound, other diagnostic imaging, electrocardiograms, laboratory and pathology examinations, and physician or other professional diagnostic or evaluative services. (191) Physician means an individual licensed to practice medicine pursuant to state law of the state in which he or she practices medicine or an individual licensed to practice medicine pursuant to federal law for the purpose of practicing medicine under a contract with the federal government. (234) Subparts (of a Provider Organization) means for NPI application, subparts of a health care provider organization would meet the definition of health care provider (45 CFR 160.103) if it were a separate legal entity and if it conducted HIPAA-covered transactions electronically or has an entity do so on its behalf and could be components of an organization or separate physical locations of an organization. (154) Naturopathic physician means an individual licensed to practice naturopathic medicine by the Oregon Board of Naturopathic Medicine. (Source: BMJ 1996; 312:71-72 (13 January)). (b) Medical Insurance (Part B) for physicians services, outpatient hospital services, home health care, end-stage renal dialysis, and other medical services and supplies; (c) Prescription drug coverage (Part D) means covered Part D drugs that include prescription drugs, biological products, insulin as described in specified paragraphs of section 1927(k) of the Social Security Act, and vaccines licensed under section 351 of the Public Health Service Act. Examples include wheelchairs, respirators, crutches, and custom built orthopedic braces. (134) Long-Term Acute Care (LTAC) Hospital means a facility that provides specialty care designed for patients with serious medical problems that require intense, special treatment for an extended period of time. (150) Member means an OHP client enrolled with a pre-paid health plan or coordinated care organization. (121) Indian Health Service (IHS) means an operating division (OPDIV) within the U.S. Department of Health and Human Services (HHS) responsible for providing medical and public health services to members of federally recognized tribes and Alaska Natives. However, we thought that besides the meaning of the OAR definitions in Common Medical, you can consider astrological information of OAR acronym in Astrology. Sometimes your passions turn to possessiveness, which must be kept in check. Acronym Finder, All Rights Reserved. (28) Audiology means the application of principles, methods, and procedures of measurement, testing, appraisal, prediction, consultation, counseling, and instruction related to hearing and hearing impairment for the purpose of modifying communicative disorders involving speech, language, auditory function, including auditory training, speech reading and hearing aid evaluation, or other behavior related to hearing impairment. (10) Advance Directive means an individuals instructions to an appointed person specifying actions to take in the event that the individual is no longer able to make decisions due to illness or incapacity. (200) Primary Care Provider (PCP) means any enrolled medical assistance provider who has responsibility for supervising, coordinating, and providing initial and primary care within their scope of practice for identified clients. By individual clinical expertise we mean the proficiency and judgment that individual clinicians acquire through clinical experience and clinical practice. Examples: NFL, (169) Oregon Health Plan (OHP) means the Medicaid and Childrens Health Insurance (CHIP) Demonstration Project that expands Medicaid and CHIP eligibility beyond populations traditionally eligible for Medicaid to other low-income populations and Medicaid and CHIP services under the State Plan. (254) Valid Preauthorization means a document the Authority, a PHP, or CCO receives requesting a health service for a member who would be eligible for the service at the time of the service, and the document contains: (a) A beginning and ending date not exceeding twelve months, except for cases of PHP or CCO enrollment where four months may apply; and.

• Creighton Mba Admission Requirements
• Affordable Apartments In Homewood, Al
• Ideas To Cover A Damaged Table Top
• 1000 Ft Ships On Great Lakes
• Elasticsearch Managed Service Aws
• Glass Motivational Water Bottle
• Madagascar Electricity
• Natural Environment Paragraph
• Ghost Ring Shotgun Sights