Search results
Results from the WOW.Com Content Network
In the staff model, physicians are salaried and have offices in HMO buildings. In this case, physicians are direct employees of the HMOs. This model is an example of a closed-panel HMO, meaning that contracted physicians may only see HMO patients. Previously this type of HMO was common, although currently it is nearly inactive. [7]
A 2007 study found that a patient being cared for by a physician who practiced self-referral for imaging studies was 1.196 to 3.228 times more likely to have an imaging study done as compared to a patient being cared for by a physician who did not practice self-referral. [4]
Health insurers have come under pressure as physicians claim that the pre-authorization requirements for some procedures are restrictive and increases their paperwork. "Clinicians and health plans ...
Patients can be referred to another medical clinic by request. In medicine, referral is the transfer of care for a patient from one clinician or clinic to another by request. [1] [2] Tertiary care is usually done by referral from primary or secondary medical care personnel.
A medical director at Cigna admitted to me that he “absolutely” believes in it, while one from Premera Blue Cross deemed it “incredibly valuable.” The Premera director told me that she sends messages to clients in her private practice, but couldn’t see her company ever reimbursing people for individual texts or emails.
Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity for the provision of designated health services ("DHS") if the physician (or an immediate family member) has a financial relationship with that entity.
The AOL.com video experience serves up the best video content from AOL and around the web, curating informative and entertaining snackable videos.
A tertiary referral hospital (also called a tertiary hospital, tertiary referral center, tertiary care center, or tertiary center) is a hospital that provides tertiary care, [1] which is a level of health care obtained from specialists in a large hospital after referral from the providers of primary care and secondary care. [2]