Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES
Chapter 18 - PHYSICIANS' SERVICES
Section 471-18-002 - DEFINITIONS

Universal Citation: 471 NE Admin Rules and Regs ch 18 ยง 002

Current through September 17, 2024

The following definitions apply:

002.01 COMPREHENSIVE INTERDISCIPLINARY TREATMENT. The collaboration of medicine, psychology, nutrition science, speech therapy, occupational therapy, social work, and other appropriate medical and behavioral disciplines in an integrated program.

002.02 CONSULTING PHYSICIAN. A physician whose services include history taking, examination of the individual, and, in each case, furnishing to the attending physician an opinion regarding diagnosis or treatment. A physician providing clinical laboratory services for individuals of other physicians is not considered a consulting physician.

002.03 EMERGENCY MEDICAL CONDITION. A medical behavior or condition, the onset of which is sudden, manifesting itself by symptoms of sufficient severity such that the absence of immediate medical attention could result in:

(A) Placing the health of the individual or with respect to a pregnant woman, the health of the woman or her unborn child, in serious jeopardy;

(B) Serious impairment to such person's bodily functions; or

(C) Serious dysfunction of any bodily organ or part.

002.04 FEEDING AND SWALLOWING CLINIC. A specialized facility which provides assessment, treatment, ongoing support, and follow-up care for infants and children experiencing feeding difficulties.

002.05 INDEPENDENT CLINICAL LABORATORY. A laboratory which is independent both of an attending or consulting physician's office and of a hospital.

002.06 LABORATORY SERVICES. Microbiological, serological, chemical, hematological, radio bioassay, cytological, immunohematological, or pathological examinations or procedures performed on materials derived from the individual to provide information for the diagnosis or treatment of a disease, or an assessment of the medical condition of the individual.

002.07 PHYSICIAN CLINIC SERVICES. The professional activity, any drugs and supplies used during that professional encounter, and any other billable service provided in the physician clinic area.

002.08 PREGNANT WOMAN'S EMERGENCY MEDICAL CONDITION. With respect to a pregnant woman who is having contractions, an emergency medical condition exists when:

(A) There is inadequate time to safely transfer the woman to another hospital before delivery; or

(B) Transfer to another hospital may pose a threat to the health or safety of the woman or the unborn child.

002.09 RADIOLOGY SERVICES. Medically necessary services in which x-rays or rays from radioactive substances are used for diagnostic or therapeutic services and associated medical services necessary for the diagnosis and treatment of an individual.

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