AM

HCPCS Level II modifier that may be used with CPT or HCPCS Level II codes indicating services performed by a physician associated with a team. Use of this modifier affects Medicare payment.

Ambulance fee schedule

In the Medicare program, a fee schedule for the payment of ambulance services that became effective April 1, 2002. This involves a 5-year transition during which payment is based on a blended amount—part fee schedule and part provider or supplier’s reasonable cost.

Ambulatory

1. A patient capable of moving without assistance. Also see activities of daily living (ADLs). 2. Descriptive term used when services are provided to a patient in a physician’s office, clinic, or hospital outpatient department.

Ambulatory care

All types of health services that are provided on an outpatient basis, in contrast to services provided in the home or to persons who are inpatients. Although many inpatients may be ambulatory, the term ambulatory care usually implies that the patient must travel to a location to receive services that do not require an overnight stay. Many services that once required hospitalization are now considered ambulatory care. Sometimes called outpatient care.

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Medical services that are provided on an outpatient (non-hospitalized) basis; services may include diagnosis, treatment and rehabilitation.

 

 

Ambulatory care evaluation

Confidential utilization review and medical audit process in which physicians review an ambulatory care facility to assure the quality of medical care, services, and procedures. This peer review process may be done by the local medical society or other organization approved by the medical society in a specific locale.

Ambulatory care facility

Outpatient hospital or free-standing medical or dental treatment facility that provides medical care on an outpatient basis, without an overnight stay. It offers diagnostic, therapeutic, and rehabilitative services; preventive care; emergency medicine; and minor surgery to individuals. See emergency center. Also called ambulatory surgery center, clinic, day surgery , free-standing surgical center, outpatient facility, primary care center, or urgent care center.