Managing patient care

Below is a list of topics included in the “Managing patient care” section of the Provider Manual. To view this section, click the link below.

• Open the “Managing patient care” section of the Provider Manual

Topics

• Medical management overview
• Availability of practitioners
• Accessibility of services
• Admitting for inpatient stay or same–day surgery
• Ambulatory cardiac monitoring
• Case management
  • Outpatient Care Services referral form
• Chiropractic services
• Durable medical equipment (DME) and orthotic/prosthetic devices
• Emergency care
• Hearing aids
• Home health care providers
• Hospitalization and skilled nursing facility admission
• Medical record standards
• Observation policy
• Oral surgery
• PCP referrals and plan prior authorization process
• Peace of Mind Program™
• Pharmacy
  • Commercial plans
  • FCHP MassHealth
  • Fallon Senior Plan with Medicare Part D prescription coverage
• Podiatry
• Primary care physician—definition and responsibilities
• Psychiatric counseling and substance abuse services
• Radiology/imaging
• Treatment options
• Utilization statement