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HMI | Facilities Services for Chargemaster and Medical Claims Review
Facilities

Acute Care

A hospital that provides inpatient medical care and other related services for surgery, acute medical conditions or injuries (usually for a short term illness or condition).

Teaching Facilities

A hospital  that provides clinical education and training to future and current doctors, nurses, and other health professionals, in addition to delivering medical care to patients.

Critical Care Access

A hospital certified under a set of Medicare Conditions of Participation (CoP). Some of the requirements for CAH certification include having no more than 25 inpatient beds; maintaining an annual average length of stay of no more than 96 hours for acute inpatient care; offering 24-hour, 7-day-a-week emergency care; and being located in a rural area, at least 35 miles drive away from any other hospital or CAH.

Ambulance Service Centers/Emergency Medical Services

Designed and equipped to respond to medical emergencies and, in nonemergency situations, be capable of transporting beneficiaries with acute medical conditions.

A type of emergency service dedicated to providing out-of-hospital acute medical care, transport to definitive care, and other medical transport to patients with illnesses and injuries which prevent the patient from transporting themselves.

Physician Groups

The practice of medicine by a group of physicians who share their premises and other resources.

Long Term Care

A variety of services which help meet both the medical and non-medical needs of people with a chronic illness or disability who cannot care for themselves for long periods of time.

Inpatient Rehabilitation Facilities

Hospitals devoted to the rehabilitation of patients with various neurological, musculo-skeletal, orthopedic and other medical conditions following stabilization of their acute medical issues.

Skilled Nursing

A type of residential care.

Home Health – Hospice

Supportive care provided in the patient’s home by licensed healthcare professionals.

Free Standing Emergency Departments/Hospitals

Clinics with advanced life support technologies and equipment and are staffed 24 hours, 7 days a week with certified emergency physicians, nurses, and other skilled technical staff. The patients are walk-in or transported by ambulance and patient who need to stay overnight can be moved to observation units.

Ambulatory Surgery Center

Health care facilities where surgical procedures not requiring an overnight hospital stay are performed.