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Medical, Surgical, and Hospital Services and Supplies
Understanding Medical, Surgical, and Hospital Services and Supplies
Definition & Meaning
Medical, surgical, and hospital services and supplies refer to a range of healthcare services and products provided by licensed professionals, including podiatrists, dentists, clinical psychologists, optometrists, chiropractors, and osteopathic practitioners, as well as hospitals. These services must fall within the practitioners' scope of practice as defined by state law. Specifically, chiropractic services reimbursable under certain conditions are limited to manual manipulation of the spine aimed at correcting a subluxation, which must be verified through X-ray evidence.
Table of content
Legal Use & context
This term is commonly used in healthcare law, insurance law, and workers' compensation claims. It outlines the types of medical services and supplies that may be eligible for reimbursement under various insurance policies and state regulations. Users may encounter this term when filing claims, understanding their coverage, or managing healthcare-related legal matters. Legal templates from US Legal Forms can assist users in navigating these processes.
Key legal elements
Real-world examples
Here are a couple of examples of abatement:
Example 1: A patient visits a chiropractor for back pain. The chiropractor performs an adjustment to correct a subluxation, and the treatment is documented with X-ray evidence. The patient's insurance may cover this service.
Example 2: A person seeks dental services for a root canal. The dental procedure falls under medical services and is eligible for reimbursement under their health insurance plan. (hypothetical example)
Relevant laws & statutes
Key statutes include:
5 USCS § 8101 - Defines the scope of reimbursable medical services.
State-by-state differences
State
Chiropractic Regulations
California
Chiropractors can perform spinal manipulation and other therapies as defined by state law.
Texas
Chiropractors are limited to spinal manipulation and must adhere to specific guidelines for treatment.
New York
Chiropractors can provide a wider range of services, including physical therapy, under certain conditions.
This is not a complete list. State laws vary and users should consult local rules for specific guidance.
Comparison with related terms
Term
Definition
Medical services
General healthcare services provided by licensed professionals.
Surgical services
Procedures performed to treat injuries or diseases through operative techniques.
Chiropractic services
Specific treatments focusing on spinal manipulation and alignment.
Common misunderstandings
What to do if this term applies to you
If you believe you need medical, surgical, or chiropractic services, start by consulting with a licensed professional to understand your options. If you are navigating insurance claims or legal issues related to these services, consider using US Legal Forms for ready-to-use templates. In complex cases, seeking professional legal assistance may be necessary.
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