Model: atx-labs/tsdae-denoise-Qwen3-Embedding-0.6B-cms_cfr
Author: atx-labs
Pipeline: sentence-similarity
Library: sentence-transformers
Tags: sentence-transformers, safetensors, qwen3, sentence-similarity, feature-extraction, dense, generated_from_trainer, dataset_size:60936, loss:DenoisingAutoEncoderLoss, arxiv:1908.10084, arxiv:2104.06979, base_model:Qwen/Qwen3-Embedding-0.6B, base_model:finetune:Qwen/Qwen3-Embedding-0.6B, endpoints_compatible, region:us
Base models (finetune): id: Qwen/Qwen3-Embedding-0.6B
Card metadata: tags: sentence-transformers, sentence-similarity, feature-extraction, dense, generated_from_trainer, dataset_size:60936, loss:DenoisingAutoEncoderLoss
base_model: Qwen/Qwen3-Embedding-0.6B
widget: source_sentence: and/ Outpatient Speech Pathology Specified in 485.701-485.729 2290 of Physical Therapy Pathology Services (.,: 03-15-13 Effective 03-15-13, Implementation 03-15-13 basis of outpatient and language under (p Security Participation (CoPs) agencies) public providers outpatient are 42 Part, E_of the Operations Manual (and 2290-2306 the SOM interpretive guidelines for (State) and accreditation organizations.
sentences: Improvement is evidenced by objective successive measurements. · Therapy is not considered reasonable and necessary under this condition if the patient's expected restorative potential would be insignificant in relation to the extent and duration of therapy services required to reach such potential. · Therapy is not required to effect improvement or restoration of function where a patient suffers a transient or easily reversible loss of function (such as temporary weakness following surgery) which could reasonably be expected to improve spontaneously as the patient gradually resumes normal activities Therapy in such cases is not considered reasonable and necessary to treat the patient's illness or injury, under this condition, Providers of Outpatient Physical Therapy and/ or Outpatient Speech Pathology Services Specified in §§ 485.701-485.729 2290 - Providers of Outpatient Physical Therapy and Speech-Language Pathology Services - Citations (Rev. 83, Issued: 03-15-13, Effective: 03-15-13, Implementation: 03-15-13) The statutory basis for providers of outpatient physical therapy and outpatient speech- language pathology services is found under § 1861(p) of the Social Security Act The Conditions of Participation (CoPs) for rehabilitation agencies, clinics (operated by physicians) and public health agencies as providers of outpatient physical therapy and speech-language pathology services, are specified in 42 CFR Part 485, Subpart H Appendix E_of the State Operations Manual (SOM) and sections 2290-2306 of the SOM contain interpretive guidelines for regional offices (ROs), State Agencies (SAs) and accreditation organizations (AOs)., Where those sections refer to an EGHP of 20 or more employees, substitute the term "large group health plan" for purposes of applying them to disabled individuals This provision is effective for items and services furnished on or after January 1, 1987, and before October 1, 1995 A large group health plan means any health plan that meets the following criteria: · Is paid for by or contributed to by an employer or by an employee organization, including a self-insured plan; · Provides health care directly or through other methods such as insurance or reimbursement to employees, the employer, other associated or formerly associated with the employer in a business relationship or their families, source_sentence: Legal or and adults benefits must minor who of benefits use legal representative for Program In the provided on Form that the is minor or who legal capacity to receive representative on requester by Program, the the documentation 110.63
sentences: The application must use a fictitious name, such as John Doe, to refer to any patient and may not contain or otherwise disclose any patient identifying information unless the court has ordered the record of the proceeding sealed from public scrutiny or the patient has provided written consent (meeting the requirements of § 2.31) to that disclosure. (3) Upon discovering in good faith that it received records under this part in the course of investigating or prosecuting a part 2 program or the person holding the records (or employees or agents of that part 2 program or person holding the records), an investigative agency must do the following: (i) Secure the records in accordance with § 2.16, Legal or personal representatives of minors and adults who lack legal capacity to receive payment of benefits. must (c) A requester who is a minor or an adult who lacks legal capacity to receive payment of benefits use a legal or personal representative to apply for benefits under this Program on his or her behalf In such circumstances, the representative must indicate, in the place provided on the Request Form, that the requester is a minor or an adult who lacks legal capacity to receive payment of benefits and that the representative is filing on behalf of the requester In addition, before the requester will be paid by the Program, the representative must submit the documentation described in § 110.63, Ordinarily, the SA develops as much information on the issue as is appropriate, completes the certification, and forwards the documentation to the RO for its decision The SA should use the following criteria: · If the provider/supplier meets the CoPs, Conditions for Coverage, or in substantial compliance with the Requirements for SNFs, and is in full compliance with all other requirements, i.e., no deficiencies, send the Certification and Transmittal (Form CMS-1539) and all other documents to the RO within 10 calendar days of the survey or · When the provider/supplier meets the CoPs or Conditions for Coverage, but it fails to meet other requirements, i.e., it has deficiencies below the Condition level, transmit all documentation to the RO within 45 calendar days of the survey, source_sentence: CAH patient access health .) — (A) hospital or patients (representative) with timely information patient-specific education CAHs two measures 1 (than percent all CAH emergency department POS or 23) i The (or provided access to view online, download, and transmit his her (provider ensures patient information available patient (patient-authorized representative) to their is the the API in's . 2) The relevant to identify and electronic to materials to of unique patients the hospital or 23) during the EHR period
sentences: Frequency - The SAs are required to conduct recertification surveys for 20 percent of all PRTFs in the state each year and for all PRTFs within a State within a 5-year period Complaint surveys do not count towards a State's 20 percent required recertification surveys., L97.414 Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone L97.415 Non-pressure chronic ulcer of right heel and midfoot with muscle involvement without L97.226 evidence of necrosis Non-pressure chronic ulcer of right heel and midfoot with bone involvement without evidence of necrosis L97.418 L97.421 Non-pressure chronic ulcer of right heel and midfoot with other specified severity Non-pressure chronic ulcer of left heel and midfoot limited to breakdown of skin Non-pressure chronic ulcer of left heel and midfoot with fat layer exposed L97.423 Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle Non-pressure chronic ulcer, Eligible hospital and CAH patient electronic access to health information Objective. (ii) —(A) The eligible hospital or CAH provides patients (or patient-authorized representative) with timely electronic access to their health information and patient-specific education Measures. (B) Eligible hospitals and CAHs must meet the following two measures: 1 () For more than 80 percent of all unique patients discharged from the eligible hospital or CAH inpatient or emergency department (POS 21 or 23): i () The patient (or patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information and ii () The provider ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the API in the provider's CEHRT. 2 () The eligible hospital or CAH must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide electronic access to those materials to more than 35 percent of unique patients discharged from the eligible hospital or CAH inpatient or emergency department (POS 21 or 23) during the EHR reporting period, source_sentence: 170 - Services Reimbursable Rev 30 09-05-03) §1862) (2 (A of (1395y (, for services extent made reasonably be made promptly, a insurance policy or self-insured All payments the Medicare to items services could be made liability insurance policy
sentences: This field appears for users who can submit Part C or Part D data, after the CONTRACTOR NUMBER and ACCESS CODE fields have been populated ECRS MESSAGES Location of messages for ECRS web users to keep them informed of upcoming events, maintenance, or other system-specific information Click to navigate to the Main Menu page., 170 - Benefit Coordination for Services Reimbursable Under Liability Insurance (Rev. 30, 09-05-03) Under §1862(b)(2)(A) of the Act (42 U.S.C. 1395y(b)(2)(A)), payment may not be made under Medicare for covered items or services to the extent that payment has been made, or can reasonably be expected to be made promptly, under a liability insurance policy or plan (including a self-insured plan) All Medicare payments are contingent upon payment to the Medicare program to the extent that payment with respect to the same items or services has been made, or could be made, under a liability insurance policy or plan (including a self-insured plan), or (B) Initially denied but, upon appeal, found to be covered Part D drugs the enrollee was entitled to have provided by the Part D plan General rule. (2) A Part D sponsor must make a reasonable effort to identify all amounts incorrectly collected and to pay any other amounts due during the timeframe for coordination of benefits as established at § 423.466(b) A Part D sponsor must issue a refund for an identified enrollee overpayment within the timeframe specified at § 423.466(a) Refund methods Lump-sum payment. (3) —(i) The Part D sponsor must use lump-sum payments for the following: (A) Amounts incorrectly collected as cost-sharing. (B) Other amounts due. (C) All amounts due if the Part D plan is going out of business or terminating its Part D contract for a prescription drug plan(s), source_sentence: to general appeal . 2 the inpatient in determination determination is subject to the appeal
sentences: A CMS health care managed care offering for Medicare beneficiaries CMS health care managed care offering for Medicare beneficiaries that includes prescription drug coverage Information a PACE organization provides to the public about their program and gives to prospective participants in order to steer, or attempt to steer, a potential enrollee towards their plan Materials used to promote the PACE program to enrollees and potential enrollees An individual who is entitled to Medicare Part A benefits or enrolled under Medicare Part B, or both A facility which includes a primary care clinic and areas for therapeutic recreation, restorative therapies, socialization, personal care, and dining, and which serves as the focal point for coordination and provision of most PACE services, Column (1) Part A Cases- Use Column 1 to record information on reconsiderations of redeterminations for Part A services processed by the A/B MAC (A) Column (2) Part B of A Cases Use Column 2 to record information on reconsiderations of redeterminations for Part B services processed by the A/B MAC (A) Column (3) Part B Cases- Use Column 3 to record information on reconsiderations of redeterminations for Part B services processed by the A/B MAC (B) or DME MAC Opening Pending - Show the number of closing pending reconsiderations reported on Line 47 on the previous month's report Adjustments to Pending - If it is necessary to revise the pending figure for the close of the previous month because of inventories or reporting errors, enter the adjustment, Right to pursue the general claims appeal process. (2) If the beneficiary is no longer an inpatient in the hospital and is dissatisfied with this determination, the determination is subject to the general claims appeal process.
pipeline_tag: sentence-similarity
library_name: sentence-transformers
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Created: 2025-12-15 12:36:13