Outpatient Care means that care which does not require an overnight stay in a facility. Patient Satisfaction Measurement means use of a standard patient questionnaire form, including, but not limited to, the American College of Physicians questionnaire to determine a particular individual's satisfaction with his or her care. Practitioner means a person who is a physician or dentist as defined by M.G.L. c. 233, Sec. Procedure means a unit of health care service. Provider means a practitioner, facility, or other organization providing health care services.
School means a grouping of practitioners as defined by their professional degree.
Schools include, but are not limited to, physical and occupational therapy, chiropractic, osteopathic, allopathic, nursing and dentistry. Utilization Review means a system for reviewing the appropriate and efficient allocation of health care services given to a patient or group of patients as to necessity, for the purpose of recommending of determining whether such services should be covered or provided by an insurer, provider, nonprofit service organization, third-party administrator or employer. Included are those programs or processes whether they apply prospectively, concurrently, or retrospectively to health care services. Utilization Review Agent means any person or entity, including the Commonwealth of Massachusetts or any insurer which has developed its own utilization program, performing utilization review.