Qualified Healthcare Professional Definition

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Define A Qualified Healthcare Professional AAPC

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5 hours agoIn 2013, the American Medical Association (AMA) established a definition for a qualified healthcare professional (QHP), in terms of which providers …

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Qualified Health Care Professional Definition Law Insider

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2 hours agoQualified health care professional When the intended recipient is known prior to organ recovery, the host OPO must verify all of the additional information according to Table 2.2 below.. Palatable grasses de- clined and unpalatable herbs and palatable forbs increased. Qualified health care professional When the intended recipient is known prior to organ recovery, the host OPO must verify all

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What Is A Qualified Health Professional (QHP), Clinical

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2 hours agoIn 2013 the American Medical Association (AMA) established a definition for a Qualified Health Care Professional (QHP) in terms of which providers may report services: A “physician or other qualified health care professional” is an individual who is qualified by education, training, licensure/regulation (when applicable), and facility

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Defining Clinical Staff And Other Qualified Health Care

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7 hours agoA physician or other qualified health care professional is an individual who is qualified by education, training, licensure/regulation (when applicable), and facility privileging (when applicable) who performs a professional service within his/her scope of practice and independently reports that …

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Qualified Health Professional Definition Law Insider

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7 hours agoQualified health professional or qualified physician -- includes a surgeon, podiatrist, dentist, clinical psychologist, optometrist, orthopedist, neurologist, psychiatrist, chiropractor, or osteopath practicing within the scope of his or her practice as defined by state law.. Qualified health professional is any health care professional providing services within their scope of practice, either

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Who Is An “Other Qualified Health Care Professional

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3 hours agoAlthough the definition is expanded to include other qualified healthcare professionals, those professionals must still practice according to regulations. In other words, the requirements for scope of practice have not changed. Evaluation and management (E/M) guidelines in CPT® 2013 further clarify the changes.

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Qualified Medical Professional Definition Law Insider

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8 hours agoQualified medical professional, as defined in C.G.S. 10-212, means a physician licensed under Chapter 370, an optometrist licensed to practice optometry under Chapter 380, an advanced practice registered nurse licensed to prescribe in accordance with Section 20-94a or a physician assistant licensed to prescribe in accordance with Section 20-12d.

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Clinicians CMS Centers For Medicare & Medicaid Services

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8 hours agoThe term clinician refers to a healthcare professional qualified in the clinical practice of medicine. Clinicians are those who provide: principal care for a patient where there is no planned endpoint of the relationship; expertise needed for the ongoing management of a chronic disease or condition; care during a defined period and circumstance

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CMS Manual System Centers For Medicare & Medicaid Services

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8 hours agowhich a healthcare professional may be considered to be a “physician.” See . 42 CFR 482.12(c)(1) for more detail on these limitations. The governing body has the flexibility to determine whether healthcare professionals included in the definition of a physician other than a doctor of medicine or osteopathy are eligible for

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CFR Law.cornell.edu Show details

7 hours ago(a) The Act defines health care provider as: (1) A doctor of medicine or osteopathy who is authorized to practice medicine or surgery (as appropriate) by the State in which the doctor practices; or (2) Any other person determined by the Secretary to be capable of providing health care services. (b) Others capable of providing health care services include only:

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Qualified Professional Definition: 776 Samples Law Insider

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Just NowQualified professional supervisor – Available for clinical supervision and by telephone for consultation.. Programs operated by the department of correction 511 IAC 7-32-78 "Qualified professional" defined Sec.Qualified professional clinical staff shall monitor the patient’s progress in labor with ongoing assessments of maternal/fetal reactions to the process of labor, within accepted

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Question 2021 E/M Guideline Changes AAPC

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3 hours agoAlso, is an MA considered a qualified health care professional? I think there is no wiggle room for documentation based on the new rules but I would love to know what your doctors are saying about the new time requirements and again who do you think is a qualified healthcare professional.

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What Is A Qualified Professional? University Of North

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1 hours ago10A North Carolina Administrative Code 27G .0104 STAFF DEFINITIONS. "Qualified professional" means, within the MH/DD/SAS system of care: (a) an individual who holds a license, provisional license, certificate, registration or permit issued. by the governing board regulating a human service profession, except a registered nurse who is.

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Physicians & Other Health Professionals CMS

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5 hours agoPhysicians. Open Door Forum for physicians, nurses & allied health professionals. Physician center. Promoting interoperability (PI) programs. Chronic care management of Medicare patients. Making preventive services part of your practice. Helping you & your patients take advantage of recent healthcare provisions.

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Healthcare Professional Definition Of Healthcare

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2 hours agohealthcare professional As defined in the UK, a healthcare professional is a person associated with either a specialty or a discipline and who is qualified and allowed by regulatory bodies to provide a healthcare service to a patient. Healthcare professionals (UK) • Medical and dental staff. • Nurses, midwives and health visitors.

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Eligible Professionals Eligible And Able To Participate

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Just NowProviders not defined as eligible professionals in the Tax Relief Health Care Act of 2006 or the Medicare Improvements for Patients and Providers Act of 2008 are not eligible to participate in PQRI and do not qualify for an incentive. Services payable under fee schedules or methodologies other than

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10A NCAC 27G .0104 STAFF DEFINITIONS

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7 hours ago(19) "Qualified professional" means, within the mh/dd/sas system of care: (a) an individual who holds a license, provisional license, certificate, registration or permit issued by the governing board regulating a human service profession, except a registered

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What Is A Federally Qualified Health Center FQHC.org

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7 hours agoWhat is a Federally Qualified Health Center? According to HRSA, FQHCs qualify for funding under Section 330 of the Public Health Service Act, serve an underserved area or population, offer a sliding fee scale, and have a governing board of directors, among other things.

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What Is An 'Other Qualified Healthcare FindACode

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5 hours agoThese professionals are distinct from ‘clinical staff.’ A clinical staff member is a person who works under the supervision of a physician or other qualified health care professional and who is allowed by law, regulation and facility policy to perform or assist in the performance of a specified professional service.

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Clinical Staff Vs Qualified Providers AAPC Knowledge Center

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6 hours agoThe CPT® codebook is careful to differentiate clinical staff from physicians and qualified healthcare professionals (QHPs).Per CPT®: A “physician or other qualified health care professional” is an individual who is qualified by education, training, licensure/regulation (when applicable), and facility privileging (when applicable) who performs a professional service within his/her scope

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Who Is NPP, Physician, Patient, Provider And Qualified

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4 hours agowho is NPP, physician, patient, provider and qualified professional – definition by Medical Billing NONPHYSICIAN PRACTITIONERS (NPP) means physician assistants, clinical nurse specialists, and nurse practitioners, who may, if state and local laws permit it, and when appropriate rules are followed, provide, certify or supervise therapy services.

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Understanding Difference Between 62369 & 62370 AAPC

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9 hours agoThe AMA definition of an "other qualified health care professional" below from the definition I could find and excerpt from AMA CPT Changes 2012. If the physician assistant can perform the service in the state you are in and bill under CPT 62370 acting as the "other qualified healthcare professional" then I don't believe in an office setting

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Qualified Mental Health Professional Definition Law Insider

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309-019-01254 hours agodefinition. Qualified mental health professional means a licensed medical practitioner or any other person meeting the qualifications specified in OAR 309-019-0125. Qualified mental health professional means an individual who has, at a minimum, a masters - level education and training in psychiatry, psychology, counseling, social work, or

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Clinical Staff Vs. Healthcare Professional FindACode

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7 hours agoState scope of practice laws and regulations will help determine who is considered Clinical staff and Other qualified Health Care professionals. Physician or other qualified healthcare professionals: Must have a State license, education training showing qualifications as well as facility privileges. Examples of Qualified Healthcare professionals: (NOTE: this list is not all-inclusive, …

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2/20/2014 HCCA Official Site

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7 hours agoIn 2013, the American Medical Association (AMA) established a definition for a Qualified Health Care Professional (QHP) in terms of which providers may report services: A “physician or other qualified health care professional” is an individual who is qualified by …

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What Is A Health Care Professional? Career Trend

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2 hours agoAny other health care professional if the patient's employer or insurer will decide coverage and benefits based on the professional's medical opinion. An individual health practitioner is only qualified to be a provider if they have whatever licenses or certifications the laws requires.

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Health Professional Wikipedia

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9 hours agoA health professional (or healthcare professional) may provide health care treatment and advice based on formal training and experience. The field includes those who work as a medical doctor (such as family physician, internist, obstetrician, psychiatrist, radiologist, surgeon etc), physician assistant, veterinarian, veterinary technician, veterinary assistant, pharmacist, pharmacy technician

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Qualified Professional (QP) Services

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1 hours agoThe qualified professional (QP) performs the duties of training, supervision, and evaluation of the personal care assistance staff and evaluation of the effectiveness of personal care assistance services. QP services delivered and billed under PCA must be within the QP’s professional scope of practice. A limit of 96 fifteen-minute units per

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Nonphysician Health Care Oxford Health Plans

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Just NowPhysicians and other qualified health care professionals, including, but not limited to, non-network authorized and percent of charge contract Physicians and other qualified health care professionals. OVERVIEW This policy describes reimbursement for Evaluation and Management (E/M) services (99201-99499) reported by

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Code And Guideline Changes American Medical Association

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7 hours agotreating physician or other qualified health care professional reporting the service. The care team may collect information and the patient or caregiver may supply information directly (eg, by electronic health record [EHR] portal or questionnaire) that is reviewed by the reporting physician or other qualified health care professional.

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2021 Evaluation And Management Changes: Selecting A Code

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4 hours agoThe definition of time will include both face-to-face and non- face-to face activities performed by the physician or qualified healthcare professional on the date of the encounter. It does not, however, include time in activities that are normally performed by clinical staff. This is a

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Professional Development NCCHC

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6 hours agoTherefore, if the mental health liaisons are evaluating and caring for patients, then these mental health professionals fit into the definition of qualified health care professional and are required to be current in CPR technique under essential standard C-03 Professional Development. — From CorrectCare Volume 24, Issue 3, Summer 2010

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Qualified Health Plan HealthCare.gov

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8 hours agoQualified Health Plan. An insurance plan that’s certified by the Health Insurance Marketplace®, provides essential health benefits, follows established limits on cost-sharing (like deductibles, copayments, and out-of-pocket maximum amounts), and meets other requirements under the Affordable Care Act.

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Effect Of The CPT Definition Of Nonphysician Qualified

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3 hours agoEffect of the CPT Definition of Nonphysician Qualified Health Care Professional. Services affected by definition, including prolonged E/M, medical team conference, education and training for patient self-management, and online assessment and management service. Prev Next Article;

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Certified Professional In Healthcare Quality

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9 hours agoDefinition of the Quality Professional The certification program is not designed to determine who is qualified or who shal l engage in healthcare quality activities. The goal is to promote excellence and professionalism by documenting individual performance as measured against a

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Providers Home Blue Cross & Blue Shield Of Rhode Island

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1 hours agoBy CPT definition, a new patient is “one who has not received any professional services, i.e. face-to-face services from a physician/qualified healthcare professional, or another physician/qualified healthcare professional of the exact same specialty and subspecialty who belongs to the same group practice, within the past three years.”

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Nonphysician Health Care Professionals UHCprovider.com

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9 hours agophysicians and other qualified health care professionals, including, but not limited to, non-network authorized and percent of charge contract physicians and other qualified health care professionals. Policy Overview This policy describes reimbursement for Evaluation and Management (E/M) services (CPT codes 99091, 99202-99499)

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Chronic Care Healthcare Resources Centers For Medicare

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8 hours agoPhysicians and the following health care professionals can bill for CCM services: Physician Assistants, Clinical Nurse Specialists, Nurse Practitioners, and Certified Nurse Midwives. Federally Qualified Health Centers, Rural Health Clinics, and Critical Access Hospitals can …

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PROFESSIONALS DELIVERING BEHAVIORAL HEALTHCARE In …

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4 hours agoBy definition, professionals are considered a Mental Health Professional Clinician if, among other requirements, they have attained at least a Master’s degree in psychology, counseling, child guidance, community mental health, marriage and family therapy, social work, or nursing. Professionals providing a scope of services that would require

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Code Of Laws Title 44 South Carolina General Assembly

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44-30-405 hours agoA health care professional who violates a recommendation of the expert review panel as set forth in Section 44-30-40 and related regulations is subject to disciplinary action by the appropriate licensing board. Nothing in this article prohibits the department from taking any action it considers necessary to protect the public health pursuant to

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Types Of Mental Health Professionals NAMI

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5 hours agoCounselors, Clinicians, Therapists. These masters-level health care professionals are trained to evaluate a person’s mental health and use therapeutic techniques based on specific training programs. They operate under a variety of job titles—including counselor, clinician, therapist or something else—based on the treatment setting.

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Office EM Summary Appendix AACAP American Academy Of

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Just Nowor other qualified health care professional, but the service is provided under the physician’s or other qualified health care professional’s supervision (see 99211). Self-limited or minor problem: A problem that runs a definite and prescribed course, is transient in nature, and is …

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Qualified NonPhysician Health Care Massachusetts

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4 hours agoCommunity Health Center Bulletin 102 May 2020 Page 2. Furthermore, the services rendered by a qualified non-physician health care professional in accordance with CPT codes 98966, 98967, and 98968 must be appropriate to the qualified non-physician health care professional’s level of skill or experience, as determined and

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IDHS: Definitions Illinois Department Of Human Services

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8 hours agoCan an intern qualify as a Mental Health Provider (MHP), if they provide services under the supervision of a qualified mental health professional and possess a bachelors degree? For example, is a master's level social work intern considered an MHP? Answer: An MHP is someone who meets the definition of MHP in Rule 132 (132.25).

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Health Workers: A Global Profile World Health Organization

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4 hours agoHealth service providers account for 67% of all health workers globally, though only 57% in the Region of the Americas. A breakdown by the level of national income in a country shows that health management and support workers slightly outnumber health service providers in high income countries, while the opposite is the case in

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Healthcare Providers Guide California Department Of

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2 hours agoTo be licensed in California, healthcare professionals must meet minimum standards for education, training, and experience, plus pass professional exams and criminal background checks. You can verify the license of any DCA-licensed healthcare professional by going online to www.dca.ca.gov .

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G2061 HCPCS Code For Qual Nonmd Est Pt 510m

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4 hours agoProcedures/Professional Services (Temporary Codes) G2061 is a valid 2021 HCPCS code for Qualified nonphysician healthcare professional online assessment and management service, for an established patient, for up to seven days, cumulative time during the 7 days; 5-10 minutes or just “Qual nonmd est pt 5-10m” for short, used in Medical care.

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Health Care Professionals & Patient Safety New York

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Just NowHealth Care Professionals & Patient Safety Doctors & Other Health Professionals. Clinical Guidelines, Standards & Quality of Care; Comments of the New York State Department of Health Concerning the United States Food and Drug Administration's Draft Guidance for Industry, Good Reprint Practices for the Distribution of Medical Journal Articles and Medical or Scientific Reference Publications on

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Frequently Asked Questions

Who is a qualified health care professional (QHP)?

In 2013 the American Medical Association (AMA) established a definition for a Qualified Health Care Professional (QHP) in terms of which providers may report services: A "physician or other qualified health care professional" is an individual who is qualified by education, training, licensure/regulation (when applicable), and facility privileging (when applicable) who performs a professional service within his/her scope of practice and independently reports that professional service.".

What is a qualified health care provider?

Qualified health care provider means a health care provider who is qualified under the provisions of the Medical Malpractice Act. Qualified health care provider means a health care provider who, in the judgment of the commissioner, has the qualifications necessary to diagnose or treat...

What is a qualified health professional?

Within the context of coding for services, a qualified healthcare professional is an individual who is qualified by education, training, and licensure/regulation and/or facility privileges (when applicable) who performs a professional service within his or her scope of practice,...

What is a professional health care?

Health professional. A health professional may operate within all branches of health care, including medicine, surgery, dentistry, midwifery, pharmacy, psychology, nursing or allied health professions. A health professional may also be a public/community health expert working for the common good of the society.

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