Qualified Nonphysician Health Care Professional

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Listing Results qualified nonphysician health care professional

Nonphysician Health Care Professionals Billing …

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Just Nowhealth care professionals. In accordance with CMS guidelines, the only qualified health care professionals that may report E/M services are nurse practitioners (NP), clinical nurse specialists (CNS), certified nurse midwives (CNM) and Physician assistants (PA), none of which are considered nonphysician health care professionals for purposes of this

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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 may report medical services: “A ‘physician or other qualified health care professional’ is an individual who is qualified by education, training, licensure/regulation (when applicable) and

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Medicare Claims Processing Manual

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2 hours ago120.2 - Outpatient Mental Health Treatment Limitation 120.3 - NP and CNS Billing to the A/B MAC (B) 130 - Nurse-Midwife Services 130.1 - Payment for Certified Nurse-Midwife Services 130.2 - Global Allowances 140 - Qualified Nonphysician Anesthetist Services 140.1 - Qualified Nonphysician

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Nonphysician Health Care Professionals Billing Evaluation

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9 hours agopercent 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) reported by nonphysician health care professionals. Reimbursement Guidelines

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Nonphysician Health Care Codes Policy, Professional

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5 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 the correct coding methodology and reimbursement for certain nonphysician health care professional services.

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Telephone Assessment And Management Services

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3 hours agoCPT ® Code #: Descriptor: wRVU Telephone Assessment and Management Services 98966: Telephone assessment and management service provided by a qualified nonphysician health care professional to an established* patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an …

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CMS Manual System

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7 hours agoassessment and management service provided by a qualified nonphysician health care professional. HCPCS codes G2010 and G2012 describe a remote evaluation of a prerecorded video or image and a virtual check-in, respectively.

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Who Is An “Other Qualified Health Care Professional

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3 hours agoThe “other qualified health care professional” must be the one who provides the service within his or her own scope of practice, and who may rightfully bill independently for that service. When in Doubt, Find Out Throughout CPT® “physician,” “other qualified health care professional,” and “individual” are used interchangeably.

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2021 Annual Update To The Therapy Code List

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6 hours ago• CPT 98971 - Qualified nonphysician health care professional online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes. CPT code 98971 replaced HCPCS code G2062. • CPT 98972 - Qualified nonphysician health care professional online digital evaluation

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Who Qualifies As A Healthcare Professional?

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4 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 physician, surgeon, nurse, dentist, midwife, psychologist, psychiatrist, or pharmacist or who perform services in allied health

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New CPT® Codes For Online Digital E/M 99421

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971 11-204 hours ago98970 Qualified nonphysician health care professional online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes. 98971 11-20 minutes. 98972 21 minutes or more. The chart below does not include 98970—98972 because CMS has not assigned RVUs.

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CPT 98966, 98967, 98968 Telephone Assessment Medical

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7 hours agoCodes 98966-98968 are non-face-to-face assessment and management services provided by a qualified nonphysician health care professional to a patient using the telephone. These codes are used to report episodes of care by the QHP initiated by an established patient or guardian of an established patient.

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COVID19 CPT Codes And Telephone Services Change …

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7 hours agoprovided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest

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Telephone Services CPT Codes 99441 UC Davis Health

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3 hours agothe physician or qualified nonphysician health care professional within the previous seven (7) days. • If the telephone call ends with a decision to see the patient within 24 hours or the next available urgent appointment, the telephone encounter is considered part of the pre-service work of the subsequent E/M service, procedure and visit.

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Use Of Communication TechnologyBased Services During

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971 11-202 hours agoQualified nonphysician health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes: $11.86: 98971 11-20 minutes: $20.94: 98972 21 or more minutes: $32.80

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UNITED HEALTHCARE

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3 hours ago• Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum (codes 98960-98962) • Alcohol and/or substance abuse screening and brief intervention services (codes 99408-99409)

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Qualified NonPhysician Health Care Professionals

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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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98966 CPT Code: Know Your Codes E2E Medical Billing Services

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Just Now98966 CPT Code Description. 98966 CPT Code: Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the …

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Billing For Psychological Services Provided During The

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7 hours agoCPT ® Code 98967; Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within

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New Evaluation And Management Codes For 2020 AMN Healthcare

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971 11-205 hours ago99423 21 or more minutes. 98970 Qualified nonphysician health care professional online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes. 98971 11-20 minutes. 98972 21 or more minutes. These codes are to be used for established patients only that require

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Apple Health (Medicaid) Home Health Services Billing And

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3 hours agoprovided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes

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Who Qualifies As A Healthcare Professional?

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4 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 physician, surgeon, nurse, dentist, midwife, psychologist, psychiatrist, or pharmacist or who perform services in allied health

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CMS Expands Therapy EVisit Services During COVID19

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3 hours ago98970 Qualified nonphysician health care professional online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5–10 minutes. 98971 11–20 minutes. 98972 21 or more minutes. AOTA E-Visit Coding Guidance

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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 American Academy of Pediatrics. Article Information. physicians and other competent healthcare professionals who will rely on their own discretion and judgment in medical diagnosis and treatment. Neither the AAP nor its Providers directly or indirectly practice

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Nonphysician Health Care Codes Oxford Health Plans

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6 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. OVERVIEW This policy describes the correct coding methodology and reimbursement for certain nonphysician health care professional services.

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CPT CODE 98960 AND 98961. 98962 Medical Billing And

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5 hours agoCPT CODE AND Description. 98960 – Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; individual patient – Average fee amount $25 – $35. 98961 – Education and training for patient self-management by a qualified

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UCare® Provider COVID19 Telehealth

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2 hours agoQualified nonphysician health care professional online assessment and management service, for an established patient, for up to 7 days, cumulative time during the 7 days. Qualified nonphysician health care professional online assessment and management service, for an established patient, for up to 7 days, cumulative time during the 7 days.

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Definition Of A Non Qualified Health Professional

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5 hours agoNonphysician Health Care Professionals Billing … Health Oxhp.com Show details . Just Now Physicians 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

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CPT CODE 98960, 98961, 98962 Not Separately Payable

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6 hours ago• 98962 — 5-8 patients – Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; 5-8 patients Avoid claim errors for current procedural terminology codes 98960, 98961 and 98962. First Coast Service Options (First Coast) has

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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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Procedure Code 99441, 99442, 99443 , 98966 Telephone

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2 hours agoProcedure code 77427: Radiation treatment management, 5 treatments Procedure code 98966: Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and…

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Coding Corner: Prepare For CPT® 2020 Online E/M Changes

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Just NowThe difference is that the descriptors for 98970-98972 state that a “Qualified nonphysician health care professional” performs the service. Because QHPs may use E/M codes 99421-99423, practices may wonder when it is appropriate to use 98970-98972 for a “qualified nonphysician.”

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Telehealth/Telemedicine COVID19 Billing Cheat Sheet

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6 hours agoQualified nonphysician health care professional (Check payer specific guidelines) NC Medicaid Providers: LCSW/A, LPC/A, LMFT/A, LPA, LCAS/A, Ph.D. Not for use in FQHCs or RHCs Tricare for Life use Medicare guidance on telehealth Medicaid -CR (Medicaid) 11 Medicare/Tricare for Life None specified 11 AETNA None Specified 11

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Illinois Medicaid COVID19 Fee Schedule

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11.36 98979 hours ago98970 1/1/2021 Qualified nonphysician health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 min. 11.36 98971 1/1/2021 Qualified nonphysician health care professional online digital assessment and management, for an established patient, for

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Illinois Medicaid COVID19 Fee Schedule

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11.36 9897Just Now98970 1/1/2021 Qualified nonphysician health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 min. 11.36 98971 1/1/2021 Qualified nonphysician health care professional online digital assessment and management, for an established patient, for

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Understanding Medical Team Conference Codes AOTA

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2 hours ago99368 Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more, participation by nonphysician qualified health care professional. Third-party payers vary on coverage criteria for the team conference code. Medicare currently does not reimburse for these services.

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Billing Update For NC Medicaid Policy 1A5 Child Medical

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4 hours agoNPs and PAs can now use procedure code 99368 (Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present; 30 minutes or more; participation by nonphysician qualified health care professional) for billing of medical team conferences associated with CMEs and clinical coverage policy 1A-5.

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Commercial Code List NJ Health Insurance & Healthcare

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Just NowQualified nonphysician health care professional online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes Extended 98971 Qualified nonphysician health care professional online digital evaluation and management

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Medical Team Conferences Paramount Health Care

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1 hours agoMedical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professional REVISION HISTORY EXPLANATION ORIGINAL EFFECTIVE DATE: 01/01/2008 11/1/08: No changes 10/15/09: Updated verbiage 01/01/11: No changes

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COVID19 Telemedicine Codes (THPP) Tufts Health Plan

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6 hours agoQualified nonphysician health care professional online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes 98971 Qualified nonphysician health care professional online digital evaluation and management

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Provider Payment Guidelines AllWays Health Partners

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1 hours agoQualified nonphysician health care professional online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes 98971 . Q ualified nonphysician health care professional online …

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FIRST CARE Texas Tech University Health Sciences Center

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6 hours ago98971 Qualified nonphysician health care professional online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes . 98972 Qualified nonphysician health care professional online …

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COVID19 Telemedicine Codes Comm Tufts Health Plan

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5 hours agoQualified nonphysician health care professional online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes 98971 Qualified nonphysician health care professional online digital evaluation and management

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Federal Employee Program (FEP) Interim Measure For

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2 hours ago98972 Qualified nonphysician health care professional online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes 99441 Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and

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Kidney Dialysis Connecticut General Assembly

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3 hours agoThe by-laws must be approved by the medical director and the governing body. The by-laws must include a specific definition of services (if any) which may be provided by nonphysician health professionals such as physician assistants or nurse practitioners (§ 19-13-D55a(f)). Nurse Supervisor

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2/20/2014 HCCA Official Site

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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 professional service.” 3/1/2014 4

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Behavioral Health Providers And Coverage For Virtual

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4 hours ago98966 Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 …

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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 non physician practitioner?

Non Physician Medical Practitioners means a nurse practitioner, certified nurse midwife, or physician assistant authorized to provide primary care under physician supervision.

What is a non physician provider?

nonphysician provider. A health care professional licensed to provide healing services that complement or supplement those provided by a physician. Such providers include midwives, nurse practitioners, optometrists, physican assistants, physical or occupational therapists, psychologists, social workers, and chiropractors.

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...

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