Uptimum Care Medical Group &Ipa, Inc

Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

General Acute Care Hospital

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Health Maintenance Organization

A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Point of Service Managed Care Organization

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Behavioral Disturbances Assisted Living Facility

Uptimum Care Medical Group &Ipa, Inc is a Behavioral Disturbances Assisted Living Facility practice in Lawndale, CA with healthcare providers who have special training and skill in treating residents with psychological disorders in nursing homes and similar facilities. Behavioral Disturbances Assisted Living Facilities at Uptimum Care Medical Group &Ipa, Inc perform monitoring and safety and health maintenance of patients with dangerous habits. Behavioral Disturbances Assisted Living Facility is the facility that manages and mitigates destructive behavioral disorders in residents. Significant diseases and conditions treated at Behavioral Disturbances Assisted Living Facility practices include dementia, psychosis, and other psychological disorders. Medical tests, procedures and therapies provided by Behavioral Disturbances Assisted Living Facility practices include psychiatric medication and behavioral, music, art and group therapy.

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

Residential Treatment Facility, Intellectual Disabilities and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.