Common use of Case Mix Service Fee for Initial Items Clause in Contracts

Case Mix Service Fee for Initial Items. 18.1 The Case Mix Service Fee for each Initial Item Dispensed to or for a Service User in a month is calculated as follows: R = ∑ ((((II x C) x IRVU) x ISF) x GST) where: R = the total fee (inclusive of GST) that Te Whatu Ora will pay the Provider in relation to each Initial Item Dispensed to or for a Service User in the month ∑ = the sum of each combination of the number of Initial Items Dispensed to or for a Service User on a single day (II in this formula) in the month II = the number of Initial Items Dispensed to or for a Service User by the Provider on a single day in the month C = the number of times that the Provider Dispenses the number of Initial Items as set out above to or for an individual Service User on a single day in the month IRVU = the relative value unit that corresponds with the number of Initial Items Dispensed to or for the Service User on that day (excluding any Initial Items described in clause 17.2) as follows: (a) 1.00 if one, two, or three Initial Items are Dispensed (b) 1.02 if four Initial Items are Dispensed (c) 1.03 if five Initial Items are Dispensed (d) 1.04 if six or more Initial Items are Dispensed ISF = the initial base service fee, which is $5.03 (GST exclusive) GST = 1.15 (or such other amount as correctly reflects the GST rate on the date of Dispensing). 18.2 If the Provider does not include the NHI Number in an Initial Item Claim Item, the IRVU for the purpose of the calculation in clause 18.1 will be 1.00.

Case Mix Service Fee for Initial Items. 18.1 The Case Mix Service Fee for each Initial Item Dispensed to or for a Service User in a month is calculated as follows: R = ∑ ((((II x C) x IRVU) x ISF) x GST) where: R = the total fee (inclusive of GST) that Te Whatu Ora will pay the Provider in relation to each Initial Item Dispensed to or for a Service User in the month ∑ = the sum of each combination of the number of Initial Items Dispensed to or for a Service User on a single day (II in this formula) in the month II = the number of Initial Items Dispensed to or for a Service User by the Provider on a single day in the month C = the number of times that the Provider Dispenses the number of Initial Items as set out above to or for an individual Service User on a single day in the month IRVU = the relative value unit that corresponds with the number of Initial Items Dispensed to or for the Service User on that day (excluding any Initial Items described in clause 17.2) as follows: (a) 1.00 if one, two, or three Initial Items are Dispensed (b) 1.02 if four Initial Items are Dispensed (c) 1.03 if five Initial Items are Dispensed (d) 1.04 if six or more Initial Items are Dispensed ISF = the initial base service fee, which is $5.03 4.43 (GST exclusive) GST = 1.15 (or such other amount as correctly reflects the GST rate on the date of Dispensing). 18.2 If the Provider does not include the NHI Number in an Initial Item Claim Item, the IRVU for the purpose of the calculation in clause 18.1 will be 1.00.

Case Mix Service Fee for Initial Items. 18.1 The Case Mix Service Fee for each Initial Item Dispensed to or for a Service User in a month is calculated as follows: R = ∑ ((((II x C) x IRVU) x ISF) x GST) where: R = the total fee (inclusive of GST) that Te Whatu Ora Health NZ will pay the Provider in relation to each Initial Item Dispensed to or for a Service User in the month ∑ = the sum of each combination of the number of Initial Items Dispensed to or for a Service User on a single day (II in this formula) in the month II = the number of Initial Items Dispensed to or for a Service User by the Provider on a single day in the month C = the number of times that the Provider Dispenses the number of Initial Items as set out above to or for an individual Service User on a single day in the month IRVU = the relative value unit that corresponds with the number of Initial Items Dispensed to or for the Service User on that day (excluding any Initial Items described in clause 17.2) as follows: (a) 1.00 if one, two, or three Initial Items are Dispensed (b) 1.02 if four Initial Items are Dispensed (c) 1.03 if five Initial Items are Dispensed (d) 1.04 if six or more Initial Items are Dispensed ISF = the initial base service fee, which is $5.03 (GST exclusive) GST = 1.15 (or such other amount as correctly reflects the GST rate on the date of Dispensing). 18.2 If the Provider does not include the NHI Number in an Initial Item Claim Item, the IRVU for the purpose of the calculation in clause 18.1 will be 1.00.