PERFORMANCE STANDARDS AND GOALS Sample Clauses

PERFORMANCE STANDARDS AND GOALS. In performing its obligations under this Agreement, NAMM shall act at all times in a professional manner, devoting its efforts in good faith and with reasonable diligence to the performance of this Agreement. NAMM shall provide services in conformity with all applicable standards set forth in the HMO contract pursuant to which Medical services are being provided by the Company. NAMM's overall performance hereunder will be evaluated by reference to goals the Parties have established including the following (provided that unless otherwise agreed to by the Parties, the amount of NAMM's compensation provided for in Article V above is not dependent on meeting such goals but may lead to termination for Cause under Section 7.02. The Company understands and accepts that NAMM's ability to comply with these standards is based, at least in part, on its willingness to accept and implement NAMM's recommendations made pursuant to this Agreement):
Sample 1
AutoNDA by SimpleDocs
PERFORMANCE STANDARDS AND GOALS. In performing its obligations under this Agreement, NAMM shall act at all times in a professional manner, devoting its efforts in good faith and with reasonable diligence to the performance of this Agreement. NAMM shall provide services in conformity with all applicable standards set forth in the HMO contract pursuant to which Medical services are being arranged for the PHO, as managed by the Company. NAMM's overall performance hereunder will be evaluated by reference to goals the Parties have established including the following (provided that except as specifically provided in Section 5.02 or unless otherwise agreed to by the Parties, the amount of NAMM's compensation provided for in Article V below is not dependent on meeting such goals but may lead to termination for Cause under Section 7.02. The Company understands and accepts that NAMM's ability to comply with these standards is based, at least in part, on its willingness to accept and implement NAMM's recommendations made pursuant to this Agreement): (A) Eligibility processing: (a) Electronic eligibility shall be loaded within the greater of five (5) days or beginning of the next capitation cycle and (b) Paper eligibility shall be loaded within the greater of fourteen (14) days or the beginning of the next capitation cycle following NAMM's receipt of eligibility. (B) Claims processing and turnaround: (a) NAMM shall maintain processing and financial accuracy of 95%, (b) 90% of clean claims shall be processed within 21 days, and (c) 100% of clean claims shall be processed within 30 days of receipt by NAMM. (C) Referral processing and turnaround: (a) Routine referrals shall be turned around within 24 hours of submission of complete medical information and (b) urgent referrals shall be turned around on the same day as receipt of complete medical information.
Sample 1
PERFORMANCE STANDARDS AND GOALS. In performing its obligations under this Agreement, NAMM shall act at all times in a professional manner, devoting its efforts in good faith and with reasonable diligence to the performance of this Agreement. NAMM shall provide services in conformity with all applicable standards set forth in the HMO contract pursuant to which Medical services are being provided by the Company. NAMM'S overall performance hereunder will be evaluated by reference to goals the Parties have established including the following (provided that unless otherwise agreed to by the Parties, the amount of NAMM's compensation provided for in Article V above is not dependent on meeting such goals but may lead to termination for Cause under Section 7.02. The Company understands and accepts that NAMM's ability to comply with these standards is based, at least in part, on its willingness to accept and implement NAMM's recommendations made pursuant to this Agreement): 1. Claims processed by NAMM shall have a claim processing accuracy rate of not less than 93%. Accuracy rate shall be defined as the number of correct claims reviewed in an audit sample divided by the total number of claims reviewed in the audit sample. A "correct claim" is free from any errors including, but not limited to, coding, financial or numerical.
Sample 1
PERFORMANCE STANDARDS AND GOALS. In performing its obligations under this Agreement, NAMM shall act at all times in a professional manner, devoting its efforts in good faith and with reasonable diligence to the performance of this Agreement. NAMM shall provide services in conformity with all applicable standards set forth in the HMO contract pursuant to which Medical services are being provided by the Company. For contracts other than Medicare, NAMM agrees to set performance and utilization targets consistent with the market and to obtain SCMCA Board approval before contracts are initiated. NAMM's overall performance hereunder will be evaluated by reference to goals the Parties have established including the following (provided that unless otherwise agreed to by the Parties, the amount of NAMM's compensation provided for in Article V above is not dependent on meeting such goals but may lead to termination for Cause under Section 7.02. The Company understands and accepts that NAMM's ability to comply with these standards is based, at least in part, on its willingness to accept and implement NAMM's recommendations made pursuant to this Agreement): 1. NAMM's success in realizing a decrease in the Hospital's Medicare utilization rate to 1,200 acute inpatient days per 1,000 population by the end of the third year of the Company's operations contingent on the Company's agreement to retain directly or through NAMM an in-patient manager whose duties shall be defined by the Parties. Any decrease must only be accomplished while maintaining the quality of care. 2. Growth in member enrollment utilizing the services of the affiliated Physician Organization (MHCA) or PHO providers. For example, the Parties have as a goal reaching 1,500 enrolled Medicare recipients by the end of 1998. Parties will evaluate and adjust the goal in light of the market willingness to offer Medicare full risk contracts. 3. NAMM's ability to negotiate and obtain for the Company a portion or an Increased portion of all health insurance premiums, Including those that may be charged to the Medicare enrollees by the HMO, as evidence by the HMO retaining less than 15% for administrative services and profit with the understanding that this retention may be negotiated at a higher rate should the HMO assume additional risks for healthcare services.
Sample 1

Related to PERFORMANCE STANDARDS AND GOALS

  • Performance Standards The Contractor agrees to perform all tasks and provide deliverables as set forth in the Contract. The Department and the Customer will be entitled at all times, upon request, to be advised as to the status of work being done by the Contractor and of the details thereof.

  • Performance Standard The Department’s Grant Manager will review the documentation to verify that the deliverables have been completed as described above. Upon review and written acceptance by the Department’s Grant Manager, the Grantee may proceed with payment request submittal. Payment Request Schedule: The Grantee may submit a payment request for cost reimbursement no more frequently than monthly.

  • Performance Goals A. The Trust and State Street have developed mutually acceptable performance goals dated March 1, 2011 , and as may be amended from time to time, regarding the manner in which they expect to deliver and receive the services under this Agreement (hereinafter referred to as “Service Level Agreement”). The parties agree that such Service Level Agreement reflects performance goals and any failure to perform in accordance with the provisions thereof shall not be considered a breach of contract that gives rise to contractual or other remedies. It is the intention of the parties that the sole remedy for failure to perform in accordance with the provisions of the Service Level Agreement, or any dispute relating to performance goals set forth in the Service Level Agreement, will be a meeting of the parties to resolve the failure pursuant to the consultation procedure described in Sections V. B. and V.C. below. Notwithstanding the foregoing, the parties hereby acknowledge that any party’s failure (or lack thereof) to meet the provisions of the Service Level Agreement, while not in and of itself a breach of contract giving rise to contractual or other remedies, may factor into the Trust’s reasonably determined belief regarding the standard of care exercised by State Street hereunder.

  • Performance Criteria The Performance Criteria are set forth in Exhibit A to this Agreement.

  • Performance Targets Threshold, target and maximum performance levels for each performance measure of the performance period are contained in Appendix B.

  • Performance Schedule The Parties will perform their respective responsibilities in accordance with the Performance Schedule. By executing this Agreement, Customer authorizes Motorola to proceed with contract performance.

  • Performance Measure Grantee will adhere to the performance measures requirements documented in

  • PERFORMANCE OBJECTIVES 4.1 The Performance Plan (Annexure A) sets out- 4.1.1 the performance objectives and targets that must be met by the Employee; and 4.1.2 the time frames within which those performance objectives and targets must be met. 4.2 The performance objectives and targets reflected in Annexure A are set by the Employer in consultation with the Employee and based on the Integrated Development Plan, Service Delivery and Budget Implementation Plan (SDBIP) and the Budget of the Employer, and shall include key objectives; key performance indicators; target dates and weightings. 4.2.1 The key objectives describe the main tasks that need to be done. 4.2.2 The key performance indicators provide the details of the evidence that must be provided to show that a key objective has been achieved. 4.2.3 The target dates describe the timeframe in which the work must be achieved. 4.2.4 The weightings show the relative importance of the key objectives to each other. 4.3 The Employee’s performance will, in addition, be measured in terms of contributions to the goals and strategies set out in the Employer’s Integrated Development Plan.

  • Performance Measures The System Agency will monitor the Grantee’s performance of the requirements in Attachment A and compliance with the Contract’s terms and conditions.

  • Performance Requirements A. There is no guaranteed minimum amount of work which will be ordered under this Contract. B. The total Contract amount will not exceed $4,900,000. C. This is a Contract for work specified in individual Job Orders. Work ordered prior to but not completed by the expiration of the Contract period, and any additional work required as a result of unforeseen conditions encountered during construction up to six (6) months after the contract expiration date, will be completed with all provisions of this Contract still in force. Performance time for each Job Order issued under this Contract will be determined in accordance with the Contract. This performance time will be determined and agreed upon by both Parties for each individual Job Order. Contractor must self-perform 20% of the Work under this Contract for ‘A’ and ‘B’ licenses. Contractor must self-perform 75% of the Work under this Contract, unless otherwise approved by the County, for ‘C’ licenses. D. This is an indefinite-quantity Contract for the supplies or services specified and effective for the period stated. Work or performance shall be made only as authorized by Job Orders issued in accordance with the ordering procedures clause. The Contractor agrees to furnish to the County when and if ordered, the supplies or services specified in the Contract up to and including the quantity designated in the Job Orders issued as the maximum designated in the Contract.

Draft better contracts in just 5 minutes Get the weekly Law Insider newsletter packed with expert videos, webinars, ebooks, and more!