Advanced Payment Option definition

Advanced Payment Option and means a supplemental payment mechanism available for selection by the ACO for a Performance Year as described in Section 8.01 if the ACO also has selected PCC Payment for that Performance Year. If the ACO selects the APO, CMS will make a prospective monthly APO payment to the ACO for APO Eligible Services furnished to REACH Beneficiaries by those Participant Providers and Preferred Providers participating in the APO. The amount of the monthly APO payment is calculated in accordance with Appendix F of the Agreement.
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Advanced Payment Option and means a supplemental payment mechanism available for selection by the DCE for a Performance Year as described in Section
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Advanced Payment Option means the Net Participant Incentive payment (if any) to be received by the Participant from the LDC in advance of the In-Service Date secured by the Performance Security (if any) as further described in Appendix 1
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Examples of Advanced Payment Option in a sentence

  • The full amount of Advanced Payments will be reconciled against the actual amount of FFS claims dollars reduced under the Advanced Payment Option (APO).

  • From [April 1, 2021 – December 31, 2021], as part of the Center for Medicare & Medicaid Services (CMS) Direct Contracting Model, , herein referred to as the Direct Contracting Entity (DCE), has elected to participate in one or more of three Alternative Payment Arrangements (APA): Total Care Capitation (TCC), Primary Care Capitation (PCC), and/or Advanced Payment Option (APO) as described in the Direct Contracting Model Participation Agreement (PA).

  • An ACO electing PCC may also elect to receive reduced FFS payments for services not subject to PCC under the optional Advanced Payment Option (APO).

  • All DC Participant Providers and Preferred Providers will continue to submit claims to the Medicare payment systems.Payments made to each DCE, either through the PCC or TCC, will be factored into shared savings/shared losses calculations.The Advanced Payment Option (APO) is an optional payment mechanism only available to DCEs that select PCC and functions like the population-based payments available in the Next Generation Accountable Care Organization (NGACO) Model.

  • Note that all providers (even those participating in the Capitation Payment Mechanism or Advanced Payment Option) are still required to submit claims to CMS for services provided to beneficiaries.DC Participant Providers and Preferred Providers receive payments for Part A and Part B services from the DCE and/or CMS based on their contractual arrangement with the DCE.

  • Both DC Participant and Preferred Providers also have the option to participate in the Advanced Payment Option if the DCE selects Primary Care Capitation.

  • DCEs in either risk option (Professional or Global) that select PCC may also select Advanced Payments, i.e. Advanced Payment Option.

  • DCEs in either risk option (Professional or Global) that select PCC may also select the Advanced Payment Option.

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  • Note that all providers (even those participating in the Capitation Payment Mechanism or Advanced Payment Option) are still required to submit claims to CMS for services provided to beneficiaries.Participant Providers and Preferred Providers receive payments for Part A and Part B services from the REACH ACO and/or CMS based on their contractual arrangement with the ACO.


More Definitions of Advanced Payment Option

Advanced Payment Option means the Participant Incentive payments (if any) to be received by the Participant from the LDC in advance of the In‐Service Date secured by the Performance Security where the Participant elects, as set out in the Application, the advanced incentive payment option and is paid to the Participant in accordance with Section 4.1.
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Related to Advanced Payment Option

  • Deferred Payment means any severance pay or benefits to be paid or provided to Executive (or Executive’s estate or beneficiaries) pursuant to this Agreement and any other severance payments or separation benefits, that in each case, when considered together, are considered deferred compensation under Section 409A.

  • Reduced payment means a payment that is for less than the amount agreed upon in a subcontract in accordance with its terms and conditions, for supplies and services for which the Government has paid the prime contractor.

  • Deferred Payment Date for a Participant means the date after the Restricted Period in respect of Restricted Share Units which is the earlier of (i) the date which the Participant has elected to defer receipt of the underlying Shares in accordance with Section 4.5 of this Plan; and (ii) the Participant's Separation Date.

  • Deferred Payments means any severance pay or benefits to be paid or provided to Executive (or Executive’s estate or beneficiaries) pursuant to this Agreement and any other severance payments or separation benefits to be paid or provided to Executive (or Executive’s estate or beneficiaries), that in each case, when considered together, are considered deferred compensation under Section 409A.

  • Remaining Scheduled Payments means, with respect to the Called Principal of any Note, all payments of such Called Principal and interest thereon that would be due after the Settlement Date with respect to such Called Principal if no payment of such Called Principal were made prior to its scheduled due date, provided that if such Settlement Date is not a date on which interest payments are due to be made under the Notes, then the amount of the next succeeding scheduled interest payment will be reduced by the amount of interest accrued to such Settlement Date and required to be paid on such Settlement Date pursuant to Section 8.4 or Section 12.1.

  • Required Payment Amount shall have, for any Distribution Date, the meaning specified for such Distribution Date in Section 4.6(a) of the Sale and Servicing Agreement.

  • Earn-Out Payment has the meaning set forth in Section 2.07(a)(i).

  • Advance Payment shall have the meaning set forth in Clause 19.2; “Affected Party” shall have the meaning set forth in Clause 21.1;

  • Master Servicer Prepayment Charge Payment Amount The amounts payable by the Master Servicer pursuant to Section 2.03(b) in respect of any waived (or, with respect to subsequent changes of law, any unenforceable) Prepayment Charges.

  • Insured Payment means (a) as of any Distribution Date, any Deficiency Amount and (b) any Preference Amount.

  • Monthly Payment Advance means, with respect to any 20[•]-[•] Lease and any Collection Period, an amount equal to the difference between the Monthly Payment due and the Lessee Partial Monthly Payment.

  • Assumed Scheduled Payment means: (i) with respect to any Balloon Mortgage Loan as to which advancing is required hereunder for its Maturity Date (provided that such Balloon Mortgage Loan has not been paid in full, and no Final Recovery Determination or other sale or liquidation has occurred in respect thereof, on or before the end of the Collection Period in which such Maturity Date occurs) and for any subsequent Due Date therefor as of which such Balloon Mortgage Loan remains outstanding and part of the Trust, if no Scheduled Payment (other than the related delinquent Balloon Payment) is due for such Due Date, the scheduled monthly payment of principal and/or interest deemed to be due in respect thereof on such Due Date equal to the Scheduled Payment that would have been due in respect of such Balloon Mortgage Loan on such Due Date, if it had been required to continue to accrue interest in accordance with its terms, and to pay principal in accordance with the amortization schedule in effect immediately prior to, and without regard to the occurrence of, its most recent Maturity Date (as such may have been extended in connection with a bankruptcy or similar proceeding involving the related Mortgagor or a modification, waiver or amendment of such Balloon Mortgage Loan granted or agreed to by the Master Servicer or the Special Servicer pursuant to the terms hereof), and (ii) with respect to any REO Mortgage Loan for any Due Date therefor as of which the related REO Property or an interest therein remains part of the Trust, the scheduled monthly payment of principal and interest deemed to be due in respect thereof on such Due Date equal to the Scheduled Payment (or, in the case of a Balloon Mortgage Loan described in clause (i) of this definition, the Assumed Scheduled Payment) that was due in respect of the related Mortgage Loan on the last Due Date prior to its becoming an REO Mortgage Loan. The amount of the Assumed Scheduled Payment for any A Note shall be calculated solely by reference to the terms of such A Note (as modified in connection with any bankruptcy or similar proceeding involving the related Mortgagor or pursuant to a modification, waiver or amendment of such Mortgage Loan granted or agreed to by the Master Servicer or the Special Servicer pursuant to the terms hereof) and without regard to the remittance provisions of the related Intercreditor Agreement.

  • Unscheduled Payments With respect to any Distribution Date, all payments and collections received with respect to the Whole Loan or upon foreclosure or liquidation of the Property (net of related foreclosure expenses and Liquidation Expenses) during the related Collection Period including, but not limited to, prepayments due to acceleration of the Whole Loan, Net Liquidation Proceeds, Net Foreclosure Proceeds, Condemnation Proceeds, Insurance Proceeds, voluntary prepayments and other payments and collections on the Trust Loan or Whole Loan, as applicable, not scheduled to be received, other than Monthly Payments or any Balloon Payment.

  • Earnout Payment has the meaning set forth in Section 2.3(b).

  • Servicer Prepayment Charge Payment Amount The amounts payable by the Servicer in respect of any waived Prepayment Charges pursuant to Section 2.05 or Section 3.01.

  • Scheduled Payment The scheduled monthly payment on a Mortgage Loan due on any Due Date allocable to principal and/or interest on such Mortgage Loan which, unless otherwise specified herein, shall give effect to any related Debt Service Reduction and any Deficient Valuation that affects the amount of the monthly payment due on such Mortgage Loan.

  • Initial Monthly Payment Fund An amount representing scheduled principal amortization and interest at the Net Mortgage Rate for the Due Date in the first Due Period commencing subsequent to the Cut-off Date for those Mortgage Loans for which the Trustee will not be entitled to receive such payment, and as more specifically defined in the Series Supplement.

  • Deferred Sales Charge Payment Dates means the dates specified for deferred sales fee installments under "Investment Summary--Fees and Expenses" in the Prospectus for the Trust.

  • Earn-Out Payments has the meaning set forth in Section 2.3(a).

  • Debit Payment means a particular transaction where a debit is made.

  • Payment Cap For each Mortgage Loan, the percentage limit set forth in the related Mortgage Note concerning the maximum permitted increase in a monthly payment.

  • Make-Whole Payment means, with respect to any Series 2018-2 Note on any Optional Repurchase Distribution Date, the pro rata share with respect to such Series 2018-2 Note of the excess, if any, of (x) the sum of the Discounted Values for each Remaining Distribution Amount with respect to each Applicable Distribution Date over (y) the Series 2018-2 Invested Amount as of such Optional Repurchase Distribution Date (determined after giving effect to any payments made pursuant to Section 2.5(a) on such Distribution Date).

  • Insured Payments means, with respect to any Distribution Date, the aggregate amount actually paid by the Certificate Insurer to the Trustee in respect of (i) Insured Amounts for a Distribution Date and (ii) Preference Amounts for any given Business Day.

  • Scheduled Payment Date means a date on which a payment or delivery is to be made under Section 2(a)(i) with respect to a Transaction.

  • Escrowed Payment means an aggregate cash payment of up to $250,000;

  • Required Payment shall have the meaning assigned such term in Section 4.04.