After Hours Upward Payment Adjustment definition

After Hours Upward Payment Adjustment means a 15% upward adjustment to the allowed amount for an After Hours Service.
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Examples of After Hours Upward Payment Adjustment in a sentence

  • The individual who signs the consent to receive the After Hours Upward Payment Adjustment must verify the accuracy of the list of Medicare-Enrolled Qualified Health Care Partners, Downstream Practitioners, and Billing Parties billing under that TIN that have affirmatively consented to receive the After Hours Upward Payment Adjustment.

  • Consent to receive the After Hours Upward Payment Adjustment provided by a Medicare-Enrolled Qualified Health Care Partner, Downstream Practitioner, or Billing Party must be renewed annually in order for those Qualified Health Care Partners, Downstream Practitioners, or Billing Parties to continue to participate in the ET3 Model as a Qualified Health Care Partner, Downstream Practitioner, or Billing Party for that Performance Year.Article VII.

Related to After Hours Upward Payment Adjustment

  • Calculation Amount means the amount specified as such on the face of any Note, or if no such amount is so specified, the Denomination Amount of such Note as shown on the face thereof;