AIPBP Fee Reduction definition

AIPBP Fee Reduction means the 100% reduction in Medicare FFS payments to selected Next Generation Participants and Preferred Providers, who have agreed to receive no payment from Medicare for Covered Services furnished to Next Generation Beneficiaries to account for the Monthly AIPBP Payments made by CMS to the ACO under AIPBP.
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Examples of AIPBP Fee Reduction in a sentence

  • The proposed list also identified which individuals and entities, if any, had agreed to receive a PBP Fee Reduction or AIPBP Fee Reduction, and specified the Benefit Enhancements, if any, in which each individual or entity had agreed to participate.

  • The proposed list also identified which individuals and entities, if any, had agreed to receive an AIPBP Fee Reduction, and specified the Benefit Enhancements, if any, in which each individual or entity had agreed to participate.

  • The AIPBP Fee Reductions do not affect the calculation of Shared Savings or Shared Losses, which will continue to be based on the amount of the FFS payments that would have been made in the absence of the AIPBP Fee Reduction.

  • Require the ACO to reimburse Initiative Participants and Preferred Providers for all Covered Services that Medicare would have otherwise paid for, but for the AIPBP Fee Reduction.

  • The ACO shall have a written payment arrangement with each AIPBP-participating Initiative Participant or Preferred Provider that establishes how the ACO will make payments to the AIPBP-participating Initiative Participant or Preferred Provider for Covered Services that are subject to the AIPBP Fee Reduction (“AIPBP Payment Arrangement”).

  • Require the ACO to reimburse Next Generation Participants and Preferred Providers for all Covered Services that Medicare would have otherwise paid for, but for the AIPBP Fee Reduction.

  • The Proposed Preferred Provider List must identify each individual or entity by name, NPI, TIN, Legacy TIN (if applicable), and CCN (if applicable), and any PBP Fee Reduction, AIPBP Fee Reduction (if applicable) and participation in any benefit enhancements (if applicable).

  • For the period from January 1 through March 31, 2017, no Monthly AIPBP Payments will be made to the ACO and no AIPBP Fee Reductions will be made to payments to Next Generation Participants and Preferred Providers who have agreed to receive the AIPBP Fee Reduction for the 2017 Performance Year.

  • The ACO shall have a written payment arrangement with each AIPBP-participating Next Generation Participant or Preferred Provider that establishes how the ACO will make payments for Covered Services that are subject to the AIPBP Fee Reduction (“AIPBP Payment Arrangement”).

  • Such written confirmation of consent must be in the form of a completed AIPBP Fee Reduction Agreement signed by an individual legally authorized to act for the entity through whose TIN the Next Generation Participant or Preferred Provider bills Medicare.