Examples of APO Fee Reduction in a sentence
If the ACO has selected to participate in the APO for the ACO’s first Performance Year, the ACO shall certify that each individual and entity listed on either the Proposed Participant Provider List or the Proposed Preferred Provider List as participating in the APO at the start of the ACO’s first Performance Year has agreed to an APO Fee Reduction that is a percentage within the range of 1% and 100%.
The ACO shall ensure that the ACO REACH Model: Fee Reduction Agreement specifies the PCC Fee Reduction or TCC Fee Reduction and, if applicable, the APO Fee Reduction agreed upon by the individual or entity from among the applicable percentages specified in this Section 12.02.
If the ACO selected to participate in the APO for the ACO’s first Performance Year as described in Section 8.01, identified each individual or entity that agreed to participate in the APO with the ACO, as well as the applicable APO Fee Reduction for each such individual or entity.
If the ACO has selected to participate in the APO for the relevant Performance Year, the ACO shall ensure that each individual and entity listed on either the Participant Provider List or the Preferred Provider List as participating in the APO at the start of the Performance Year has agreed to an APO Fee Reduction that is a percentage within the range of 1% and 100%.
If the DCE selected to participate in the APO for the DCE’s first Performance Year as described in Section 8.01, identified each individual or entity that agreed to participate in the APO with the DCE, as well as the applicable APO Fee Reduction for each such individual or entity.
If the DCE selected to participate in the APO for the DCE's first Performance Year as described in Section 8.01, identified each individual or entity that agreed to participate in the APO with the DCE, as well as the applicable APO Fee Reduction for each such individual or entity.
If the DCE selected the APO for the DCE's first Performance Year as described in Section 8.01, identified which individuals and entities if any, that opted to participate in the APO and the applicable APO Fee Reduction for each such individual or entity.
Claims data will include data regarding those claims subject to the TCC Fee Reduction (if the DCE has selected TCC Payment as its DC Capitation Payment Mechanism) or the PCC Fee Reduction (if the DCE has selected PCC Payment as its DC Capitation Payment Mechanism) and, if the DCE has selected to participate in the APO, the APO Fee Reduction.