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Case rate definition

Case rate means the maximum premium rate or schedule of premium rates permitted to be charged with respect to the cov- erage of a creditor. Unless a higher premium rate or schedule of premium rates is approved by the commissioner, the case rate is the prima facie premium rate or schedule of premium rates.
Case rate means a method of payment based on diagnosis. Case
Case rate means a method of payment based on diagnosis. Case rate assumes that a given set of services shall be provided and the rate is based on the total compensation for those services.

Examples of Case rate in a sentence

  • Case rate and package rate pricing should not result in expected payment that is less than what the facility would expect had the Uninsured Patient Discount been applied to undiscounted charges for the services.

  • Case rate methodology is an all-inclusive rate for an episode of care for a specific clinical condition paid to a facility.

  • The strike rate is also known as the Worst Case rate; • the Expiry Date is six months after the Trade date; • the premium calculated by WUIB to be paid is equivalent to 2,5% of the Contracted notional amount.

  • Case rate payments are adjusted based on the service utilization provided during the lookback period per Table 1.

  • Assume the following conditions:• the current Spot Rate is 1,61500 and six month Forward rate is 1,61250; • strike rate is 1,6300; The strike rate is also known as the Worst Case rate; • Expiry Date is six months after Trade date; • premium calculated by WUIB to be paid is equivalent to 2.3% of the Contracted notional amount of the contract.


More Definitions of Case rate

Case rate means a flat fee paid for newborn nurse home visiting services. The case rate includes all newborn nurse home visiting services, including Community Lead Service Requirements outlined in OAR 333-006-0050 and Newborn Nurse Home Visiting Provider and Service Requirements outlined in OAR 333-006-0100 through333-006-0130. The case rate is also known as a bundled claim.¶
Case rate means the all inclusive Anthem Rate for an entire admission or one outpatient encounter. "Global Case Rate" means the all inclusive Anthem Rate which includes facility, professional and physician services for specific Coded Service Identifier(s).
Case rate means the sum of all allowed charges for Medically Necessary Services provided during or in relation to an Episode of Care (inclusive of all technical, professional, facility, and other medical services) billed by Providers. Covered Services included in a Case Rate commonly include, but are not limited to: (a) the Medically Necessary Services rendered by a Provider during an Episode of Care (b) equipment used by a hospital or facility; (c) in-hospital or in-facility medications or biologics and supplies; (d) implants; (e) laboratory testing and services; (f) in-hospital meals; (g) hospital confinement days; (h) in-hospital or in-facility nursing care; (i) in-hospital physical therapy; and (j) post-discharge follow-up consultations occurring within the applicable global period defined by the Centers for Medicare & Medicaid Services (“CMS”). Services commonly excluded from a Case Rate include, but are not limited to: (1) medical consultations and certain diagnostic testing provided in advance of a medical procedure to determine whether or not such procedure is a Medically Necessary Service; (2) Convenience Items; (3) Travel Services; and (4) any medical procedure or medical care that is not a Medically Necessary Service.
Case rate means the all-inclusive Anthem Rate for an entire admission or one outpatient encounter for Covered Services. Individual services billed shall not be reimbursed separately.
Case rate means the amount to be multiplied by capacity to determine monthly payments to the Contractor from the RBHA.
Case rate means a method of payment for delivery of Services by the Contractor, determined by the formula set out by the EACFS.
Case rate means the amount to be multiplied by capacity to determine monthly payments to the Contractor from the RBHA. -------------------------------------------------------------------------------- [LOGO] Community Partnership FEE FOR SERVICE and RISK-BASED of Southern Arizona SUBCONTRACT AGREEMENT Regional Behavioral CHILDREN SERVICES Health Authority The Providence Service Corporation ------------------------------------------------- CONTRACT NUMBER: A0108 FY 01/02 --------------------------------------------------------------------------------