Contractual adjustments definition

Contractual adjustments means the difference between the amounts charged based on the hospital’s full established charges and the amount received or due from the payor.
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Contractual adjustments means the difference between the amounts charged based on the
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Contractual adjustments means the difference in the established charges or rates of the provider and the rates negotiated by Medicare, Medicaid, HMO/PPOs, and Insurers.
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Examples of Contractual adjustments in a sentence

  • Contractual adjustments from the above sources may require adjustment for purposes of the Hospital Financial Survey.

  • Contractual adjustments for services to other than hospital patients.

  • Contractual adjustments for Medicare, Medicaid/PeachCare for Kids™ and other payers are reported separately on the Hospital Financial Survey.

  • Contractual adjustments under third-party reimbursement programs represent the difference between the established rates for services and amounts reimbursed by third-party payors.

  • Contractual adjustments are recorded as deductions from patient service revenue in the period in which the related services are rendered.

  • CONTRACTUAL ADJUSTMENTS Contractual adjustments represent any charges that are not paid by the third-party payers and cannot be billed to the patient pursuant to contractual agreements.

  • Contractual adjustments under the Company’s senior secured credit facilities and indentures relate to adjustments to operating income (loss) permitted under the Company’s senior secured credit facilities and indentures governing the Company’s senior notes primarily related to the treatment of the accounts receivable facility under GAAP that existed when the credit facilities were originally entered into.

  • Contractual adjustments resulting from negotiations with borrowers can lead to two types of modifications of initial contractual cash flows.

  • Contractual adjustments in the provision of health care ser- vices below normal billed charges.

  • Contractual adjustments result from the differences between the rates charged for services and reimbursements by government-sponsored healthcare programs and insurance companies for such services.


More Definitions of Contractual adjustments

Contractual adjustments means the difference between the amounts
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Contractual adjustments as applied to each pool of Purchased Accounts, means the aggregate of amounts disallowed or otherwise not payable to Seller by any third-party Obligors pursuant to terms of payment arrangements with third party Obligors, including, but not limited to, Patient Co-Payments and Patient Deductibles.
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Contractual adjustments means the aggregate of (i) amounts disallowed pursuant to terms of insurance contracts and payment arrangements with third party Payors and (ii) Patient Co-Payments.
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Contractual adjustments means adjustments or write off of charges taken in accordance with third party payer contracts. “Control” and its derivatives means: (a) the legal, beneficial, or equitable ownership, directly or indirectly, of (i) at least fifty percent (50%) of the aggregate of all voting equity interests in an Entity or (ii) equity interests having the right to at least fifty percent (50%) of the profits of an Entity or, in the event of dissolution, to at least fifty percent (50%) of the assets of an Entity; (b) the right to appoint, directly or indirectly, a majority of the board of directors; (c) the right to control, directly or indirectly, the management or direction of the Entity by contract or corporate governance document; or (d) in the case of a partnership, the holding by an Entity (or one of its Affiliates) of the position of sole general partner. “Controls Audit” has the meaning given in Section 9.10(h)(i). “Corporate Compliance Program” means a program established by Supplier, Ascension Health or the applicable Eligible Recipients which has as its goal to ensure that such Entity complies with federal, state and local laws and regulations and is further described in Exhibit 11. “Cost Board” has the meaning given in Exhibit 4-A, Section 1.3(i). “Cost to Collect Factor” means the Additional Book Cost to Collect Factor or the Current Book Cost to Collect Factor, as applicable. “Cost to Collect Numerator” means the Additional Book Cost to Collect Numerator or the Current Book Cost to Collect Numerator, as applicable. “Covered Entity” or “Covered Entities” has the meaning given in Annex 3. “CPOE” means computerized physician order entry. “Credit AR” means negative balance open AR. “CRO” has the meaning given in Exhibit 11, Section 3.1. “Xxxxx” means Xxxxx Xxxxxxx, LLP. “Xxxxx RCA System” means, at any time, the database and financial decision support tool then deployed by Ascension Health for substantially all Eligible Recipients. “Current Book Cost to Collect Factor” has the meaning given in Exhibit 4-A, Section 2.1. “Current Book Cost to Collect Numerator” has the meaning given in Exhibit 4-A, Footnote No. 1. “Current Book Eligible Recipient” has the meaning given in Exhibit 17, Section 1.1. “Current Data Hosting Subcontractor” has the meaning given in Section 9.10(i).
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Contractual adjustments means adjustments or write off of charges taken in accordance with third party payer contracts.
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Related to Contractual adjustments

  • Informal adjustment means an agreement reached among the parties, with consultation, but not the consent, of the victim of the crime or other persons specified in KRS 610.070 if the victim chooses not to or is unable to participate, after a petition has been filed, which is approved by the court, that the best interest of the child would be served without formal adjudication and disposition;

  • Value Adjustments means cash lending revenues and other revenues on collateral in respect of a Series of ETP Securities.

  • CPI Adjustment means the quotient of (i) the CPI for the month of January in the calendar year for which the CPI Adjustment is being determined, divided by (ii) the CPI for January of 2007.

  • Closing Adjustment Amount shall have the meaning set forth in Section 3.2(c).

  • SOFR Adjustment means 0.10% (10 basis points).

  • Post-Closing Adjustment has the meaning set forth in Section 2.04(b)(ii).

  • Pro Forma Disposal Adjustment means, for any four-quarter period that includes all or a portion of a fiscal quarter included in any Post-Transaction Period with respect to any Sold Entity or Business, the pro forma increase or decrease in Consolidated EBITDA projected by the Borrower in good faith as a result of contractual arrangements between the Borrower or any Restricted Subsidiary entered into with such Sold Entity or Business at the time of its disposal or within the Post-Transaction Period and which represent an increase or decrease in Consolidated EBITDA which is incremental to the Disposed EBITDA of such Sold Entity or Business for the most recent four-quarter period prior to its disposal.