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 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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Examples of Contractual adjustments in a sentence

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

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

  • Contractual adjustments, the results of arrangements to provide services for other than established rates, are reported as revenue deductions and allowances.

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

  • Contractual adjustments include differences between established billing rates and amounts estimated by management as reimbursable under various reimbursement formulas or contracts in effect.

  • Contractual adjustments include differences between established billing rates and amounts reimbursable under various contractual agreements.

  • Contractual adjustments result from the difference between gross charges and the established or negotiated rates for physician services performed and amounts management estimates to be collected by certain third-party commercial insurance companies, government sponsored health care programs and other third parties (not including personal guarantors of patients).

  • Contractual adjustments represent the difference between the Community’s standard rates and the rates paid by third party payors.

  • Contractual adjustments arise due to the terms of certain reimbursement contracts.


More Definitions of Contractual adjustments

Contractual adjustments means the difference between the amounts
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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 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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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 adjustments or write off of charges taken in accordance with third party payer contracts.
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Related to Contractual adjustments

  • True-Up Adjustment means any Annual True-Up Adjustment or Interim True-Up Adjustment, as the case may be.

  • Final Adjustment has the meaning set forth in Section 10.3.B(2) hereof.

  • Final Adjustment Amount has the meaning set forth in Section 2.4(c).

  • Contract Adjustment Payments means the payments payable by the Company on the Special Payment Date or the Payment Dates in respect of each Purchase Contract, at a rate per year of [•]% of the Stated Amount per Purchase Contract.

  • 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.

  • Tax Adjustment has the meaning set forth in Section 4.7.

  • 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.

  • Net Working Capital Adjustment means (a) the amount by which Net Working Capital as of immediately prior to the Closing exceeds Target Net Working Capital or (b) the amount by which Net Working Capital as of immediately prior to the Closing is less than Target Net Working Capital, in each case, if applicable; provided, that any amount which is calculated pursuant to clause (b) above shall be deemed to be a negative number.

  • Equity Adjustment means the dollar amount resulting by subtracting the Book Value, as of Bank Closing, of all Liabilities Assumed under this Agreement by the Assuming Bank from the purchase price, as determined in accordance with this Agreement, as of Bank Closing, of all Assets acquired under this Agreement by the Assuming Bank, which may be a positive or a negative number.

  • Consolidated Working Capital Adjustment means, for any period of determination on a consolidated basis, the amount (which may be a negative number) by which Consolidated Working Capital as of the beginning of such period exceeds (or is less than) Consolidated Working Capital as of the end of such period.

  • Net Working Capital Adjustment Amount means an amount (which may be a positive or negative number) equal to (a) the Closing Date Net Working Capital minus (b) the Target Net Working Capital.

  • Total After-Tax Payments means the total of all “parachute payments” (as that term is defined in Section 280G(b)(2) of the Code) made to or for the benefit of the Executive (whether made hereunder or otherwise), after reduction for all applicable federal taxes (including, without limitation, the tax described in Section 4999 of the Code).

  • Working Capital Adjustment has the meaning set forth in Section 2.5(a).

  • Closing Adjustment has the meaning set forth in Section 2.04(a)(ii).

  • Extra Contractual Obligations shall be defined as those liabilities not covered under any other provision of this Contract and that arise from the handling of any claim on business covered hereunder, such liabilities arising because of, but not limited to, the following: failure by the Company to settle within the Policy limit, or by reason of alleged or actual negligence, fraud or bad faith in rejecting an offer of settlement or in the preparation of the defense or in the trial of any action against its insured or reinsured or in the preparation or prosecution of an appeal consequent upon such action.

  • Working Capital Adjustment Amount means an amount, which may be positive or negative, calculated in accordance with Schedule C, equal to the difference of (a) the Closing Date Adjusted Working Capital minus (b) the Preliminary Adjusted Working Capital.

  • Contract Term Adjustment means adjustment only as provided for in the three circumstances described in this Subsection. Under these circumstances, the contract term shall be adjusted in writing to include additional calendar days in one or more Normal Operating Seasons equal to the actual time lost, except as limited by paragraph (b) in this Subsection.

  • 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).

  • Annual Capital Expenditure Adjustment means, for any retail Property, an amount equal to the product of (a) $0.15 multiplied by (b) the aggregate net rentable area (determined on a square feet basis) of all such Properties.

  • Standard Contractual Clauses means the clauses attached hereto as Exhibit 1 pursuant to the European Commission’s decision (C(2010)593) of 5 February 2010 on Standard Contractual Clauses for the transfer of personal data to processors established in third countries which do not ensure an adequate level of data protection.

  • Pro Forma Disposal Adjustment means, for any Test 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 Test Period prior to its disposal.

  • True-Up Amount means the difference between the ABO calculated by using the member’s actual creditable service and the actual final average compensation as of the member’s effective date in the FRS Investment Plan and the ABO initially transferred.

  • Principal Adjustment In the event that the Class B-1 Optimal Principal Amount, Class B-2 Optimal Principal Amount, Class B-3 Optimal Principal Amount, Class B-4 Optimal Principal Amount, Class B-5 Optimal Principal Amount or Class B-6 Optimal Principal Amount is calculated in accordance with the proviso in such definition with respect to any Distribution Date, the Principal Adjustment for such Class of Class B Certificates shall equal the difference between (i) the amount that would have been distributed to such Class as principal in accordance with Section 4.01(a) for such Distribution Date, calculated without regard to such proviso and assuming there are no Principal Adjustments for such Distribution Date and (ii) the Adjusted Principal Balance for such Class.