Encounter Rate definition

Encounter Rate means the Encounter Rate set forth on the Order Form.
Encounter Rate means the all-inclusive PPS rate that the Department reimburses an FQHC for an encounter pursuant to 42 USC 1396a (bb);
Encounter RateThe payment made to Medical Group for Covered Services rendered to a Customer during an encounter. Unless otherwise specified in this Appendix, such payment shall be considered payment in full, less any applicable Customer Expenses, for all Covered Services rendered to the Customer by the Medical Group. Payor shall pay Medical Group for covered Health Services rendered to Customers the lesser of (1) Medical Group’s Customary Charge, less any applicable Member Expense or (2) the applicable Case Rate less any applicable Member Expense.

Examples of Encounter Rate in a sentence

  • The rate of payment shall be set at the Encounter Rate established by the IHS on an annual basis and published in the Federal Register.

  • All Covered Services* Encounter Rate* [****] * The Encounter Rate Payment includes payment in full for all services and supplies billed during an entire patient encounter.

  • If You select the Flat Monthly Rate, each Encounter that exceeds the maximum Encounter volume allotment will be subject to the per Encounter Rate specified in Exhibit A.

  • This means that the total payments may or may not be equal to the total Enhancement payments that are owed based on the actual number of visits that month. Third, a reconciliation process is conducted after the end of the year to ensure that the total payments received by each clinic from both the MCOs and HCA are equal to the clinic’s Encounter Rate times the number of visits Medicaid beneficiaries actually made to the clinic.

  • Under state regulations, a Rural Health Clinic (RHC) is supposed to receive an Encounter Rate payment for each visit by a Medicaid beneficiary that is based on the clinic’s cost per visit.

  • The Encounter Rate will be paid, less any applicable Customer Expenses, for all Covered Services rendered to the Customer by the Medical Group, only once every six months from the initial date of service to the Customer, or first date of service after a six month period has expired, whichever is later.

  • Encounter Rate Inputs 15 Operating Period [hrs] 15 Speed [kts] 16 Swath [ft] 16 3b.

  • The Agreement must reimburse THPs for outpatient pharmacy services at the IHS All Inclusive Rate (AIR), also known as the Office of Management and Budget (OMB) Encounter Rate.

  • Table: Total Program Cost and Encounter Rate This table summarizes each BU’s and/or subcontractor’s total TCM cost and calculates the cost per encounter rate for each BU and/or subcontractor.

  • Additionally, FQHCs, RHCs, Encounter Rate Clinics and Critical Clinic Providers may bill these codes, fee-for-service, at the rate established by the Department as listed on the COVID-19 Fee Schedule.


More Definitions of Encounter Rate

Encounter Rate means the Anthem Rate that is all-inclusive of professional, technical and facility charges including evaluation and management, pharmaceuticals, routine surgical and therapeutic procedures, and diagnostic testing (including laboratory and radiology) capable of being performed on site. "Fee Schedule(s)" means the complete listing of Anthem Rate(s) for specific services that is payment for each unit of service allowed based on applicable Coded Service Identifier(s) for Covered Services.

Related to Encounter Rate

  • Turnover Rate means the period of time (usually in hours) required to circulate a volume of water equal to the pool or spa capacity.

  • Curr Rate CLTV: Prin Bal: Maturity Date: Lien Pos: 4104753 WY 241 14 84265 40600 489.91 722 410475300000000 9 239 1 112000 11/22/2000 26 Cheyenne 82001 2 13.490 112 40566.5 12/01/2020 2 4104771 IL 181 14 166909 47400 623.3 687 410477100000000 6 179 1 185500 11/22/2000 49 Xxxxxxxx 60103 2 13.750 116 47319.82 12/01/2015 2 4104797 IN 301 14 103471 39600 454.09 748 410479700000000 8 299 1 115000 11/29/2000 47 Carmel 46032 2 13.250 125 39583.15 12/04/2025 2 4104815 IN 181 14 81357 23125 302.17 689 410481500000000 6 180 1 87500 12/08/2000 36 Seymour 47274 2 13.630 120 23085.4 01/01/2016 2 4104842 MI 181 4 34420 35000 465.88 683 410484200000000 6 179 1 60000 11/27/2000 41 Sterling Height 48312 2 13.990 116 34942.16 12/01/2015 2 4104870 NE 301 14 34273 28000 413.71 650 410487000000000 8 300 1 50000 12/11/2000 45 Xxxxxxxx 68319 2 17.500 125 28000 01/01/2026 2 4104879 IL 181 9 145656 50000 712.68 661 410487900000000 6 178 1 157000 10/13/2000 37 OSWEGO 60543 2 15.380 125 49854.97 11/01/2015 2 4104916 PA 301 14 46542 34000 415.8 691 410491600000000 8 300 1 65000 12/05/2000 38 Bethlehem 18018 2 14.250 124 33987.95 01/01/2026 2 4104922 FL 181 14 69816 35000 465.88 698 410492200000000 6 179 1 85000 11/22/2000 49 Miami 33169 2 13.990 124 34883.65 12/01/2015 2 4104961 AZ 241 14 86158 57550 673.84 728 410496100000000 9 240 1 115000 12/08/2000 32 Glendale 85308 2 12.990 125 57550 01/01/2021 2 4105059 NJ 301 14 142700 49000 552.28 687 410505900000000 8 299 1 175000 11/28/2000 50 Somerville 8876 2 12.990 110 48978.14 12/04/2025 2 4105078 MI 301 14 78750 20000 232.98 711 410507800000000 8 299 1 79000 11/21/2000 45 Manton 49663 2 13.490 125 19991.85 12/01/2025 2 4105272 SC 301 14 73750 20000 235.03 695 410527200000000 8 300 1 75000 12/07/2000 39 Greenville 29609 2 13.630 125 19992.05 01/01/2026 2 4105298 IN 301 14 89533 25400 286.28 741 410529800000000 8 300 1 92000 12/11/2000 39 Bloomfield 47424 2 12.990 125 25400 01/01/2026 2 4105349 IL 181 14 148000 40500 525.55 726 410534900000000 6 180 1 165000 12/12/2000 44 Lake Villa 60046 2 13.490 115 40429.74 01/01/2016 2 4105385 IL 181 14 39861.77 47600 621.97 681 410538500000000 6 180 1 70000 12/13/2000 37 Chillocothe 61523 2 13.630 125 47518.49 01/01/2016 2 Page 261 of 409

  • Error Rate is the total number of Failed Requests divided by Total Requests, across all Resources in a given Azure subscription, during a given one-hour interval. If the Total Requests in a given one-hour interval is zero, the Error Rate for that interval is 0%.

  • SOFR Rate means the rate that will be calculated by the Calculation Agent for each Accrual Period on the SOFR Adjustment Date as of the SOFR Determination Time (or, if the Benchmark is not SOFR, the Reference Time) and, except as provided below following a determination by the Administrator that a Benchmark Transition Event and its related Benchmark Replacement Date have occurred, shall mean, with respect to the Class A-2b Notes as of any SOFR Adjustment Date, a rate equal to Compounded SOFR; provided, that, the Administrator will have the right, in its sole discretion, to make applicable SOFR Adjustment Conforming Changes.

  • CMS Rate means the applicable swap rate for swap transactions in the Reference Currency with a maturity of the Designated Maturity, expressed as a percentage, which appears on the Relevant Screen Page as at the Specified Time on the relevant Interest Determination Date in question, all as determined by the Calculation Agent.

  • Swap Rate means a charge by the Company for the interest cost and associated costs (positive or negative) incurred in relation to the overnight rollover (s) of an open position;

  • CMT Rate means, in relation to a Reset Period and the Reset Determination Date in relation to such Reset Period, the rate determined by the Calculation Agent, and expressed as a percentage, equal to:

  • Interest Rate Basis means the Base Rate Basis or the LIBOR Basis, as appropriate.

  • Cost of Funds Rate means, for any Accrual Period and any Lender, the rate determined as set forth below:

  • CD Rate means: (1) the rate on the particular Interest Determination Date for negotiable United States dollar certificates of deposit having the Index Maturity specified on the face hereof as published in H.15(519) (as defined below) under the caption “CDs (secondary market)”; or (2) if the rate referred to in clause (1) is not so published by 3:00 P.M., New York City time, on the related Calculation Date, the rate on the particular Interest Determination Date for negotiable United States dollar certificates of deposit of the particular Index Maturity as published in H.15 Daily Update (as defined below), or other recognized electronic source used for the purpose of displaying the applicable rate, under the caption “CDs (secondary market)”; or (3) if the rate referred to in clause (2) is not so published by 3:00 P.M., New York City time, on the related Calculation Date, the rate on

  • Commercial Paper Rate means: (1) the

  • Base CD Rate means the sum of (a) the Three-Month Secondary CD Rate multiplied by the Statutory Reserve Rate plus (b) the Assessment Rate.

  • Capitation rate means the fee the department pays monthly to an HMO for each enrolled recipient for the provision of covered medical and health services whether or not the enrolled recipient received services during the month for which the fee is intended.

  • Three-Month LIBOR Rate means the rate determined in accordance with the following provisions:

  • Federal Funds Open Rate means the rate set forth on Moneyline Telerate (or any successor service) on page 5 (or any other page as may replace the specified page on that service) for an Interest Determination Date underneath the caption “FEDERAL FUNDS” in the row titled “OPEN”. If the rate is not available for an Interest Determination Date, the rate for that Interest Determination Date shall be the Federal Funds Rate as determined below.

  • Adjusted CD Rate has the meaning set forth in Section 2.07(b).

  • Calculation Rate For each Distribution Date, in the case of the Class A and Class B Interests, the product of (i) 10 and (ii) the weighted average rate of the outstanding Class A and Class B Interests, treating each Class A Interest as capped at zero or reduced by a fixed percentage of 100% of the interest accruing on such Class.

  • Late Payment Rate As defined in the Insurance Agreement.

  • Daily Adjusting LIBOR Rate means, for any day, a per annum interest rate which is equal to the quotient of the following: (1) for any day, the per annum rate of interest determined on the basis of the rate for deposits in United States Dollars for a period equal to one (1) month appearing on Page BBAM of the Bloomberg Financial Markets Information Service as of 8:00 a.m. (California time) (or as soon thereafter as practical) on such day, or if such day is not a Business Day, on the immediately preceding Business Day. In the event that such rate does not appear on Page BBAM of the Bloomberg Financial Markets Information Service (or otherwise on such Service) on any day, the “Daily Adjusting LIBOR Rate” for such day shall be determined by reference to such other publicly available service for displaying eurodollar rates as may be reasonably selected by Bank, or in the absence of such other service, the “Daily Adjusting LIBOR Rate” for such day shall, instead, be determined based upon the average of the rates at which Bank is offered dollar deposits at or about 8:00 a.m. (California time) (or as soon thereafter as practical), on such day, or if such day is not a Business Day, on the immediately preceding Business Day, in the interbank eurodollar market in an amount comparable to the outstanding principal amount of the Obligations and for a period equal to one (1) month; divided by (2) 1. 00 minus the maximum rate (expressed as a decimal) on such day at which Bank is required to maintain reserves on “Euro-currency Liabilities” as defined in and pursuant to Regulation D of the Board of Governors of the Federal Reserve System or, if such regulation or definition is modified, and as long as Bank is required to maintain reserves against a category of liabilities which includes eurodollar deposits or includes a category of assets which includes eurodollar loans, the rate at which such reserves are required to be maintained on such category.

  • Daily LIBOR Rate means, for any day, the rate per annum determined by the Agent by dividing (x) the Published Rate by (y) a number equal to 1.00 minus the Reserve Percentage.

  • Auto-Call Trigger Rate means the applicable percentage in respect of the relevant Auto-Call Valuation Date on which an Auto-Call Trigger Event has occurred as set out in the definition of Auto-Call Trigger Level above (i.e. as shown in the same row as that date).

  • LIBO Base Rate means with respect to each day an Advance is outstanding (or if such day is not a Business Day, the next succeeding Business Day), the rate per annum equal to the rate published by Bloomberg or if such rate is not available, the rate appearing at page 3750 of the Telerate Screen as one-month LIBOR on such date, and if such rate shall not be so quoted, the rate per annum at which the Lender is offered Dollar deposits at or about 11:00 A.M., eastern time, on such date by prime banks in the interbank eurodollar market where the eurodollar and foreign currency and exchange operations in respect of its Advances are then being conducted for delivery on such day for a period of one month and in an amount comparable to the amount of the Advances to be outstanding on such day.

  • SOFR Rate Day has the meaning specified in the definition of “Daily Simple SOFR”.

  • Reference Dealer Rate means with respect to the Reference Dealers and the Optional Redemption Date, the average of the five quotations of the mid-market annual yield to maturity of the Reference Bond or, if the Reference Bond is no longer outstanding, a similar security in the reasonable judgement of the Reference Dealers at 11.00 a.m. London time on the third business day in London preceding the Optional Redemption Date quoted in writing to the Issuer by the Reference Dealers.

  • One Month LIBOR Rate means, with respect to any interest rate calculation for a Loan or other Obligation bearing interest at the Alternate Base Rate, a rate per annum equal to the quotient (rounded upward if necessary to the nearest 1/16th of one percent (0.0625%)) of (i) the rate per annum referred to as the BBA (British Bankers Association) LIBOR RATE as reported on Reuters LIBOR page 1, or if not reported by Reuters, as reported by any service selected by Administrative Agent on the applicable day (provided that if such day is not a Eurodollar Banking Day for which a Eurodollar Rate is quoted, the next preceding Eurodollar Banking Day for which a Eurodollar Rate is quoted) at or about 11:00 a.m., London time (or as soon thereafter as practicable), for Dollar deposits being delivered in the London interbank eurodollar currency market for a term of one month commencing on such date of determination, divided by (ii) one minus the Reserve Requirement in effect on such day. If for any reason rates are not available as provided in clause (i) of the preceding sentence, the rate to be used in clause (i) shall be, at Administrative Agent’s discretion (in each case, rounded upward if necessary to the nearest one-sixteenth (1/16) of one percent (0.0625%)), (1) the rate per annum at which Dollar deposits are offered to the Administrative Agent in the London interbank eurodollar currency market or (2) the rate at which Dollar deposits are offered to the Administrative Agent in, or by Xxxxx Fargo to major banks in, any offshore interbank eurodollar market selected by Administrative Agent, in each case on the applicable day (provided that if such day is not a Eurodollar Banking Day for which Dollar deposits are offered to Administrative Agent in the London interbank eurodollar currency market, the next preceding Eurodollar Banking Day for which Dollar deposits are offered to Administrative Agent in the London interbank eurodollar currency market) at or about 11:00 a.m., London time (or as soon thereafter as practicable) (for delivery on such date of determination) for a one month term. Each determination by Administrative Agent pursuant to this definition shall be conclusive absent manifest error.

  • Mid-Swap Rate means, in relation to a Reset Determination Date and subject to Condition 3(b)(ii), either: