Medical Fee Schedule definition

Medical Fee Schedule means the Medicare Resource-Based Relative Value Scale (RBRVS) 31 listed in the Federal Register on November 22, 1996 or the version in effect at time of execution of this 32 Agreement.
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Medical Fee Schedule means a list of medical procedures and the medical codes used and fees charged for those medical procedures.[PL 2011, c. 338, §4 (NEW).]
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Medical Fee Schedule means the schedule of maximum charges, subject to § 627.736(5)(a), Florida Statutes, as amended, and the Limits of Liability set forth below, that apply to limit the reimbursement for medical expenses and medically necessary.
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Examples of Medical Fee Schedule in a sentence

  • These services shall be invoiced pursuant to the German Medical Fee Schedule (GOÄ).

  • Contractor shall forward bills submitted by medical providers to City’s selected managed care vendor for appropriate California Official Medical Fee Schedule (“OMFS”) reductions prior to payment.

  • The MCO shall reduce medical and disability costs by assisting with coordination of treatment and preventing over- utilization of treatment or treatment that is not in accordance with scientifically evidenced based and peer reviewed treatment guidelines (State mandated and/or nationally recognized by the medical community.) The MCO shall reject or reduce billed charges that are not authorized or in accordance with the California Official Medical Fee Schedule (OMFS).

  • For Covered Services rendered to Enrollees within the Workers Comp Network, Provider will be paid in accordance with the applicable Idaho WC Medical Fee Schedule at the following Payment Rate.

  • Contractor shall analyze all medical, pharmacy, and other invoices with its xxxx review system and staff and provide maximum reductions for each xxxx to amounts allowed by the California Division of Workers' Compensation's Official Medical Fee Schedule or the respective fee schedule for out-of- state bills, PPO rates, usual customary and reasonable (UCR) rates, contract rates listed in Attachment E - Discount Rates and Fees and other negotiated contract rates.

  • For Workers’ Compensation Patients, the PROVIDER shall be reimbursed by Payor, at the lesser of the eight-five percent (85%) of the Official Medical Fee Schedule (OMFS), the negotiated PPO rates listed in the Exhibit A or the PROVIDER’s billed charges, less any applicable copayments, coinsurances, deductibles, which are the financial responsibility of the Patient.

  • The conversion factor per RVU is as follows, 25 which factor shall be modified by the INTERMEDIARY as the Medical Fee Schedule is modified by 26 Law or regulation and in effect upon execution of this Agreement.

  • For Workers’ Compensation Patients, the PROVIDER shall be reimbursed by Xxxxx, at the lesser of the ninety percent (90%) of the Official Medical Fee Schedule (OMFS), the negotiated PPO rates listed in the Exhibit A or the PROVIDER’s billed charges, less any applicable copayments, coinsurances, deductibles, which are the financial responsibility of the Patient.

  • For Workers’ Compensation Patients, the PROVIDER shall be reimbursed by Xxxxx, at the lesser of the eight-five percent (85%) of the Official Medical Fee Schedule (OMFS), the negotiated PPO rates listed in the Exhibit A or the PROVIDER’s billed charges, less any applicable copayments, coinsurances, deductibles, which are the financial responsibility of the Patient.

  • Reviewable bills All Medical Fee Schedule bills will be referred to the Athens Bill Review Vendor for review in accordance with regulatory and contractual requirements.


More Definitions of Medical Fee Schedule

Medical Fee Schedule means that list of services, procedures and supplies to which have been assigned a maximum fee or percentage of a fee payable by an automobile insurer for expenses incurred as a result of the rendering to an insured any of those specific services, procedures or supplies for injuries, which list is set forth at
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Medical Fee Schedule means the national Medicare Resource-Based Relative Value Scale
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Related to Medical Fee Schedule

  • Fee Schedule has the meaning ascribed thereto in Section 3.1 hereof.

  • Transition Services Agreement means a transition services agreement substantially in the form attached hereto as Exhibit C to be entered into between Seller and Purchaser at the Closing.

  • Multiphase professional services contract means a contract for the providing of professional

  • Professional Fee Order means the order entered by the Bankruptcy Court on July 16, 2001, authorizing the interim payment of Professional Claims, as may be amended from time to time prior to the entry on the docket of the Confirmation Order.

  • Family support services means providing opportunities for

  • Professional Fee Amount means the aggregate amount of Professional Fee Claims and other unpaid fees and expenses that Professionals estimate they have incurred or will incur in rendering services to the Debtors prior to and as of the Confirmation Date, which estimates Professionals shall deliver to the Debtors as set forth in Article II.B of the Plan.

  • Service Schedule means the document entitled “Service Schedule” containing additional terms relating to a particular Service which schedule shall form part of this Agreement;

  • Professional Services Agreement means the agreement attached hereto as Exhibit C and all written statements of work signed by Licensee and related thereto.

  • Palliative and supportive care means care and support aimed mainly at lessening or controlling pain or symptoms; it makes no attempt to cure the Covered Person's terminal Illness or terminal Injury.

  • Transitional Services Agreement means that certain Transitional Services Agreement to be entered into at the Closing between Seller or any of its Affiliates on the one hand, and Purchaser, on the other hand, in the form of Exhibit 10.1.236.

  • Shared Services Agreement means an agreement entered into between two or more municipalities, including the District Municipality, whereby the participating municipalities agree to share services described in the agreement;

  • Transition Services Agreements means the transition services agreements between the Purchaser and one or more of the Sellers in substantially the forms attached hereto as Exhibit D and Exhibit E.

  • Independent living services means services and activities provided to a child in foster care 14 years

  • Hosting Services means the provision, administration, and maintenance of servers and related equipment, the provision of bandwidth at the hosting facility, and the operation of the Application for access by Customer Users to be provided by the relevant hosting service provider.

  • Routine patient care costs means Covered Medical Expenses which are typically provided absent a clinical trial and not otherwise excluded under the Policy. Routine patient care costs do not include:

  • Payment Initiation Service Provider or “PISP” means an authorised third party provider which provides a service that allows that third party to pass payment instructions to us on your behalf in relation to your Account.

  • Maritime cargo handling services means activities exercised by stevedore companies, including terminal operators, but not including the direct activities of dockers, when this workforce is organised independently of the stevedoring or terminal operator companies. The activities covered include the organisation and supervision of:

  • Family planning services means services for clients of child bearing age (including minors who can be considered to be sexually active) who desire such services and that are intended to prevent pregnancy or otherwise limit family size.

  • Program services means services that include all of the following provided they are pursuant to a program agreement: program needs assessment and development, job task analysis, curriculum development and revision, instruction, instructional materials and supplies, computer software and upgrades, instructional support, administrative and student services, related school to career training programs, skill or career interest assessment services and testing and contracted services.

  • Basic health plan services means that schedule of covered

  • Basic generation service provider or "provider" means a

  • Master Services Agreement means the master services agreement dated as of the date hereof, among the Service Providers, the Partnership, the Holding LP, the Holding Entities and others;

  • Managed Services means the services provided by a Client to End Users using the SaaS and Client’s intellectual capital and/or additional services supplied by Client.

  • Provider fee means the consideration paid for a service contract.

  • Community support services means services authorized,