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.