Medicare provider reimbursement definition

Medicare provider reimbursement means the Medicare-allowed amount less any portion thereof to be paid by the Medicare beneficiary as a deductible or coinsurance.
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Examples of Medicare provider reimbursement in a sentence

  • New Operator shall assume any and all of Kindred’s rights and interests in and to Kindred’s Medicare provider number and Medicare provider reimbursement agreement with respect to the Facility (together, “Kindred’s Medicare Provider Agreement”) and shall xxxx Medicare under such provider numbers for services rendered by New Operator after the Closing Date pursuant to the Billing Services Agreement substantially in the form of Exhibit 7.1 attached hereto (the “Billing Services Agreement”).

  • Party A has the right to require adjustment or modification to services that failed to achieve such targets for three (3) months consecutively.

  • Accordingly, in this case the debtor’s rights under the provider agreements to participate in the Medicaid and Medicare provider reimbursement program are properly considered property of the estate.

  • There may be other categories of cost specifical- ly addressed in the Medicare provider reimbursement manual that need to be removed, and the Blue Cross treatment may vary depending on the specific fact pattern.

  • Table 4 provides further evidence by comparing elasticities for Medicare provider reimbursement with Medicare cost-sharing payments.

  • The received amount was utilised for purchase of equipment and networking.

Related to Medicare provider reimbursement

  • Health care provider or "provider" means:

  • Medicaid means that government-sponsored entitlement program under Title XIX, P.L. 89-97 of the Social Security Act, which provides federal grants to states for medical assistance based on specific eligibility criteria, as set forth on Section 1396, et seq. of Title 42 of the United States Code.

  • Indian Health Care Provider means a health care program operated by the Indian Health Service (IHS) or by an Indian Tribe, Tribal Organization, or Urban Indian Organization (otherwise known as an I/T/U) as those terms are defined in § 4 of the Indian Health Care Improvement Act (25 USC § 1603). Indian Health Care Provider includes a 638 Facility and provision of Indian Health Service Contract Health Services (IHS CHS).

  • Dependent care assistance program or "DCAP" means a benefit plan whereby school employees may pay for certain employment related dependent care with pretax dollars as provided in the salary reduction plan under chapter 41.05 RCW pursuant to 26 U.S.C. Sec. 129 or other sections of the Internal Revenue Code.

  • Licensed health care professional means a person who possesses a professional medical license that is valid in Oregon. Examples include, but are not limited to, a registered nurse (RN), nurse practitioner (NP), licensed practical nurse (LPN), medical doctor (MD), osteopathic physician (DO), respiratory therapist (RT), physical therapist (PT), physician assistant (PA), or occupational therapist (OT).