Examples of Qualified Health Care Partner in a sentence
Any such agreement must be signed by an individual legally authorized to act for the individual or entity through whose TIN the Qualified Health Care Partner, Downstream Practitioner, or Billing Party bills Medicare.
Except as specified in Article 8.1(d), CMS shall pay a Medicare-Enrolled Qualified Health Care Partner or their Billing Party for Covered Services furnished as part of a Treatment in Place intervention at the applicable Medicare FFS rates, pursuant to Medicare FFS rules and billing guidelines, including the applicable rules regarding debt collection.
If the requirements of Article 8.1(b) and Article 6.3 are met, CMS shall pay a Qualified Health Care Partner or their Billing Party, the After Hours Payment for After Hours Services.
The written confirmation of consent described in this Article 6.3(d) must be renewed annually in advance of the subsequent Performance Year in order for those Qualified Health Care Partners, Downstream Practitioners, and Billing Parties to continue to participate in the ET3 Model as a Qualified Health Care Partner, Downstream Practitioner, or Billing Party for that Performance Year.
The arrangement requires the Qualified Health Care Partner to participate in the Model and furnish Covered Services to ET3 Model Beneficiaries as part of a Treatment in Place intervention, or to arrange for Covered Services to be furnished by a Downstream Practitioner to ET3 Model Beneficiaries as part of a Treatment in Place intervention.
The arrangement includes written confirmation of the Qualified Health Care Partner’s consent to bill and receive payment for Covered Services furnished as part of a Treatment in Place intervention as described in Article 8.1 and, if applicable, also requires the Qualified Health Care Partner to ensure that its Billing Parties provide written confirmation of the Billing Parties’ consent to bill and receive payment for such Covered Services as described in Article 8.1.
The arrangement requires the Qualified Health Care Partner to collect and report to the Participant data on an Encounter, as necessary and appropriate, to ensure that the Participant makes data submissions to CMS in accordance with Article 16 and requires the Qualified Health Care Partner to impose this requirement on its Downstream Practitioners and Billing Parties.
The Participant must ensure that the Participant, a Medicare-Enrolled Qualified Health Care Partner, or a Downstream Practitioner is physically present at all times at the scene of the 9-1-1 emergency response where the Treatment in Place intervention is furnished.
If the Participant, a Qualified Health Care Partner, or a Downstream Practitioner offers an ET3 Model Beneficiary an Available Intervention during an Encounter in which a Telehealth Service was initiated as part of a Telehealth Treatment in Place Intervention, but could not be completed due to an interruption in connectivity, the Telehealth Service initiated during the failed Telehealth Treatment in Place Intervention is not substantially completed.
The Participant, Qualified Health Care Partner, or Billing Party, as applicable, shall pay any such amount within 30 Days of the date of the demand letter.