Reimbursement Methodology definition

Reimbursement Methodology means the methodology by which BCBSM determines the amount of payment due Provider for Covered Services.
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Reimbursement Methodology means the prospective Medicaid payment rate system for intermediate care facilities for the mentally retarded.
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Examples of Reimbursement Methodology in a sentence

  • BCBSM will pay Provider for Covered Services in accordance with the Reimbursement Methodology set forth in Addendum C.

  • BCBSM will timely process acceptable claims submitted by Provider and will make payment directly to Provider for Covered Services in accordance with the Reimbursement Methodology set forth in Addendum C.

  • The District shall use park SDC improvement fees, collected with building permits issued within the “Recovery Area” shown on the attached Exhibit D on or after February 1, 2003, to reimburse Developer in accordance with the reimbursement procedures set forth in the Developer Recovery and Payment Procedures attached as Exhibit G, and in the Reimbursement Methodology attached as Exhibit H.

  • Approved requests will be compared against NYSED data regarding teacher salaries, as described in the Reimbursement Methodology section.

  • Outpatient Hospital Reimbursement: Methodology for the AHCCCS Outpatient Capped Fee-For- Service Schedule 69R9-22-712.21.

  • Reimbursement Methodology: In accordance with Education Law § 3037(2)(b), reimbursements will be calculated based on NYSED’s data regarding average comparable teacher salaries and personal services, per subject area, of public school teachers in the school district in which the nonpublic schools are located, multiplied by the percentage of full-time equivalent secular instructional hours completed in the nonpublic school day per subject area (Mathematics, Science, and Technology).

  • A: HHSC AES is currently reviewing the Method of Service Provision and Reimbursement Methodology sections of the Service Definitions.

  • Outpatient Hospital Reimbursement: Methodology for the AHCCCS Outpatient Capped Fee-For-Service ScheduleR9-22-712.30.

  • Rule 1.5: Reimbursement Methodology The Division of Medicaid reimburses Federally Qualified Health Center (FQHC) providers at a prospective payment rate (PPS) per encounter and/or an alternative payment methodology (APM).

  • Some services (e.g., anatomical pathology) may be reimbursed according to the Texas Medicaid Reimbursement Methodology (TMRM).

Related to Reimbursement Methodology

  • Payment Method means a payment method that Stripe accepts as part of the Stripe Payments Services (e.g., a Visa credit card, Klarna).

  • Reimbursement Amounts As defined in Section 3.22.

  • Reimbursement Date shall have the meaning provided in Section 3.4(a).

  • Reimbursement Amount As defined in Section 2.04.

  • Procurement Methods means any one of the procurement modes / methods as provided in the Punjab Procurement Rules 2014 published by the Punjab Procurement Regulatory Authority (PPRA), Government of Punjab, as amended from time to time.

  • Reimbursement Rate shall have the meaning assigned to such term or the term “Advance Rate” or an analogous term in the Servicing Agreement.

  • Medical Reimbursement Programs means a collective reference to the Medicare, Medicaid and TRICARE programs and any other health care program operated by or financed in whole or in part by any foreign or domestic federal, state or local government and any other non-government funded third party payor programs.

  • Reimbursement Payment shall have the meaning given to that term in Subparagraph 2.02(c).

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

  • Non-Administrator Dialysis Facility means a Dialysis Facility which does not have an agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan but has been certified in accordance with the guidelines established by Medicare.

  • Fixed Retained Yield Rate With respect to each Mortgage Loan, a per annum rate equal to the greater of (a) zero and (b) the Mortgage Interest Rate on such Mortgage Loan minus the sum of (i) 6.500%, (ii) the applicable Servicing Fee Rate and (iii) the Master Servicing Fee Rate.

  • Program Expenses means all UHC’s expenses of administering the Program under the Indenture and the Act and shall include without limiting the generality of the foregoing; salaries, supplies, utilities, labor, materials, office rent, maintenance, furnishings, equipment, machinery and apparatus, including information processing equipment; software, insurance premiums, credit enhancement fees, legal, accounting, management, consulting and banking services and expenses; Fiduciary Expenses; remarketing fees; Costs of Issuance not paid from proceeds of Bonds; and payments to pension, retirement, health and hospitalization funds; and any other expenses required or permitted to be paid by UHC.

  • Cost Reimbursement means a contract which provides for a fee other than a fee based on a percentage of cost and under which a contractor is reimbursed for costs which are allowable and allocable in accordance with the contract terms.

  • Settlement Method means, with respect to any conversion of Notes, Physical Settlement, Cash Settlement or Combination Settlement, as elected (or deemed to have been elected) by the Company.

  • Post-secondary education costs means tuition and other fees associated with obtaining credit from a post-secondary educational institution.

  • Capitalization Reimbursement Amount As to any Distribution Date, the amount of Advances or Servicing Advances that were added to the Stated Principal Balance of the related Mortgage Loans during the prior calendar month and reimbursed to the Master Servicer or Subservicer on or prior to such Distribution Date pursuant to Section 3.10(a)(vii), plus the Capitalization Reimbursement Shortfall Amount remaining unreimbursed from any prior Distribution Date and reimbursed to the Master Servicer or Subservicer on or prior to such Distribution Date.

  • Semi-annual (2/Year) sampling frequency means the sampling shall be done during the months of June and December, unless specifically identified otherwise.

  • Expense Reimbursement has the meaning set forth in Section 8.2(c).

  • Processing Fees means all routine, generally applicable City-wide fees required by the City for processing applications and permits including, but not limited to, fees for land use applications, building applications, building permits, and certificates of occupancy.

  • Advance Reimbursement Amounts As defined in Section 3.29 hereof.

  • Special Reimbursement Date means, the special payment date established in connection with a Reimbursement under Special Circumstances as described hereunder “Extraordinary Events and Special Circumstances – Reimbursement Under Special Circumstances and Payment”.

  • Design Criteria Professional means a firm who holds a current certificate of registration under Chapter 481 of the Florida Statutes, to practice architecture or landscape architecture, or a firm who holds a current certificate as a registered engineer under Chapter 471 of the Florida Statutes, to practice engineering, and who is employed by or under contract to the District to provide professional architect services, landscape architect services, or engineering services in connection with the preparation of the Design Criteria Package.

  • Program Fee is defined in the Fee Letter.

  • Services Fees means the agreed upon fees in an Order for the Services Offerings.

  • Semi-annual (2/Year) sampling frequency means the sampling shall be done during the months of June and December, unless specifically identified otherwise.

  • Participating Retail Health Clinic means a Retail Health Clinic which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.