TCC Fee Reduction definition

TCC Fee Reduction means a full or partial reduction in Medicare FFS payments to all Participant Providers and those Preferred Providers who have agreed to receive such reduced payments for Covered Services furnished to REACH Beneficiaries to account for the monthly payments made by CMS to the ACO under TCC Payment.
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Examples of TCC Fee Reduction in a sentence

  • The ACO shall ensure that the ACO REACH Model: Fee Reduction Agreement specifies the PCC Fee Reduction or TCC Fee Reduction and, if applicable, the APO Fee Reduction agreed upon by the individual or entity from among the applicable percentages specified in this Section 12.02.

  • The ACO shall ensure that each individual and entity listed on the Preferred Provider List as participating in the ACO’s selected Capitation Payment Mechanism at the start of the Performance Year has agreed to a PCC Fee Reduction or TCC Fee Reduction, as applicable, that is a percentage within the range of 1% and 100%.

  • If the ACO selected to participate in TCC Payment for the ACO’s first Performance Year as described in Section 8.01, stated that the individual’s or entity’s agreement to participate in TCC Payment and receive the TCC Fee Reduction, as described in Section 12.02.E, must apply for the full Performance Year and must be renewed annually prior to the start of each Performance Year in order for the individual or entity to participate as a Participant Provider for that Performance Year.

  • If the DCE selected to participate in TCC Payment for the DCE's first Performance Year as described in Section 8.01, stated that the individual's or entity's agreement to participate in TCC Payment and receive the TCC Fee Reduction, as described in Section 12.02.E, must apply for the full Performance Year and must be renewed annually prior to the start of each Performance Year in order for the individual or entity to participate as a DC Participant Provider for that Performance Year.

  • If the DCE selected to participate in TCC Payment for the DCE’s first Performance Year as described in Section 8.01, stated that the individual’s or entity’s agreement to participate in TCC Payment and receive the TCC Fee Reduction, as described in Section 12.02.E, must apply for the full Performance Year and must be renewed annually prior to the start of each Performance Year in order for the individual or entity to participate as a DC Participant Provider for that Performance Year.

  • Claims data will include data regarding those claims subject to the TCC Fee Reduction (if the DCE has selected TCC Payment as its DC Capitation Payment Mechanism) or the PCC Fee Reduction (if the DCE has selected PCC Payment as its DC Capitation Payment Mechanism) and, if the DCE has selected to participate in the APO, the APO Fee Reduction.

Related to TCC Fee Reduction

  • Administrative Fee Rate The sum of the Servicing Fee Rate, the Trustee/Certificate Administrator Fee Rate and the CREFC® Licensing Fee Rate.

  • extended reduction means a reduction under this scheme for which a person is eligible under Part 12 (extended reductions);

  • extended reduction period means the period for which a person is in receipt of an extended reduction in accordance with paragraph 89, 96 or 101;

  • Aggregate Reduction has the meaning specified in Section 1.3.

  • Expense Fee Rate As to each Mortgage Loan, the sum of (a) the related Servicing Fee Rate and (b) the Trustee Fee Rate.