Reimbursement policies definition

Reimbursement policies means an insurer's policies and procedures governing its decisions regarding the reimbursement of a health care provider for health care services and the method of reimbursement.
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Reimbursement policies means an insurer's policies and procedures governing its decisions regarding health insurance coverage and method of payment and the data upon which such policies and procedures are based, including, but not limited to, data from national research groups and other patient safety data as defined in s. 766.1016.
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Reimbursement policies means the policies by which BCBSM determines the amount of payment due CRNA for Covered Services.
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Examples of Reimbursement policies in a sentence

  • Review and Determine Benefits in Accordance with our Reimbursement Policies We develop our reimbursement policy guidelines in accordance with one or more of the following methodologies: • As shown in the most recent edition of the Current Procedural Terminology (CPT), a publication of the American Medical Association, and/or the Centers for Medicare and Medicaid Services (CMS).

  • Expense Type Reimbursement Policies Receipt Required Airfare Actual cost of the least expensive class available.

  • The District Managing Board shall enforce the Expense Reimbursement Policies for each District Managing Board member, District employee and contractor.

  • However, while the PHIS network members are willing to continue and the PHIS project leader is also committed to follow up and continue some technical work within its framework as WHO Collaborating Centre for Pharmaceutical Pricing and Reimbursement Policies, sustainability can only be secured if policy makers take up the results of PHIS and are willing to explore funding solutions providing an appropriate framework for research, dissemination and networking.

  • Pension Contributions and Multiplier 30 TABLE OF CONTENTS (CONTINUED) ARTICLE 26 Expense Reimbursement Policies 30-33 Section 26.01.

  • Review and Determine Benefits in Accordance with our Reimbursement Policies We develop our reimbursement policy guidelines, in our sole discretion, in accordance with one or more of the following methodologies: • As indicated in the most recent edition of the Current Procedural Terminology (CPT), a publication of the American Medical Association, and/or the Centers for Medicare and Medicaid Services (CMS).

  • Review and Determine Benefits in Accordance with our Reimbursement Policies We develop our reimbursement policy guidelines, in our sole discretion, in accordance with one or more of the following methodologies:  As indicated in the most recent edition of the Current Procedural Terminology (CPT), a publication of the American Medical Association, and/or the Centers for Medicare and Medicaid Services (CMS).

  • Redline versions of the amendment are available from the Virginia Provider home page of Xxxxxx.xxx under “Answers at Anthem” and then click on “Provider Contracts.” Find the link entitled, “Professional Provider Contract Amendment Effective 1/1/14, click HERE.” Most notably, the Reimbursement Policies section was updated to inform providers of a new claims editing software that will be used first for exchange business, but eventually for most lines of business as we continue to migrate our claim systems.

  • With minor adjustments, they allow to be used for future updates, and the project leader XXX/XXXX is committed to further reviewing templates and similar reporting tools in its role as WHO Collaborating Centre for Pharmaceutical Pricing and Reimbursement Policies, designated in July 2010.

  • Review and Determine Benefits in Accordance with our Reimbursement Policies We develop our reimbursement policy guidelines in accordance with one or more of the following methodologies:  As shown in the most recent edition of the Current Procedural Terminology (CPT), a publication of the American Medical Association, and/or the Centers for Medicare and Medicaid Services (CMS).


More Definitions of Reimbursement policies

Reimbursement policies means the policies by which BCBSM determines the amount of payment due Provider for Covered Services.
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Reimbursement policies means an insurer's policies and procedures governing its decisions on the reimbursement of a "health care provider" (defined as any person or entity against whom a medical claim may be asserted in a civil action) for health care services and the method of reimbursement.37
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Reimbursement policies means an insurer's policies and procedures governing its decisions on the reimbursement of a health care provider for health care services and the method of reimbursement.Damages not recoverable for loss of chance of recovery The bill provides that in any civil action on a "medical claim," in order for the plaintiff to recover any damages resulting from the alleged injury, death, or loss to person, the plaintiff must establish by a preponderance of the evidence that the defendant's act or omission in rendering medical care or treatment is a deviation from the required standard of medical care or treatment and the direct and proximate cause of the injury, death, or loss. Such direct and proximate cause is established by evidence showing that it is more likely than not that the defendant's act or omission was a cause in fact of the injury, death, or loss to person. Any loss or diminution of a chance of
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Reimbursement policies means an insurer's policies
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Related to Reimbursement policies

  • Procurement Policy means ADB’s Procurement Policy - Goods, Works, Nonconsulting and Consulting Services (2017, as amended from time to time);

  • Investment Policies has the meaning assigned to such term in Section 3.11(c).

  • Reimbursement insurance policy means a policy of insurance

  • City Policies means any or all (as the context requires) of those procedures, standards and/or standard specifications, requirements, policies and the like listed in Schedule H or notified to the Supplier from time to time, as the same may be updated, modified, expanded, revised, supplemented and/or replaced from time to time by the City (as notified to the Supplier);

  • R&W Policy means that certain representations and warranties insurance policy issued by the R&W Insurer to the Buyer.

  • Investment Policy means the investment policy from time to time determined by the Commission under the Rules;

  • Mandatory Policies means the following of our business policies and codes:

  • Procurement Policy Board or “PPB” shall mean the board established pursuant to Charter § 311 whose function is to establish comprehensive and consistent procurement policies and rules which have broad application throughout the City.

  • Medicare supplement policy means a group or individual policy of [accident and sickness] insurance or a subscriber contract [of hospital and medical service associations or health maintenance organizations], other than a policy issued pursuant to a contract under Section 1876 of the federal Social Security Act (42 U.S.C. Section 1395 et. seq.) or an issued policy under a demonstration project specified in 42 U.S.C. § 1395ss(g)(1), which is advertised, marketed or designed primarily as a supplement to reimbursements under Medicare for the hospital, medical or surgical expenses of persons eligible for Medicare. “Medicare supplement policy” does not include Medicare Advantage plans established under Medicare Part C, Outpatient Prescription Drug plans established under Medicare Part D, or any Health Care Prepayment Plan (HCPP) that provides benefits pursuant to an agreement under §1833(a)(1)(A) of the Social Security Act.

  • Policies shall have the meaning specified in Section 6.1(b) hereof.

  • Consensus Policies are those policies established (1) pursuant to the procedure set forth in ICANN’s Bylaws and due process, and (2) covering those topics listed in Section 1.2 of this Specification. The Consensus Policy development process and procedure set forth in ICANN’s Bylaws may be revised from time to time in accordance with the process set forth therein.

  • Company Policies means the Company policies and procedures in effect from time to time, including, without limitation, policies and procedures with respect to the Company’s “Regulatory Credit Classifications” (as defined in the Company’s Annual Report on Form 10-K filed with the Securities Exchange Commission on March 1, 2013 (the “Form 10-K”)), and as amended from time to time, and any credit risk policies and procedures in effect from time to time.

  • Cost-reimbursement contract means a contract under which a contractor is reimbursed for costs which are allowable and allocable in accordance with the contract terms and the provisions of this code, and paid a fee, if any.

  • Reimbursement means that DOH will repay the Contractor for allowable costs incurred under the terms of this contract.

  • Policy means Related Party Transaction Policy.

  • Travel Arrangements means: (a) transportation: (b) accommodations: and (c) other specified services arranged by the Travel Supplier for the covered trip.

  • Program Guidelines means any and all GLO-approved documents reflecting specific rules and regulations governing the implementation of the Program.