AGB Percentage definition

AGB Percentage means a percentage derived by dividing (1) the sum of all claims for Medically Necessary services provided paid during the Relevant Period by Medicare fee-for-service and all private health insurers as primary payors, together with any associated portions of these claims paid by Medicare beneficiaries or insured individuals in the forms of co-payments, co-insurance or deductibles, by (2) the Gross Charges for such Medically Necessary Services. The AGB Percentage shall be calculated no later than September 1st of each year, for the most recent Relevant Period. The calculation of the AGB Percentage shall comply with the "look-back method" detailed in Treasury Regulation § 1.501(r)- 5(b)(3). For the current relevant period beginning January 1, 2019 and ending on December 31, 2019, the AGB Percentage is 25% for Methodist Olive Branch Hospital.
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AGB Percentage means a percent- age of gross charges that a hospital fa- cility uses under § 1.501(r)–5(b)(3) to de- termine the AGB for any emergency or other medically necessary care it pro- vides to an individual who is eligible for assistance under its financial as- sistance policy (FAP).
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AGB Percentage means a percentage of gross charges that UNC Lenoir uses to determine the AGB for emergency or other Medically Necessary care it provides to a FAP-Eligible patient. The AGB Percentage is calculated annually and is detailed in Addendum A. The AGB Percentage for the current fiscal year will be determined no later than 120 days following the end of the prior fiscal year. Financial Assistance is a benefit where 100% of the current patient’s balance owed is written off. Given the 100% benefit, amounts generally billed (AGB) to determine the benefit does not apply.
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Examples of AGB Percentage in a sentence

  • The AGB is the Hospital's gross charges multiplied by the AGB Percentage.

  • The Hospital utilizes the look-back method to establish its AGB and AGB Percentage.

  • AGB Percentage for March 1, 2015 -- 27.7% (72.3% Discount from charges.

  • All other physician and physician extenders not billed under Methodist’s tax identification number Financial Assistance Policy Appendix 4Amounts Generally Billed (AGB) Percentage Methodist utilizes the “Look-Back” Method.

  • AGB Percentage: The percentage of gross charges that a hospital facility uses to determine the AGB for any emergency or other medically necessary care it provides to an individual who is eligible for assistance under the Financial Assistance Policy.

  • The resulting percentage is then applied to an individual’s gross charges to reduce the billed charges to the AGB Percentage.

  • Prospectively, Methodist may change the method of calculation and/or the AGB Percentage at any time upon update to this policy.

  • For purposes of this policy, each new AGB Percentage will be implemented within 120 days of the 12 month period used by the Hospital to calculate the AGB Percentage.

  • The AGB Percentage will be calculated annually by the 45th day following the close of the prior calendar year, and implemented by the 120th day following the close of the calendar year..

  • AGB Percentage - A percentage of gross charges that a hospital facility uses to determine the AGB for any emergency or othermedically necessary care it provides to an individual who is eligible for assistance under the FAP.