CMS Dispute definition

CMS Dispute means the dispute or proceeding arising from the allegations set forth in the overpayment determination letter that preceded the overpayment demand letter from Cahaba Government Benefit Administrators, LLC Medicare Part B (“CGBA”), dated July 31, 2012 and related correspondence. The CMS Dispute with respect to claims submitted with dates of service on or prior to on the Closing Date is referred to as the “Pre-Closing CMS Dispute” and with respect to claims submitted with dates of service after the Closing Date is referred to as the “Post-Closing CMS Dispute”.
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Examples of CMS Dispute in a sentence

  • In the event the AGREEMENT is terminated Section 108.02.G of ODOT’s Construction and Material Specifications (C&MS), Dispute Resolution and Administrative Claims Process that was in affect at the time of the bidding of this project will immediately become effective.

  • The Response File provides a CMS Dispute Control Number (tracking number for the dispute), a disposition code, and up to five applicable detail codes for each reported dispute that passes validation and is ingestible.

  • The new disposition will be communicated to issuers on the Semi-Monthly Issuer Report.The Semi-Monthly Issuer Report includes the Issuer Assigned Dispute Control Number and the CMS Dispute Control Number for each dispute.

  • The CMS Dispute Resolution Program (DRP) Team continues to encourage labelers to share with states, upon request, the methodology applied to their dispute thresholds.Similarly, labelers have brought to our attention that some states are reluctant to provide CLD, and/or provide responsive data elements to facilitate prevention or resolution, even when the labeler is acting in good faith.

  • The strategy sets out a national adaptation goal to develop a long-term sustainable and robust society that meets the challenges of climate change by reducing vulnerability and making the most of opportunities.

  • He is the Chair of the CMS Dispute Resolution Practice Area Group and former Chair of the CMS International Arbitration Group.

Related to CMS Dispute

  • Formal Dispute means a written objection by an Interested Party to any of the following:

  • Relevant Dispute means any difference between the parties arising out of or in connection with this contract; "Relevant Force Majeure Event" has the meaning ascribed to it in Clause 17.1;

  • Technical Dispute has the meaning specified in Section 12.2;

  • Arbitrable Dispute means any dispute arising under or in connection with this Agreement.

  • Billing Dispute means the dispute of an invoice prepared by an Operator to the Other Operator which is made in good faith.

  • trade dispute means any dispute or difference between employers and workmen, or between workmen and workmen, connected with the employment or non-employment, or the terms of employment, or with the conditions of labour, of any person;

  • Agreement Disputes shall have the meaning set forth in Section 6.1.

  • Legal Dispute means any action, suit or proceeding between or among the Parties arising in connection with any disagreement, dispute, controversy or claim arising out of or relating to this Agreement or any related document.

  • Xxxx Dispute Notice means the notice issued by a Party raising a Dispute regarding a Monthly Xxxx or a Supplementary Xxxx issued by the other Party;

  • Dispute means any dispute, controversy, claim or difference of whatever nature arising out of, relating to, or having any connection with this Agreement, including a dispute regarding the existence, formation, validity, interpretation, performance or termination of this Agreement or the consequences of its nullity and also including any dispute relating to any non-contractual rights or obligations arising out of, relating to, or having any connection with this Agreement.

  • Labor dispute as used here, means a strike, lockout, or other labor dispute between the Employer and its Employees, during which time the Employee is not paid by the Employer.

  • Tax Dispute has the meaning set forth in Section 5.06.

  • Dispute Board (DB) means the person or persons named as such in the SCC appointed by agreement between the Procuring Entity and the Contractor to make a decision with respect to any dispute or difference between the Procuring Entity and the Contractor referred to him or her by the Parties pursuant to GCC Sub-Clause 46.1 (Dispute Board) hereof.

  • Reconciliation Dispute has the meaning set forth in Section 7.9 of this Agreement.

  • Billing Dispute Notice means a formal, written notice submitted to MultiChoice by the Customer in terms of this Procedure.

  • Mediation means any process in which a mediator facilitates communication and negotiation between the parties to assist them in reaching a voluntary agreement regarding their dispute.

  • industrial dispute means any dispute or difference between employers and employers, or between employers and workmen, or between workmen and workmen, which is connected with the employment or non-employment or the terms of employment or with the conditions of labour, of any person;

  • Dispute Resolution Scheme means the Electricity and Gas Complaints Commission or such other dispute resolution scheme approved or provided for in accordance with section 95 of the Act;

  • Arbitration Tribunal means an organ composed of an odd number of persons known as arbitrators, who decide on the solution of a conflict in which the parties have expressly waived recourse to the ordinary civil courts

  • Notice of Dispute has the meaning provided in Section 2.1(f)(iii) of this Commercial Shared-Loss Agreement.

  • Arbitration Panel shall have the meaning set forth in Section 3 hereof.

  • Dispute Resolution Process means the process described in clause 9

  • Alternative dispute resolution means mediation, arbitration, conciliation, or other nonjudicial procedure that involves a neutral party in the decisionmaking process. The form of alternative dispute resolution chosen pursuant to this article may be binding or nonbinding, with the voluntary consent of the parties.

  • Resolved With respect to a Repurchase Request, means that (i) the related Material Defect has been cured, (ii) the related Mortgage Loan has been repurchased in accordance with the related Mortgage Loan Purchase Agreement, (iii) a mortgage loan has been substituted for the related Mortgage Loan in accordance with the related Mortgage Loan Purchase Agreement, (iv) the applicable Mortgage Loan Seller has made a Loss of Value Payment, (v) a contractually binding agreement has been entered into between the Enforcing Servicer, on behalf of the Trust, and the related Mortgage Loan Seller that settles the related Mortgage Loan Seller’s obligations under the related Mortgage Loan Purchase Agreement, or (vi) the related Mortgage Loan is no longer property of the Trust as a result of a sale or other disposition in accordance with this Agreement.

  • Dispute Period shall have the meaning specified in Section 9.3(a).

  • Dispute Resolution Procedure means the procedure for resolution of Disputes set forth in Article 26;