Contractual adjustment definition
Contractual adjustment means the difference between a hospital’s full amount billed for medical services for patient ser- vices and the discounted charge or payment received by the hospi- tal from the payer.
Contractual adjustment means, with respect to any Receivable, an amount by which the outstanding principal amount of such Receivable is reduced as a result of (i) Medicare or Medicaid program funding and fee requirements or (ii) any other reasonable and customary insurance company or other charge or reimbursement policies or procedures.
Contractual adjustment means the difference between charges billed to a payer source and the amount that is paid to a health care institution based on an established agreement between the health care institution and the payer source.
Examples of Contractual adjustment in a sentence
Contracts awarded under open-season authority will share the GWAC ceiling remaining and their award shall not constitute a basis for Contractual adjustment for existing Contract holders.
The Contractual adjustment may be for: (1) an extension of time; and/or (2) an increase or decrease in the actual cost of performance of the Contract.
More Definitions of Contractual adjustment
Contractual adjustment means the difference between the amount billed at established charges for the ser- vices provided and the amount received or due from a third- party payer under a contract agreement. A contractual adjust- ment is similar to a trade discount.
Contractual adjustment means, with respect to any Receivable, an amount by which the Outstanding Balance of such Receivable is reduced as a result of (i) Medicare or Medicaid program funding and fee requirements or (ii) any other reasonable and customary insurance company or other charge or reimbursement policies or procedures.
Contractual adjustment means the difference between a hospital’s full amount billed for medical services for patient services and the discounted charge or payment received by the hospital from the payer.
Contractual adjustment means the difference between the gross amount of an Account and the amount an Account Debtor agrees to or is obligated to pay per any agreement with CCT, pursuant to which CCT agrees to accept the lesser amount in full satisfaction of the Account. For example, if Medicare agrees to pay 65% of CCT’s normal charge for a particular service, the Contractual Adjustment would be 35% of the invoice amount of the Account related to such service.
Contractual adjustment means the difference between the amount billed at established charges for the ser- vices provided and the amount received or due from a third-