Contractual adjustment definition

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.

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.

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.

• Contractual adjustment is defined as the transaction(s) used to reduce the total charges to the amount allowed by the payer.

• Contractual adjustment exclusions may include but are not limited to Medicare, Medicaid, and Indian Health Service reimbursement, and shall not include Workers Compensation.

• Contractual adjustment: This is the difference between the retail charges for services and the amount allowed by a governmental or contracted managed care payer for covered services that is subsequently written off.

• Contractual adjustment The difference between billings at established charges and amounts received or due from third-party payors under contract agreements - similar to a trade discount.

• Contractual adjustment: The amount written off as part of the contractual agreement with insurance companies.

• Contractual adjustment: This is the difference between the Hospital’s full charge for services and the amount allowed by a governmental or contracted commercial payer for covered services that is subsequently written off.

• Contractual adjustment on account of daily rate of $550.00 per day per person (inclusive of GST) for the fix out being a total of $10,285.00 (8.5 days at $550.00 per day by two persons), rather than (as the respondent asserts, and as was the basis for the adjudication order), a square metre rate for the two houses calculated at $17,182.00.

• Contractual adjustment estimate for this year continues to show additional amounts due to HWU especially from Tyson.

• School District shall pay Teach For America an annual fee for each Teacher employed under this Agreement to defray expenses Teach For America incurred in recruiting, selecting, providing pre-service training and continuing professional development services to the Teachers employed by School District under this agreement.

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 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 the amount billed at established charges for the ser- vices provided and the amount received or due from a third-

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.