Medicare Rebates definition

Medicare Rebates means retrospective rebates that are paid to Senior Care, or otherwise retained by Senior Care, pursuant to the terms of a rebate contract negotiated independently by Senior Care or an affiliate with a manufacturer, and directly attributable to the utilization of certain pharmaceuticals by Medicare Members. Rebates do not include Medicare Manufacturer Administrative Fees, or product discounts or similar remuneration received by subsidiary pharmacies of ESI or Senior Care.
Sample 1

Examples of Medicare Rebates in a sentence

  • Senior Care hereby assumes all responsibility and obligation for the preparation of Subsidy Reports, and the contracting, administration, allocation and collection of Medicare Rebates under the Agreement as relates solely to the eligible utilization of Medicare Members.

  • Introduce Medicare Rebates for the delivery of pharmacist services within ACCHSs (remote and non-remote) in recognition of their role within the primary health care team.

  • PROFESSIONAL ISSUESSummary of the National Executive Actions on Medicare Rebates and other Inequities Jan GrantPlease read this, and use it for the advancement of Counselling Psychology among your contacts.The National Executive has been extremely hard-working in advocating for Counselling Psychologists within the APS, within the National Registration agenda, and through support to independent groups who are lobbying government to redress the inequities for Counselling Psychologists.

  • Australian Medicare provides targeted incentive payments to GPs and primary care practices separate and additional to standard Medicare Rebates.

  • Farber et al., Price Negotiation, Medicare Rebates, and Benefit Reform, KING & SPALDING (Aug.

  • Connecting Health Services With the Future: MBS Items From 1 July 2011, Medicare Rebates and Financial Incentives will be available for telehealth under the Connecting Health Services With the Future initiative.

  • Privatization led to substantial changes in Brazil’s economic landscape since it was implemented over the past two and a half decades.

  • Click on the Account tab, located across the bottom of the screen.3. Under the Child Care Subsidy Section you can click to access the CWA.

  • Financial Resources to Operate the Practice The financial resources to operate the Practice will come from a number of sources: • Medicare Rebates for consulting services;• Private Billing for consulting services;• WA Country Health Service (WACHS) for the provision of services in the Hospital;• Incentive payments for various health support schemes;• Rent from other allied health users of the Medical Centre; and• Shire’s own resources if required.

  • An example is as below – note the value of the 116 and hence 112 will change if Medicare Rebates change Dear Details of Telehealth consultation to be claimed with Medicare Item No. 116 Benefit amount $64.20 Item No. 112 Benefit amount $32.10Date and time of consultation on Date Patient name: Provider name: Dr Agreement · If you, agree to the assignment of the Medicare benefit directly to the specialist (bulk bill) please reply to this email with the word “YES”.

Related to Medicare Rebates

  • Medicare means the “Health Insurance for the Aged Act,” Title XVIII of the Social Security Amendments of 1965, as then constituted or later amended.

  • Medicaid means the medical assistance programs administered by state agencies and approved by CMS pursuant to the terms of Title XIX of the Social Security Act, codified at 42 U.S.C. 1396 et seq.

  • Medicare Regulations means, collectively, all Federal statutes (whether set forth in Title XVIII of the Social Security Act or elsewhere) affecting the health insurance program for the aged and disabled established by Title XVIII of the Social Security Act and any statutes succeeding thereto, together with all applicable provisions of all rules, regulations, manuals and orders and administrative, reimbursement and other guidelines having the force of law of all Governmental Authorities (including Health and Human Services (“HHS”), CMS, the Office of the Inspector General for HHS, or any Person succeeding to the functions of any of the foregoing) promulgated pursuant to or in connection with any of the foregoing having the force of law, as each may be amended, supplemented or otherwise modified from time to time.

  • Medicare benefit means the Medicare benefit payable within the meaning of Part II of the Health Insurance Act 1973 with respect to a professional service.

  • Medicare Levy Surcharge means an extra charge payable by high income earners beyond the standard Medicare Levy if they do not have qualifying private hospital insurance coverage. This charge is assessed as part of an individual or family’s annual tax return.

  • Medicare cost report means CMS-2552-10, the cost report for electronic filing of

  • TRICARE means, collectively, a program of medical benefits covering former and active members of the uniformed services and certain of their dependents, financed and administered by the United States Departments of Defense, Health and Human Services and Transportation, and all laws applicable to such programs.

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Health care worker means a person other than a health care professional who provides medical, dental, or other health-related care or treatment under the direction of a health care professional with the authority to direct that individual's activities, including medical technicians, medical assistants, dental assistants, orderlies, aides, and individuals acting in similar capacities.

  • Medicare Provider Agreement means an agreement entered into between CMS (or other such entity administering the Medicare program on behalf of the CMS) and a health care provider or supplier, under which such health care provider or supplier agrees to provide services for Medicare patients in accordance with the terms of the agreement and Medicare Regulations.

  • Medicare Advantage The Medicare managed care options that are authorized under Title XVIII as specified at Part C and 42 C.F.R. § 422.

  • Medicaid Regulations means, collectively, (i) all federal statutes (whether set forth in Title XIX of the Social Security Act or elsewhere) affecting the medical assistance program established by Title XIX of the Social Security Act and any statutes succeeding thereto; (ii) all applicable provisions of all federal rules, regulations, manuals and orders of all Governmental Authorities promulgated pursuant to or in connection with the statutes described in clause (i) above and all federal administrative, reimbursement and other guidelines of all Governmental Authorities having the force of law promulgated pursuant to or in connection with the statutes described in clause (i) above; (iii) all state statutes and plans for medical assistance enacted in connection with the statutes and provisions described in clauses (i) and (ii) above; and (iv) all applicable provisions of all rules, regulations, manuals and orders of all Governmental Authorities promulgated pursuant to or in connection with the statutes described in clause (iii) above and all state administrative, reimbursement and other guidelines of all Governmental Authorities having the force of law promulgated pursuant to or in connection with the statutes described in clause (ii) above, in each case as may be amended, supplemented or otherwise modified from time to time.

  • Medicare eligible expenses means expenses of the kinds covered by Medicare Parts A and B, to the extent recognized as reasonable and medically necessary by Medicare.

  • Medicaid program means the medical assistance

  • Centers for Medicare and Medicaid Services or “CMS” means the federal office under the Secretary of the United States Department of Health and Human Services, responsible for the Medicare and Medicaid programs.

  • Rebates means rebates, price reductions, administrative fees and related adjustments charged by federal, state and local governmental programs and their participants, and by health plans, insurance companies, mail service pharmacies and health care providers based upon the utilization and sales of the Products, and service, administrative and inventory management fees due to wholesalers, distributors and group purchasing organizations based on sales of the Products.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Health care facility or "facility" means hospices licensed

  • Health care plan means any contract, policy or other arrangement for benefits or services for medical or dental care or treatment under:

  • Medicare Advantage plan means a plan of coverage for health benefits under Medicare Part C as defined in 42 U.S.C. 1395w-28(b)(1), and includes:

  • Third Party Payor Programs means all third party payor programs in which Tenant presently or in the future may participate, including, without limitation, Medicare, Medicaid, CHAMPUS, Blue Cross and/or Blue Shield, Managed Care Plans, other private insurance programs and employee assistance programs.

  • Medical care facility as used in this title, means any institution, place, building or agency, whether

  • Health Care Law means any Applicable Law regulating the acquisition, construction, operation, maintenance or management of a health care practice, facility, provider or payor, including without limitation, 42 U.S.C. ss.1395nn and 42 U.S.C. ss. 1320a-7b.

  • Health care coverage means any plan providing hospital, medical or surgical care coverage for

  • Routine patient care costs means Covered Medical Expenses which are typically provided absent a clinical trial and not otherwise excluded under the Policy. Routine patient care costs do not include:

  • Health care system means any public or private entity whose function or purpose is the management of, processing of, enrollment of individuals for or payment for, in full or in part, health care services or health care data or health care information for its participants;