Multiple Procedure Logic definition

Multiple Procedure Logic means the practices or procedures used by a carrier to reduce the
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Multiple Procedure Logic means the practices or procedures used by Company to reduce the allowable amount for one or more of the CPT® Codes or HCPCS Level II Codes included in a claim as a result of multiple surgical procedures or services having been performed on the same patient on the same date of service.
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Multiple Procedure Logic means the adjustment(s) to payment(s) for one or more procedures or other services, in each case constituting Covered Services (excluding evaluation and management CPT® Codes), when multiple such procedures or services are performed at the same session.
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Examples of Multiple Procedure Logic in a sentence

  • For example, if rates have been negotiated, carriers may not unilaterally introduce Multiple Procedure Logic or changes to billing requirements that would result in a material reduction in reimbursement for services affected by the change.

  • No modifier 51-exempt codes shall be subject to Multiple Procedure Logic.

  • CIGNA HealthCare will process and separately reimburse add-on billing codes and modifier 51 exempt billing codes without reducing payment under CIGNA HealthCare’s Multiple Procedure Logic; provided that the add-on codes are billed with a proper primary procedure code according to the guidelines and protocols set forth in CPT.


More Definitions of Multiple Procedure Logic

Multiple Procedure Logic means the practices or procedures used by a carrier to reduce the allowable amount for one or more of the CPT codes or HCPCS codes included in a claim as a result of multiple surgical procedures or multiple services having been performed on the same patient on the same date of service.
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Multiple Procedure Logic means the practices or procedures used by
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Multiple Procedure Logic means the payment methodology used by CIGNA HealthCare, when processing claims, that makes adjustment(s) to payment(s) for one or more procedures or other services, in each case constituting Covered Services (excluding CPT® Evaluation and Management Codes), when multiple such procedures or services are performed on the same patient on the same date of service.
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Related to Multiple Procedure Logic

  • Multiple Listing Service A means for collecting and disseminating information about real property that is or has been for sale, including a means for real estate brokers to make offers of cooperation and compensation to each other. Multiple Listing Services may also include, without limitation, the provision of data processing, technical support, consulting, and other information technology services to real estate brokers and appraisers in connection with the sale and appraisal of real property.

  • Aversive procedure means a systematic physical or sensory intervention program for modifying the behavior of a student with a disability which causes or reasonably may be expected to cause one or more of the following:

  • Sale Procedures Unless otherwise specified in the Supplement, shall mean that, with respect to any sale of one or more Underlying Securities or Related Assets, the Market Agent, on behalf of the Trust, shall sell such Underlying Securities or Related Assets to the highest bidders among not less than two solicited bidders for such Underlying Securities or Related Assets (one of which bidders may include Merrill Lynch & Co. or any Affiliate thereof; provided, however, that xxxxxxr Xxxxill Lynch & Co. nor any of its Affiliates will be under any obligxxxxx xo xxx, and which bidders need not be limited to recognized broker dealers). In the sole judgment of the Market Agent, bids may be evaluated on the basis of bids for a single Underlying Security or Related Asset, a portion of the Underlying Securities or Related Assets, or all of the Underlying Securities or Related Assets being sold or any other basis selected in good faith by the Market Agent.

  • Settlement Procedures Timetable For offers to purchase Certificated Notes accepted by the Company, Settlement Procedures A through F set forth above shall be completed as soon as possible following the trade but not later than the respective times (New York City time) set forth below: Settlement Procedure Time ---------- ----

  • Surgical procedure means a procedure that is performed

  • Grievance Procedure is used in this Agreement, it shall be considered as including the arbitration procedure.

  • Claims Procedure Order means the Order under the CCAA establishing a claims procedure in respect of the Applicant, as same may be further amended, restated or varied from time to time.

  • Step One In accordance with the requirements of formal filing listed in Section 2 of this Article, the grievance must be presented in writing to the Department Chair. (If the grievant is in an administrative unit with no Chair, then this step is omitted.) As an exception to this requirement that grievances commence at Step One, a grievance may first be presented at Step Two or Three of this procedure if the action being grieved originated with the Xxxx or Xxxxxxx respectively. Within ten (10) days of receipt of the grievance, the Chair will hold a meeting with the grievant and the Union representative. In cases where the Union has filed the grievance, the meeting shall include the particular faculty member or members are named in the grievance and a Union representative. If such faculty member is unable to attend the meeting the Union may designate a second Union representative to be present at the meeting. In cases where no individual faculty member is named in the grievance, and the Union is acting as the grievant, then the Union may designate two (2) representatives to the meeting. For all meetings, the parties shall inform each other at least 24 hours in advance of the meeting as to those who will be participating in the meeting. The Chair, at his or her option, may have another administrator or support staff member at the meeting. If the grievance is not resolved at this meeting, then within ten (10) days of the meeting, the Department Chair shall forward a written response to the grievance to the grievant, with a copy to the Union representative.

  • Minimum data set means the data required by the Australian Government from Community Care service outlets, in the form prescribed by the Australian Government, which data is shared with the Queensland Government;

  • Terms of Reference (TORs) means the Terms of Reference that explains the objectives, scope of work, activities, and tasks to be performed, respective responsibilities of the Procuring Entity and the Consultant, and expected results and deliverables of the assignment.

  • Section 385 Expanded Group shall have the meaning set forth in Treasury Regulation Section 1.385-1(c)(4) for an “expanded group”.

  • Terms of Reference (TOR) means the document included in the RFP as Section 5 which explains the objectives, scope of work, activities, tasks to be performed, respective responsibilities of the Client and the Consultant, and expected results and deliverables of the Assignment/job.

  • Terms of Reference (TOR) means the document included in the RFP as Section 5 which explains the objectives, scope of work, activities, tasks to be performed, respective responsibilities of the Client and the Consultant, and expected results and deliverables of the assignment.

  • Administrative Procedures means the Administrative Procedures of Minnesota Management & Budget developed in accord with M.S. 43A.04, subdivision 4.

  • Diagnostic clinical procedures manual means a collection of written procedures that describes each method (and other instructions and precautions) by which the licensee performs diagnostic clinical procedures; where each diagnostic clinical procedure has been approved by the authorized user and includes the radiopharmaceutical, dosage, and route of administration.

  • Resettlement Action Plan or “RAP”, means a plan approved by the Association, to be prepared in accordance with the provisions of the RPF, setting forth principles and procedures governing land acquisition or other associated Project impacts, resettlement and compensation of Affected Persons, as well as reporting and monitoring arrangements to ensure compliance with the said plan, as the same may be amended from time to time with the agreement of the Association, and “Resettlement Action Plans” or “RAPs” shall mean such Resettlement Action Plans, collectively.

  • Multiple tomogram system means a computed tomography X-ray system which obtains X-ray transmission data simultaneously during a single scan to produce more than one tomogram.

  • Day Case Procedure means a Medically Necessary surgical procedure for investigation or treatment to the Insured Person performed in a medical clinic, or day case procedure centre or Hospital with facilities for recovery as a Day Patient.

  • Surgery or Surgical Procedure means manual and / or operative procedure (s) required for treatment of an illness or injury, correction of deformities and defects, diagnosis and cure of diseases, relief from suffering and prolongation of life, performed in a hospital or day care centre by a medical practitioner.

  • Dissent Procedures has the meaning set out in Section 3.1;

  • Progress Schedule means a schedule of the Work, in a form satisfactory to Owner, as further set forth in Section 3.02.

  • Complaints Procedure means the School's procedure for handling complaints from parents, as amended from time to time for legal or other substantive reasons, or in order to assist the proper administration of the School. It does not form part of the contract between you and the School. A copy of the most up-to-date procedure is on the School's website and is otherwise available from the School at any time upon request;

  • Table E academic outcomes at receiving institution Component code (if any) Component title (as indicated in the course catalogue) at the receiving institution Was the component successfully completed by the student? [Yes/No] Number of ECTS credits Receiving institution grade Total: [Signature of responsible person in receiving institution and date]

  • Prop Type Sr Lien: Orig Amount: P&&I: Cr. Score: Sevicer Loan Prod Code: Rem Term: Occp Code: Appr Value: Note Date: Debt Ratio: City Stat Zip Purpose: Curr Rate: CLTV: Prin Bal: Maturity Date: Lien Pos: 8740031 181 RFC01 $97,600.00 $24,400.00 $198.09 713 0301869988 7 181 1 $122,000.00 05/15/2003 42 CHANDLER AZ 85200 00 0.000 100 $24,400.00 06/01/2018 2 8728811 181 04 $56,755.00 $54,200.00 $514.84 735 0301861464 6 181 1 $112,000.00 05/15/2003 33 Gurnee IL 60000 00 0.000 100 $54,200.00 06/01/2018 2 8728637 181 14 $101,900.00 $25,475.00 $180.31 736 0301861845 7 181 1 $127,375.00 05/15/2003 31 CLINTON UT 84000 00 0.000 100 $25,475.00 06/01/2018 2 8718375 180 14 $136,800.00 $25,650.00 $235.60 720 0301856670 6 180 1 $171,000.00 05/15/2003 44 WENATCHEE WA 98800 00 0.000 95 $25,650.00 05/19/2018 2 8370728 181 14 $376,000.00 $47,000.00 $412.01 786 0301870333 6 181 1 $470,000.00 05/15/2003 42 Tonwship of West Windsor NJ 00000 00 0.000 90 $47,000.00 06/01/2018 2 8370488 181 09 $353,600.00 $66,300.00 $477.27 758 0301869814 7 181 1 $442,000.00 05/15/2003 34 Centreville VA 20100 00 0.000 95 $66,300.00 06/01/2018 2 8720207 181 14 $220,000.00 $65,000.00 $450.05 791 0301867941 7 181 1 $305,000.00 05/15/2003 35 Township Of Roxbury NJ 00000 00 0.000 94 $65,000.00 06/01/2018 2 8370724 181 04 $344,000.00 $64,500.00 $464.32 688 0301870432 7 181 1 $430,000.00 05/15/2003 31 Washington DC 20000 00 0.000 95 $64,500.00 06/01/2018 2 8728733 181 14 $169,004.00 $46,000.00 $450.29 691 0301861373 6 181 1 $220,000.00 05/15/2003 43 Moore OK 73100 00 0.000 98 $46,000.00 06/01/2018 2 8740067 181 09 $296,000.00 $74,000.00 $750.56 698 0301870580 6 181 1 $370,000.00 05/16/2003 42 TEMECULA CA 92500 00 0.000 100 $74,000.00 06/01/2018 2 8728667 181 14 $164,000.00 $14,450.00 $128.87 788 0301862496 6 181 1 $205,000.00 05/16/2003 44 CHELSEA AL 35000 00 0.000 88 $14,450.00 06/01/2018 2 8715337 181 09 $129,600.00 $32,400.00 $347.97 673 0301853537 6 181 1 $162,000.00 05/16/2003 43 RICHMOND TX 77400 00 0.000 100 $32,400.00 06/01/2018 2 8715329 181 14 $108,000.00 $13,500.00 $144.99 798 0301853412 6 181 1 $135,000.00 05/16/2003 50 NORTH RICHLAND HILLS TX 00000 00 0.000 90 $13,500.00 06/01/2018 2 8715331 181 14 $144,000.00 $18,000.00 $120.97 713 0301853420 7 181 1 $180,000.00 05/16/2003 23 BATON ROUGE LA 70800 00 0.000 90 $18,000.00 06/01/2018 2 8370636 181 04 $194,400.00 $24,300.00 $178.14 769 0301867180 7 181 1 $243,000.00 05/16/2003 24 Alexandria VA 22300 00 0.000 90 $24,300.00 06/01/2018 2 8727175 180 14 $51,700.00 $24,300.00 $225.13 778 0301861613 6 180 1 $82,000.00 05/16/2003 28 Ft. Wayne IN 46808 00 7.490 93 $24,300.00 05/21/2018 2 8715339 180 14 $262,400.00 $65,600.00 $458.68 734 0301851549 7 180 1 $328,000.00 05/16/2003 36 BELLINGHAM WA 98200 00 0.000 100 $65,600.00 05/16/2018 2 8728653 180 14 $237,371.00 $21,000.00 $167.09 640 0301862116 7 180 1 $300,000.00 05/16/2003 49 CANAL WINCHESTER OH 00000 00 0.000 87 $21,000.00 05/21/2018 2 8715301 181 14 $250,000.00 $47,500.00 $331.31 778 0301852554 7 181 1 $350,000.00 05/16/2003 50 WESTMINSTER MD 21100 00 0.000 85 $47,500.00 06/01/2018 2 8370722 300 14 $85,979.00 $44,200.00 $403.83 669 0301867537 8 300 1 $144,000.00 05/16/2003 45 Ypsilanti MI 48100 00 00.000 91 $44,200.00 05/22/2028 2 8724285 181 09 $235,200.00 $29,400.00 $200.06 710 0301859153 7 181 1 $294,000.00 05/16/2003 30 CARSON CITY NV 89700 00 0.000 90 $29,400.00 06/01/2018 2

  • Day-Ahead Schedule has the meaning set forth in the CAISO Tariff.

  • railway operational procedures means procedures specified under any access agreement (as defined in the Railways Act 1993) or station lease;