Prospective Payment definition

Prospective Payment means, with respect to the Fixed Rate Notes: (i) each scheduled interest payment on each scheduled principal amount to be prepaid; and (ii) the scheduled principal amount to be prepaid.
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Prospective Payment means, with respect to any redemption: (i) each scheduled interest payment on the scheduled principal amount being redeemed, excluding any portion of any such interest payment accrued as of the date of redemption, plus (ii) the scheduled principal amount being redeemed.
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Prospective Payment means payments made to Providers on the basis of interim rates or rates set by SED which are subject to reconciliation by SED and/or adjustment of enrollment by the Board pursuant to paragraph 4(b)(2)(C) or paragraph 14 of this Agreement.
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Examples of Prospective Payment in a sentence

  • However, this payment will be limited so that the total payment received by the Provider for a service, including payment from all sources, does not exceed the Prospective Payment System (PPS) utilizing Diagnosis Related Groupings (DRG) reimbursement for that service.

  • The methadone per diem rate for OTPs will be updated annually by the Medicare update factor used for their Inpatient Prospective Payment System (IPPS).

  • For acute care hospitals that qualify as a “Rural Provider” under the North Carolina State Health Plan Pricing Policy, outpatient services identified by CMS Outpatient Prospective Payment System (OPPS) Status codes will be priced based on 235% of the then current Medicare APC allowable rates, geographically adjusted.

  • For acute care hospitals that qualify as a “Rural Provider” under the North Carolina State Health Plan Pricing Policy,3 inpatient services will be priced based on 200% of the then current Medicare rate schedule based on the applicable CMS Medicare Inpatient Prospective Payment (IPPS) rates of Medicare Severity Diagnosis Related Groups (MS- DRGs) published on the CMS website on the date of the Member’s discharge geographically adjusted, including associated add-on and outlier payments.

  • For professional services billed on a CMS-1500 or successor form, 160%, and for technical services billed on a UB-04 form, 200% of current rate under the Medicare FQHC Prospective Payment System.

  • For acute care hospitals that do not qualify as a “Rural Provider” under the North Carolina State Health Plan Pricing Policy, outpatient services identified by CMS Outpatient Prospective Payment System (OPPS) Status codes will be priced based on 225% of the then current Medicare APC allowable rates, geographically adjusted.

  • The Provider agrees that receipt of the lesser of 50% of the coinsurance amount or an amount sufficient to bring the total payment received by the Provider up to the level of the Prospective Payment System (PPS) utilizing Diagnosis Related Groupings (DRG) reimbursement for the service being billed constitutes payment in full, and the Provider may neither request nor accept further payment from the patient.

  • For other provider types, the Medicare allowable rate is based upon CMS Geographic Pricing Cost Indices (GPCI) and Resource Based Relative Value Scale (RBRVS) Relative Value Units (RVU) including Outpatient Prospective Payment System (OPPS) cap rates; the Clinical Laboratory Fee Schedule (CLAB); the Durable Medical Equipment, Prosthetics, Orthotics and Supplies Fee Schedule; including PEN (DMEPOS) and ‘Medicare Part B Drug Average Sales Price (ASP),’ as appropriate.

  • FQHC and RHCs The CONTRACTOR shall reimburse both Contract and Non-Contract FQHCs and RHCs at a minimum of the Prospective Payment System (PPS) or alternative payment methodology in compliance with Section 1905(a)(2)(C) of the Social Security Act.

  • For acute care hospitals that do not qualify as a “Rural Provider” under the North Carolina State Health Plan Pricing Policy, inpatient services will be priced based on 175% of the then current Medicare rate schedule based on the applicable CMS Medicare Inpatient Prospective Payment (IPPS) rates of Medicare Severity Diagnosis Related Groups (MS- DRGs) published on the CMS website on the date of the Member’s discharge geographically adjusted, including associated add-on and outlier payments.

Related to Prospective Payment

  • Incentive Payment means the payments made pursuant to Section VII.E.

  • PRE-PAYMENT The Tenant shall: (check one)

  • Availability Incentive Payments has the meaning set forth in the CAISO Tariff.

  • Service Payment has the meaning given to it in clause 9.1;

  • Annual Payment The total amount payable to the Settlement Fund Administrator by the Settling Distributors on the Payment Date each year, as calculated by the Settlement Fund Administrator pursuant to Section IV.B.1.e. For the avoidance of doubt, this term does not include the Additional Restitution Amount or amounts paid pursuant to Section X.