Voluntary Alignment Clause Samples
Voluntary Alignment. Voluntary Alignment takes precedence over Algorithmic Alignment. The same rules for accrual of experience to the NGACO apply to Algorithmically and Voluntarily Aligned Beneficiaries.
Voluntary Alignment. A beneficiary who has agreed to voluntary alignment for a Performance-Year with an NGACO will be aligned to that NGACO for that Performance-Year (and related base-year) regardless of the NGACO with which the beneficiary would be aligned based on the 2-stage alignment algorithm. Beneficiaries who have voluntarily aligned with an NGACO will also be excluded from the base- or Performance-Year alignment if they do not meet the alignment-eligibility requirements described in section A.2 during the base- or Performance-Year. NGACO Benchmarking Methods Rev. 1.02.01
Voluntary Alignment. CMS provision that allows a Beneficiary to designate a Provider or Supplier as responsible for coordinating the Beneficiary’s overall care and to process the designation electronically. This designation will supplement the claims- based assignment methodology as defined in 42 C.F.R. Part 425.
Voluntary Alignment. A beneficiary who has agreed to voluntary alignment for a Performance-Year with an NGACO will be aligned to that NGACO for that Performance-Year (and related base-year) regardless of the NGACO with which the beneficiary would be aligned based on the 2-stage alignment algorithm. Beneficiaries who have voluntarily aligned with an NGACO will also be excluded from the base- or Performance-Year alignment if they do not meet the alignment-eligibility requirements described in section A.2 during the base- or Performance-Year. Base Year (BY) 01/01/2014 – 12/31/2014 BY/AY1: 07/01/2011 – 06/30/2012 (AY2012) BY/AY2: 07/01/2012 – 06/30/2013 (AY2013) Calendar Year 2015 (CY2015) 01/01/2015 – 12/31/2015 CY2015/AY1: 07/01/2012 – 06/30/2013 (AY2013) CY2015/AY2: 07/01/2013 – 06/30/2014 (AY2014) Performance Year 1 (PY1) 01/01/2016 – 12/31/2016 PY1/AY1: 07/01/2013 – 06/30/2014 (AY2014) PY1/AY2: 07/01/2014 – 06/30/2015 (AY2015) Performance Year 2 (PY2) 01/01/2017 – 12/31/2017 PY2/AY1: 07/01/2014 – 06/30/2015 (AY2015) PY2/AY2: 07/01/2015 – 06/30/2016 (AY2016) Performance Year 3 (PY3) 01/01/2018 – 12/31/2018 PY3/AY1: 07/01/2015 – 06/30/2006 (AY2016) PY3/AY2: 07/01/2016 – 06/30/2017 (AY2017) ¹ The period covered is the calendar year for which the expenditures of aligned beneficiaries will be calculated for purposes of setting the NGACO baseline or determining performance period savings. 99201 New Patient, brief 99202 New Patient, limited 99203 New Patient, moderate 99204 New Patient, comprehensive 99205 New Patient, extensive 99211 Established Patient, brief 99212 Established Patient, limited 99213 Established Patient, moderate 99214 Established Patient, comprehensive 99215 Established Patient, extensive 99304 Initial Nursing Facility Care, brief 99305 Initial Nursing Facility Care, moderate 99306 Initial Nursing Facility Care, comprehensive 99307 Subsequent Nursing Facility Care, brief 99308 Subsequent Nursing Facility Care, limited 99309 Subsequent Nursing Facility Care, comprehensive 99310 Subsequent Nursing Facility Care, extensive 99315 Nursing Facility Discharge Services, brief 99316 Nursing Facility Discharge Services, comprehensive 99318 Other Nursing Facility Services 99324 New Patient, brief 99325 New Patient, limited 99326 New Patient, moderate 99327 New Patient, comprehensive 99328 New Patient, extensive 99334 Established Patient, brief 99335 Established Patient, moderate 99336 Established Patient, comprehensive 99337 Established Patient, extensive 99339 Brief 99340 C...
Voluntary Alignment