Stop-loss reconciliation amount

Stop-loss reconciliation amount means the amount set forth in 512.285 owed by CMS for the loss incurred under the Model to RO participants that have fewer than 60 episodes during the baseline period and were furnishing included RT services before the start of the model performance period in the CBSAs selected for participation.

Source

42 CFR § 512.205


Scoping language

For purposes of this subpart, the following definitions apply:

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