DEFINITION of 'Oil Refinery' An industrial plant that refines crude oil into petroleum products such as diesel, gasoline and heating oils. Oil refineries essentially serve as the second stage in the production process following the actual extraction by oil rigs.
Value-Based Purchasing. Starting in October 2012, Medicare began rewarding hospitals that provide high-quality. care for their patients through the new Hospital Value-Based Purchasing (VBP) Program. Hospitals paid under the Inpatient Prospective Payment System (IPPS) are paid for inpatient. acute care services based on quality of careânot the volume of services they provide.
C. Medicare Coordination of Benefits Period with Employer Group Health Plan When an individual has medical coverage through an employer group health plan (EGHP) that plan is the primary payer during the 30-month coordination of benefits (COB) period. Medicare is the secondary payer during this time. At the end of the