Looking for the usual customary reasonable relationship.
نویسنده
چکیده
منابع مشابه
Are Usual and Customary Charges Reasonable?
An editorial about the use of usual and customary charges for out-of-network benefit determinations.
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Although the “usual, customary and reasonable” concept may have been reasonable and workable as a basis for [physicians] billing individual patients, it has been a failure as a basis for reimbursement from insurance funds. Because it contains none of the limits or standards that are applied to other services covered by insurance, the charges for medical services have escalated, with little or n...
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Physicians' claims that extensive Medicare and Medicaid fee discounting imposes an inequitable burden on them are examined using survey data from the Health Care Financing Administration on 5,000 primary care physicians. A definite fee hierarchy is documented, with the physician's usual charge at the top and Medicare and Medicaid allowables at the bottom. Under usual, customary, and reasonable ...
متن کاملPhysician customary charges and Medicare payment experience: Study findings
Customary charges have had significant impacts in determining reasonable prices under the historic Medicare physician payment system. This article contains new, comprehensive information on customary charges as well as data aggregated at the physician level. These baseline data have some important policy implications, such as the study findings, that indicate that the Medicare fee schedule is l...
متن کاملThe Problem of Customary Marriage and the Solution of Temporary Marriage
Customary marriage (nikāḥ ‘urfī)—non-official married life of a couple—is a new phenomenon increasingly spreading throughout the Arab world. Legal and social consequences of customary marriage have led many socio-jurisprudential scholars to forbid all its varieties. The strategy has, nevertheless, failed to restrain the spread of this type of marriage. In this paper, I argue that one f...
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عنوان ژورنال:
- CDS review
دوره 99 3 شماره
صفحات -
تاریخ انتشار 2006