Asked by Cathrina Paris on May 05, 2024
Verified
The ________ fee is considered the maximum charge that the health plan will pay a provider for a particular procedure or service.
Allowed Fee
The maximum charge that an insurance plan agrees to cover for a specific medical service or procedure.
- Differentiate between preauthorization and predetermination.
- Elaborate on the results of a physician's decision to accept assignment in the context of Medicare beneficiaries.
Verified Answer
ZK
Learning Objectives
- Differentiate between preauthorization and predetermination.
- Elaborate on the results of a physician's decision to accept assignment in the context of Medicare beneficiaries.