Question

The fiscal agents for Medicare and other government-sponsored insurance programs keep a continuous list of the usual and customary charges by individual doctors for specific procedures. This is used to determine the?

Answer 1

Answer:

The fiscal agents for Medicare and other government-sponsored insurance programs keep a continuous list of the usual and customary charges by individual doctors for specific procedures. This is used to determine the?

Explanation:

Since the beginning of the Medicare program, the CMS (Centers for Medicare and Medicaid Services) has hired private companies to act as intermediaries between the government and medical providers. These contractors commonly already have experience in the area of health insurance.

This is used to determine: Claims and payment processing, call center services, physician fees, and fraud investigation.