approved charge


Also found in: Financial.

approved charge

The money paid by Medicare (US) to a healthcare provider which it deems “reasonable and customary” for a particular covered medical service in a particular region, typically less than the actual charge.

approved charge

Health insurance The monies paid under Medicare as the maximum fee for a covered service
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In addition, appropriated funds are available to pay the "gross-up" fee assessed by the Potomac Electric Power Company (Pepco) because the "gross-up" fee represents the cost of additional income taxes to Pepco that Pepco is attempting to recover through a regulatory approved charge and is not a direct tax upon the federal government.
Copayment (also called coinsurance): That portion (usually 20 percent) of the approved charge for healthcare that must be paid by the patient--along with any deductible.
The prevailing-charge source includes services where the prevailing charge was equal to the approved charge and was less than both the customary and submitted charges.
Using 1986 data from the local Medicare Part B carrier, we were able to identify, for each Part B service, the approved charge for each specific service, test, procedure, and item of equipment.
The Contract Calculator returns the appropriate approved charge, deductible, and co-pay or coinsurance according to the payer's contracted rate; eliminates small balance write-offs; and simplifies compliance with PPACA's new "limitation on charges" rule.
During the last two years, HEC has reimbursed tuition fee and other approved charges of more than 100,000 students of less developed areas amounting to Rs.
The Maritime Port Authority (MPA) of El Salvador has approved charges for this service, while Costa Rica adapts some rules to facilitate the transaction.
4 billion in approved charges for services provided to 10,385,355 Part B fee-for-service beneficiaries.
In minutes, registrars using nTelagent validate the patient's address, verify insurance, process medical necessity when appropriate, determine approved charges based on service provider contracts, and follow online scripts for discounts, payment terms and patient collections - all at point of service.
Notably in the newly approved charges the cost of wholesale international leased line has been reduced by more than 20pc for circuits to some regions and for leased lines, used to provide data services to businesses, the charges have been reduced by up to 40pc.
By Wasil Ali March 4, 2009 (WASHINGTON) -- The International Criminal Court (ICC) announced that its judges approved charges made by its prosecutor against Sudanese president Omer Hassan Al-Bashir.