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average payment rate

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average payment rate
Managed care The amount of money that the HCFA could conceivably pay an HMO or CMP for service to Medicare recipients under a risk contract. See Risk contract.


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For codes not reimbursed by Medicare, rates were increased to 90% of the national average payment rate.
Latest figures for September, October and November 2005 show an average payment rate of 94%.
On average payment rates for Tir Gofal prescriptions are likely to fall by some 13% and capital work payments have either remained the same or have gone up by 10%.
 
 
 
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