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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.
In contrast, cost shifting from Medicare onto private payers does not differentiate these MSAs from each other; however, Center for Medicare and Medicaid Services (CMS) payment information indicates that payments to MSA providers in the central portion of the country grew less rapidly in the 1990s and were lower in 2000 than the average payment rate per beneficiary in the US.
nbsp;Ultrasound and Flow Reserve' has a national average payment rate of $1711.
 
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