6 provides that where a health service reimbursable under Insurance Law [section] 5102(a)(1) "is performed outside New York State, the permissible charge for such service shall be the prevailing fee
in the geographic location of the provider" (emphasis added).
it would suggest that one prevailing fee rate should apply nationwide.
At the same time, courts have held that the determination of a prevailing fee rate is a question of fact, subject to clear error standard of review.
The customary and prevailing fee amounts are subject to a variety of constraints and inventives such as:
For some services, the Medicare allowed charge was not equal to the billed amount, customary fee, or prevailing fee.
The prevailing fee
structure currently used by most electronic publishers--pay by the minute--therefore appears to have some serious shortcomings.
The amount of revenue derived will depend on traffic to each Featured Finder's page and prevailing fee
amounts paid by Google Adsense.
American Dental Centers offers dental plan membership that entitles individuals to preventive dental care at no cost, while corrective services are available to members at fees which are far below the prevailing fee
Secondly, Cantero argued that awarding prevailing fees
is not a constitutional right, and hence not an access issue.
Scholars may opt to enroll in a private academic institution of their choice provided that they will shoulder amounts in excess of the prevailing fees
at the University of the Philippines.
We used data from the Health Insurance Association of America to measure changes in mean prevailing fees at the local level for the service "prenatal care with vaginal delivery.
Private teaching 603 (74) Public 55 (66) Nonpublic, nonteaching 801 (68) Mean change between 1980 and 1989 in 18,540 adjusted malpractice premium charges for obstetrics, $ Mean change between 1980 and 1989 in 1,813 prevailing fees for obstetrics, $ Inactive 1989 Variable (n = 611) Mean no.