reasonable and customary fees

reasonable and customary fees

In health care finance, the prevailing reimbursement for health services or medical care in a specific region or state. The term is vague. It reflects the reality that in differing states, regions, or health care institutions, the economics of health care may vary, owing to regional attitudes about care, or differences in professional expertise or available technologies.
References in periodicals archive ?
20, the Louisiana state legislature approved a set of appraisal management company rules that provide strong provisions regarding the payment of reasonable and customary fees that were put forth by the state's appraiser board.
The state's new rules allow AMCs to use "objective third-party information such as government agency fee schedules, academic studies and independent private sector surveys" as evidence for what constitutes reasonable and customary fees.
Though it may not be stated within the policy form, some carriers will allow the insured to appoint an attorney of choice, provided the attorney has expertise in the field and charges reasonable and customary fees