Fair Pricing Policy
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Questions and Answers

What is the primary goal of a fair pricing policy for medical CPT codes in California?

  • Maximizing profits for healthcare providers
  • Ensuring equitable access to healthcare services (correct)
  • Minimizing competition among healthcare facilities
  • Prioritizing the interests of insurance companies

How does a fair pricing policy benefit patients in the context of medical CPT codes?

  • It increases out-of-pocket expenses for patients
  • It ensures consistent and transparent pricing (correct)
  • It restricts access to certain medical procedures
  • It favors one specific group of patients over others

Which factor is typically considered in the establishment of fair pricing for medical CPT codes?

  • Geographical location of the healthcare facility (correct)
  • The popularity of a specific medical procedure
  • The financial status of individual patients
  • The availability of advanced medical technology

In the context of fair pricing policies for medical CPT codes, what does "bundled pricing" refer to?

<p>Combining multiple procedures into a single, inclusive price (B)</p> Signup and view all the answers

How does a fair pricing policy contribute to healthcare affordability?

<p>By preventing price discrimination based on patient characteristics (C)</p> Signup and view all the answers

The maximum amount a plan will pay for a covered health care service. May also be called “eligible expense,” “payment allowance,” or “negotiated rate.”

<p>Allowed amount (A)</p> Signup and view all the answers

A complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis.

<p>Fee schedule (B)</p> Signup and view all the answers

Fair pricing policies for medical CPT codes in California aim to ensure consistent and transparent pricing for healthcare services.

<p>True (A)</p> Signup and view all the answers

Fair pricing policies contribute to healthcare affordability by allowing arbitrary price adjustments based on patient characteristics

<p>False (B)</p> Signup and view all the answers

The primary goal of fair pricing policies is to minimize competition among healthcare facilities.

<p>False (B)</p> Signup and view all the answers

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