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Fair Pricing Policy

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10 Questions

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

Ensuring equitable access to healthcare services

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

It ensures consistent and transparent pricing

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

Geographical location of the healthcare facility

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

Combining multiple procedures into a single, inclusive price

How does a fair pricing policy contribute to healthcare affordability?

By preventing price discrimination based on patient characteristics

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

Allowed amount

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.

Fee schedule

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

True

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

False

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

False

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