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  • Paying the Doctors Bills - How Can It Be Done?
    adjusted by applyinga usualand customary (U&C) fee maximum, but with U&C maximums the physicianhas the opportunity ... practices, and compared them. These are summarized in Table 1. These ratios included both fee-for-service expenses ...

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    • Authors: Nancy F Nelson, Janet Carstens, Scott E Guillemette
    • Date: Jun 1994
    • Competency: Results-Oriented Solutions
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Creative Provider Reimbursement Approaches
    the more important issues or advantages (Table 1). TABLE 1 TRADITIONAL REIMBURSEMENT APPROACHES—FEE ... modified, which is one that uses a fee schedule (Table 2). There are a lot of the same advantages and ...

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    • Authors: Sunit Patel, Steven Wander, Scott E Guillemette, Susan Pantely
    • Date: Jun 1998
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance
  • Strategic Response to Medical Inflationary Factors
    terminology (CPT) codes. In this simple example (Table 1), we're taking the counts and dividing it by ... age/sex adjusted. 10 RECORD, Volume 23 TABLE 1 UTILIZATION TREND—SERVICE MIX CHANGES Cpt Code ...

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    • Authors: Kevin Dolsky, Janet Carstens, Scott E Guillemette
    • Date: May 1997
    • Competency: External Forces & Industry Knowledge
    • Publication Name: Record of the Society of Actuaries
    • Topics: Health & Disability>Health insurance