Usual and Customary Charges with Medicare and Most Favored Nation Clauses

Stark Integrity
29/04/2025 21 min Episodio 167
Usual and Customary Charges with Medicare and Most Favored Nation Clauses

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Episode Synopsis

Send us a textCan you charge a payer lower than Medicare or Medicaid? In this episode, Captain Integrity Bob Wade explores when you can, and when you can’t. Hear why you need to look for the average or median of all expected payments, why you should remove the low and extravagant charges, how Medicare is not entitled to the lowest price you charge anyone, the origin of the most favored nation clause, and some fun customs we see in society. Learn more at CaptainIntegrity.com 

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