Surgical expenses now generally are reimbursed on the basis of
A)actual surgical expense.
B)listed benefit schedules.
C)specific percentage of actual surgical expense.
D)average national cost of the surgery.
E)usual, reasonable, and customary expenses.

Question

Quizplus · Accepted Answer

Usual, reasonable, and customary expenses are the most common method of determining reimbursement for surgical expenses. This method takes into account the typical cost of a specific surgery in a particular geographical location, as well as the level of experience and expertise of the surgeon. This approach provides a fair and reasonable reimbursement rate for surgical expenses while avoiding excessive payments for unnecessary or excessively costly procedures.

Surgical Expenses Now Generally Are Reimbursed on the Basis of