2004 Compliance Health Insurance Payment Systems 
AIHC
NOVEMBER 29, 2023
Prior to this time, commercial carriers were already pushing HMOs (health maintenance organizations) and capitation contracts with physician networks or instituting “reasonable and customary charges” requiring physicians to collect data to negotiate reasonable contracts. Hospital reimbursement also changed.
AIHC
NOVEMBER 29, 2023
Prior to this time, commercial carriers were already pushing HMOs (health maintenance organizations) and capitation contracts with physician networks or instituting "reasonable and customary charges" requiring physicians to collect data to negotiate reasonable contracts. It's important for compliance and historical trend analysis.
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