Question

The fee an individual physician most frequently charges for a service is called the

A) Usual fee
B) Customary fee
C) Reasonable fee
D) Prevailing fee

Answer 1

The correct answer is A) Usual fee, which is the charge that a physician typically assigns to a specific medical service and is a component of the UCR system used to determine insurance reimbursements.

Step-by-step explanation:

The fee an individual physician most frequently charges for a service is called the Usual fee. This fee is part of a system often used by insurance companies and Medicare to determine reimbursement rates. The three components of this system are the usual, customary, and reasonable fees, often abbreviated as UCR. The usual fee refers specifically to the amount a medical provider typically charges for a particular service. The customary fee is the fee that falls within the range of the usual fees charged by providers with similar training and experience within a specific geographic area. The reasonable fee is the fee considered acceptable after taking into account the nature of the service and other mitigating factors like complications or special circumstances.