230.005 Fee Schedules Mandated by Federal Government

230.005

230.005 Fee Schedules Mandated by Federal Government: Amounts listed in fee schedules for medical services mandated by the federal government (e.g., Medicare, Medicaid, and TRICARE fee schedules) are unrelated to “usual and customary,” “customary and reasonable,” “prevailing,” or any other characterization implying a market-based determination (Res. 413-A-08; amended CSE Rep. 1-A-18).

Last Updated On

August 20, 2018