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Reasonable cost
FIs and carriers use CMS guidelines to determine reasonable costs incurred by individual providers in furnishing covered services to enrollees. Reasonable cost is based on the actual cost of providing such services, including direct and indirect cost of providers and excluding any costs that are unnecessary in the efficient delivery of services covered by the program.
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- Part of Speech: noun
- Synonym(s):
- Blossary:
- Industry/Domain: Insurance
- Category: Medicare & Medicaid
- Company: Centers for Medicare & Medicaid Services
- Product:
- Acronym-Abbreviation:
Other Languages:
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