Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 140

Physician and Other Part B Supplier Services Furnished Under

Last amended: 2001Year: 2001Length: 96 wordsOfficial source
140 - Physician and Other Part B Supplier Services Furnished Under Arrangements (Rev. 4, 10-01-01) The amount the HMO/CMP pays to a physician, physician group, or supplier for physician and other Part B supplier services furnished under arrangements is an allowable cost to the extent it is reasonable. Costs are considered reasonable if they: • Do not exceed those that a prudent and cost conscious buyer would incur to purchase those services; and • Are comparable to costs incurred for similar services furnished by similar physicians or other suppliers in the same or similar geographic area.
Medicare Managed Care Manual (Pub. 100-16), Ch. 17b § 140: Physician and Other Part B Supplier Services Furnished Under | Justis AI