MANAGED CARE CONTRACT REVIEW WORKSHEET
2.30 MCO must agree to convert to new Healthcare Financing Administration’s (HCFA) fee schedule by January 1 of the next fiscal year. 2.31 If Physicians are reimbursed by MCO's own fee schedule, at least a market basket reimbursement analysis of highly utilized CPT-4 codes by specialty area must be included as an attachment or exhibit to the ... ................
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