Why Might a Physician Receive Only $185 for a Procedure

question 17

Multiple Choice

Why might a physician receive only $185 for a procedure for which he billed the insurance company $255?

• A)The physician's fee profile has increased since it was set by the company.
• B)The insurance company's fee schedule allows only $185.
• C)The fee of $225 is above the maximum range charged by the other physicians in the area.
• D)All of the above are correct.

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Definitions:

Illness Anxiety Disorder

A chronic condition characterized by excessive worry about having or developing a serious illness, despite medical reassurance.

Phobic Disorder

A type of anxiety disorder characterized by an irrational and excessive fear of specific objects, activities, or situations.

Anhedonia

A condition characterized by the inability to experience pleasure from activities usually found enjoyable.

Cyclothymia

A mood disorder characterized by periods of mild depression and periods of hypomania, which are less severe than those in bipolar disorder.