A system wherein doctors and other health care professionals receive payment based on their charges for services provided.
Insurance Encyclopedia
Fee freeze
To fix prices at a given level or place for a specific period of time.
Fee maximum
See: fee schedule .
Fee maximum (Health Insurance)
The maximum fee available to a health care professional for a service provided under a contract.
Fee schedule
1. Listing in an insurance policy of procedure code numbers with charges or pre-established allowances for specific medical services and procedures. Also called table of allowances, fee allowance, fee maximum , benefit payment schedule, benefit schedule, schedule of allowances, schedule of benefits , or capped fee . 2. Record of procedure code numbers and services with dollar amounts, or payment amounts by a payer that could be percentages of billed charges, flat rates, or maximum allowable amounts set down by the managed care plan. 3. Annually published Medicare fee schedule (MFS) with procedure codes in the Federal Register ; applies to surgeries, clinical laboratory tests, radiological procedures, and durable medical equipment. The fees shown are the maximum dollar amounts Medicare will allow for each service rendered for a beneficiary. MFS is based on the calculation of several components including relative value unit (RVU), which is based on three factors: the physician’s work, overhead expenses, and malpractice insurance. Also called schedule . See also relative value studies (RVS) .
Fee schedule (Health Insurance)
A schedule of maximum charges for providers who charge on a fee for service basis.
Fee schedule basis
See: capitation basis .
Fee simple
Highest and best estate, by which an owner is entitled to the entire property without limitations or conditions, as are his or her heirs.
Fee simple basis
A form of ownership in which the owner has full rights to dispose of the property held. Common within homeowner associations.
Fee ticket
See: multipurpose billing form .