Dollar amount for professional services rendered to a patient by a provider.
Insurance Encyclopedia
Fee allowance
See: fee schedule .
Fee disclosure
Communication of medical charges with a patient by a provider or office manager before medical services and treatment are rendered.
Fee for service
Where a broker is remunerated on the basis of a fee agreed with its client instead of brokerage. The benefit to the broker is that, subject to the terms of agreement, the fee will be payable whether or not cover is placed whereas brokerage is only payable in respect of the placement of cover.
Fee for service reimbursement (Health Insurance)
A system wherein doctors and other health care professionals receive payment based on their charges for services provided.
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.