Determining Usual, Customary and Reasonable Charges for Healthcare Providers

Determining Usual, Customary and Reasonable Charges for Healthcare Providers

The issue of whether a healthcare provider's charges are reasonable arises when a healthcare provider and payor have not agreed on a negotiated payment rate for a service. Reasonableness of healthcare charges are at issue in some personal injury cases as well as commercial litigation and can effect the economic damages in the case.  RPC conducts ongoing research on determining the reasonableness of healthcare providers' charges. This white paper expresses RPC's opinions on the matter as of August 2016.   Read the full white paper here.

For More Information

Fill out our online form