Medicare + Fee Schedules

NATIONAL ASSOCIATION OF PREFERRED PROVIDERS (NAPP) Fee Schedule:

☑ Medicare plus 25% or 80% of billed charges, whichever is less.

THREE RIVERS PROVIDER NETWORK (TRPN) – PPO Fee Schedule:

125% of the existing Medical fee schedule as total reimbursement for covered services less applicable co-payments, co-insurance or deductibles.

IMAGINE A ONE  OR TWO PAGE HOSPITAL CONTRACT INCORPORATING THESE FEE SCHEDULES…………………….

Some (Most?) PPO fee schedules still play the “discount” game:

☒ NATIONAL PREFERRED PROVIDER NETWORK (NPPN) – PPO Fee schedule:

80% of billed charges.

See all HNA PPO fee schedules here – health plan list and fee schedule – Healthcare Networks of America

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