In response to Gregg Blesch's "Ingenix entangled in reimbursement rate battle," which ran in the Feb. 14 issue of Health IT Strategist:
It's always amazed me that insurance companies are allowed to set their own reimbursement rates and when you file a claim, they can claim it is above "usual, customary and reasonable," or UCR, rates. However, they are not required to, nor will they tell you what UCR is for the proceduretalk about price-fixing in an industry. Not only do they determine what is UCR, but also how much they will pay the provider.
Lance NormanInformation support specialistPharmacyPhoenix Children's Hospital To submit a letter to YOUR VIEWS, click here. Please include your name, title and hometown.