Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Dealing with the MAAC (maximum allowable actual charge) program.

The Medical Staff Counselor

|January 4, 1989

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Transfer function analysis of the circulation: unique insights into cardiovascular regulation.

The American journal of physiology·1991

Same author

Theory and practice in psychotherapy: some contradictions in expressed belief and reported practice.

The Journal of nervous and mental disease·1979

Same author

Age factors in patient-therapist relationship.

The Journal of nervous and mental disease·1979

Same author

A three-year follow-up study of the elimination of the internship. A comparative study of internship- and noninternship-trained residents in a psychiatric outpatient setting.

Archives of general psychiatry·1978

Same author

Mid-adult development and psychopathology.

The American journal of psychiatry·1978

Same author

Emotional factors in juvenile diabetes mellitus: a study of the early life experiences of eight diabetic children.

Psychosomatic medicine·1975

Same journal

United States v. Levin: entrapment by estoppel doctrine applied in Medicare reimbursement context.

The Medical staff counselor·1994

Same journal

Challenges in medical staff credentialing.

The Medical staff counselor·1994

Same journal

Assessing the risks of managed care participation: a practical analysis.

The Medical staff counselor·1994

Same journal

Why the medical staff as we know it will cease to exist.

The Medical staff counselor·1994

Same journal

New guidelines for physician contracts with tax-exempt hospitals.

The Medical staff counselor·1994

Same journal

Medical staff contracting: legal issues in physician-hospital arrangements.

The Medical staff counselor·1994

See all related articles

Congress set limits on what nonparticipating physicians can charge Medicare patients, known as Maximum Allowable Actual Charges (MAACs). This article explains MAAC calculations, compliance, and how to challenge unfavorable limits.

Area of Science:

Health Policy
Medical Economics
Medicare Regulations

Background:

Medicare fee restraints on nonparticipating physicians predate 1987.
The Balanced Budget Act of 1986 introduced new regulations impacting physician charges.

Purpose of the Study:

To explain Maximum Allowable Actual Charges (MAACs) for nonparticipating physicians.
To guide physicians on challenging MAAC calculations and understanding related Medicare provisions.
To inform physicians about statutory burdens imposed by the 1986 Medicare statute.

Main Methods:

Historical review of Medicare fee regulations.
Analysis of MAAC computation and compliance determination.
Identification and explanation of relevant Medicare statute provisions.

Related Experiment Videos

Main Results:

MAACs were established effective January 1, 1987, limiting non-Medicare participating physician charges.
The article details the methodology for calculating MAACs and assessing compliance.
Strategies for challenging adverse MAAC determinations are presented.

Conclusions:

Nonparticipating physicians must understand MAACs and related Medicare regulations.
Physicians have recourse to challenge unfavorable MAAC calculations.
Awareness of additional statutory provisions is crucial for nonparticipating physicians.