Question: 1. Please explain the difference between retrospective reimbursement and prospective reimbursement, and give an example of how each would work in practice. 2. How are

1. Please explain the difference between retrospective reimbursement and prospective reimbursement, and give an example of how each would work in practice.

2. How are usual, customary, and reasonable services (UCR) determined? Please use FAIRHealthConsumer.org to determine how much it would cost to have a 7-year-old's tonsils and adenoids removed in Leo, IN (area code 46765), and report your findings here. Be sure to include typical total provider charges and OOP costs for the procedures themselves as well as related procedures

3. How does CMS reimburse hospitals? How does CMS reimburse physicians?

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