|
25.4 Reimbursement
Physicians are reimbursed at the lesser of the billed amount or the amount allowed by Texas Medicaid.
Hospitals are reimbursed at 80 percent of TEFRA, which is equivalent to the hospital's Medicaid interim rate.
DME suppliers are reimbursed at the lesser of the billed amount or the amount allowed by Texas Medicaid.
Advanced practice nurses (APNs) are reimbursed at the lesser of the billed amount or 92 percent of the amount allowed by Texas Medicaid for the same service performed by a physician.
|
