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Originally Posted by Rainger99
Thanks for the explanation. However, you mentioned a new term - ACO which is an Accountable Care Organization. I had never heard of that term until your post so I had to google it.
How does that affect payments from Medicare or UHC??
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It defines which entities are taking the risk and what set of Draconian rules they must follow. I believe they in turn have to pay the subspecialty consults out of their own pocket (part of the assumed risk) This is one reason (hypothetically) that they are unhappy about what a certain practice was (over)charging them for services rendered.