A carve-out is a group of services that are not covered under the primary contract, but are addressed under a separate agreement.  For instance, a practice may have a contract with a payer whereby the all services will be reimbursed to the practice at a specific percentage of Medicare.  There may also be a carve-out, whereby 10 procedures are paid at a contracted dollar rate, not a precentage of Medicare.

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Where have I been? Ten years after I started my consulting business and started blogging, in 2018 I stopped blogging when I took a very interesting interim position at the University of Washington...

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