They also will be required to compensate appraisers in accordance with the reasonable and customary
fee provisions contained in the Truth in Lending Act.
Cost increases at dental plans with reasonable and customary
payment systems could rise about 6 percent, down from 6.3 percent, and cost increases at vision plans with reasonable and customary
payment systems could increase to 3.1 percent, from 3 percent.
"DePuy is committed to addressing reasonable and customary
costs of testing and treatment for reasons related to the recall, including revision surgery if necessary.
On a related topic, the appraisal organizations' letter stated, "We strongly believe that professional appraisal designations should be considered as one of the factors when determining a reasonable and customary
The rules would prohibit coercion and other similar actions aimed at encouraging appraisers not to make independent judgments; prohibits appraisers and appraisal management companies from having financial or other interests in the properties or the transactions; prohibits creditors from extending credit--based appraisals if they know of coercion or conflicts of interest; requires creditors and others who know about appraiser misconduct to report them to state licensing agencies; and requires creditors that hire appraisers to pay "reasonable and customary
"Judicial compensation in Florida is grossly out of alignment with what is reasonable and customary
, on a regional and national basis," Crist said.
In regard to customary and reasonable fees, the FHA states that the marketplace "best determines" what is reasonable and customary
. Although the FHA makes it clear that it does not set these fees, the agency notes that it expects lenders to know what is reasonable and customary
in the areas in which they lend and to ensure proper payment to appraisers.
The new FHA guidelines require that appraisers be compensated at rates that are reasonable and customary
in their markets, which means that some AMCs may have to modify their business models, potentially charge far more for appraisals, or potentially go out of business.
The subpoenas will seek documents that show how the companies calculate reasonable and customary
rates, as well as copies of member complaints and appeals, and communications with Ingenix.
The department had proposed in April that all large group health insurance companies, health service corporations, and HMOs in the commercial health insurance market use Medicare fee schedules to determine benefit amounts for out-of-network, non-hospital health care services as well as the existing system that relies on using "reasonable and customary
fees" charged in a particular area by a majority of the health care providers.
If services are rendered by a husband and wife, consider balancing their compensation (as long as it is reasonable and customary
) to increase their overall retirement contribution.