Medical Billing Forum

Billing => Billing => : deedee April 02, 2012, 12:31:59 AM

: Fee Slip Schedule
: deedee April 02, 2012, 12:31:59 AM

Hello,
The provider that I'm working with doesn't have a fee slip with the $ amount that he charges the insurance. Where can I find a generic one that I can input into the medical billing software? Also how would I be able to obtain the insurances allowable amount? Would I have to call and get the fee slip schedule from them? Please help...

Thank you,
Diana.

: Re: Fee Slip Schedule
: PMRNC April 02, 2012, 09:29:25 AM

Some softwares have the capability of doing superbills, that's probably what you want?  Fee schedules come from the carriers your provider is contracted with, check the contracts or get in touch with the carriers for their fee schedule.

: Re: Fee Slip Schedule
: macbook April 03, 2012, 11:49:17 PM

HI Diana,

For the billed amount to charge insurance, we will need to know more, such as what the specialty of the doctor is, his location, etc. But if it would help,  we normally go by adding 200-300% of the Medicare fee schedule for the pay locality of that provider.

The allowable amount would normally depend on the contract your provider signed/accepted with the insurance/payer.

Hope this helps.

: Re: Fee Slip Schedule
: deedee April 06, 2012, 05:47:29 PM

Thank you for your help. the provider is internal medicine. 

: Re: Fee Slip Schedule
: macbook April 06, 2012, 10:57:34 PM

That's great. I have 2 providers with that specialty. One is a PCP and another a Hospitalist.

Is he your first client? That is exciting. :). I know you will do a great job. :)