Author Topic: Fees  (Read 1227 times)

vchere6535

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Fees
« on: June 03, 2010, 03:06:02 PM »
When a docotor starts their own medical practice, how do they know how much to bill? I can't picture a doctor calling other practices to find where they fit in with the fee schedule? And for Insurance Cos., etc - are the fee schedules publicly available?

Pay_My_Claims

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Re: Fees
« Reply #1 on: June 03, 2010, 04:56:27 PM »
There is a calculation method they use.

Michele

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Re: Fees
« Reply #2 on: June 03, 2010, 08:17:01 PM »
Medicare fee schedules are posted on the carriers web site.  Many providers use the Medicare allowed amount and multiply by 130 - 150% and then round it.  For example, if Medicare allows $99.05 for a 99214 then the provider may want to allow between $130-$150. 

Michele
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vchere6535

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Re: Fees
« Reply #3 on: June 04, 2010, 10:38:38 AM »
I can't tell you how gratefull i am for this info. But I DON'T want to tell you how long I've tried to research this info. Thanks so much!!

Zeecy

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Re: Fees
« Reply #4 on: June 09, 2010, 10:00:03 AM »
Our electronic billing system came with the Medicare Fee Schedule already built in.  Then we did like the above poster said & multiplied it by 150% for other payers.  Good luck!