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fee schedule

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Sportsmom:
I'm billing for a provider that has been charging the Medicare allowable only on his claims, I stated to him you should bill the same has you do for all other clients. You cannot get in trouble for setting your own fees. You still will only get the M/C allowed amount. I did the RBRVS for him and set new fees.
He asks me if I can show him in writing, but I don’t have it in writing it’s one of thing you just know from billing. Does anyone know if I can find it in writing?

Thank you

PMRNC:
The last time a provider asked me to show it to him in writing, I terminated them. I have NO tolerance for that kind of crap, especially when dealing with Medicare!  Seriously If you are going to give him something to back up common sense.. I would charge him for a consulting fee!.  Remind him why he hired you!

It's like saying .. Prove to me that it's illegal to rob a bank!

rdmoore2003:
OMG  Is he not charging the same price across the board.........you might want to rethink your position...

PMRNC:
The more I think about this the more It irks me. LOL  (no offense to you) I would give him a choice.. take your advice and training OR get an attorney to put it in writing he CAN do what he wants and charge whatever he wants  :o 

OR Better yet..

Tell him YOUR position.. technically you cannot legally continue with that line of billing anyway because now you have knowledge of it. I would tell him this and let him get someone else to break the law or prove it.

Sportsmom:
Thank you for your help. Glad to know that I'm doing the right thing.

I put his new fee's in writing and had it state, that all clients will be billed the same fee across the board for each CPT code his office bills for
. I will be meeting him on Saturday and going to make him sign and date and having it notarized.

I'll keep you all posted on what happens.

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