I just started billing for a Doctors office and the "owner" of this Medical Office is a business man, not a doctor. So I deal directly with him.
This man keeps telling me that they DO NOT have any set price for procedures done in the office except for New Patient $250.00 and Established Patient $180.00.
HOWEVER, they perform EKG's, PAP SMEAR's, Venipuncture, etc. in the office and they expect me to BILL the Insurance Companies according to some "Physician Standard Fee Schedule Rate." They claim there is a STANDARD PRICE that they can charge and they are expecting me to figure it out.
I am confused because normally the doctors office give you a "Superbill" with their RATES. It seems that this office DOES NOT have any established rates except for the NEW PATIENT & ESTABLISHED PATIENT rate.
Does anyone know if there is a "STANDARD FEE RATE SCHEDULE FOR PHYSICIAN INSURANCE BILLING??"
P.S. This is an established office. The person that use to do their billing (from her home) had to stop because of health issues.
This is driving me nuts. Please help!!!!!