Medical Billing Forum

Billing => Billing => : jseverson August 22, 2011, 04:53:44 PM

: Help with Pricing CPT codes
: jseverson August 22, 2011, 04:53:44 PM

nHi, I hope someone can lead me where to go, I have a Dr. who see's patients in a hospital so they are im patient codes but is there a place on medicare's site I could see what the allowable is by geographical areas, I have never figured out what the provider would charge, I know there are ways. Then he thought I would use Medicare's allowable plus 100%.  I am totally confused.  Please soneone if you could help me I would appreciate it.
Thank you  Judy

: Re: Help with Pricing CPT codes
: Michele August 23, 2011, 11:44:50 AM

Hi Judy,

     A common way to develop a fee schedule is to use the Medicare allowed amounts and go between 130% - 150%.  I haven't heard of going plus 100% but it's up to the provider. 

: Re: Help with Pricing CPT codes
: jseverson August 24, 2011, 12:12:01 PM

Michelle,
ThaNK YOU FOR THE RESPONSE.
Judy