rkindlund
Networker
I have been told by other coders to double the fee on any procedure code that I bill with a modifier 50. However, if I know the payer's fee schedule and that they will pay 150% on a bilateral, which is still lower than my billed fee, why would I want to double it? It seems the only purpose this serves is to dramatically increase the amount I am adjusting off.
e.g.
fee for code is $1425 and BCBS allowable is $730.99. At 150% they should reimburse roughly $1097. If I bill $2850 for a bilateral, I'm writing off way more.
Clarification? Advice?
e.g.
fee for code is $1425 and BCBS allowable is $730.99. At 150% they should reimburse roughly $1097. If I bill $2850 for a bilateral, I'm writing off way more.
Clarification? Advice?