Wiki fee analyzers

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OBcoder2017

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What is a good tool to analyze the prices that my physician office is billing? They haven't been updated in awhile and I really don't know where to evaluate whether we need to raise our prices or not. Good tools or websites anyone?
Thanks,

Lisa Gaines, CPC-A
OBGYN
 
Our office goes by your highest amount in reimbursement from an insurance company. Ours for example is Assurant Health- EKG's are reimbursed around $30.00, from that amount, bill about 10-30% higher as most contracts will pay your billed amount, or their fee schedule whichever is lower. so if EKG gets reimbursed at $30 per that fee schedule and your office is billing $20 they will pay $20 ---if your office bills $45-- then they pay their allowed at #$30, $22, $18 etc.....
if analyzing pricing for private pay fees, i would go by your highest reimbursed amount as well.

HTH
Louise CPC
 
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