• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki NEED HELP!!! Pricing for visits, procedures, etc

Create Wiki
R

rwarren76

Guest
Messages
4
Location
Columbia, TN
Best answers
0
Can anyone give me some suggestions on calculating prices for office visits, procedures, etc for billing. I know to use Medicare's fee schedule as a base and not be lower than that, but I was wondering what percentage people were multiplying by.

Thanks for any help!!
 
It really depends on what you've negotiated for contracts with your commercial payers. You don't want to price any of your services lower than your highest contract. Then use that calculation to determine the % for all of your fees. I don't think there's a standard: I've seen fees that have been priced according to a fee schedule, and also based on a percentage (150-250% of Medicare). And fees can be priced based on National Medicare, and some are priced based on your local carrier.
 
Thank you. The billing manager at the office I used to work for wouldn't share the formula, so I have been trying to figure this out the best I can.
 
You must log in or register to reply here.
Top