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U&C Fees

  1. #1
    Default U&C Fees
    Exam Training Packages
    Happy Friday! I am working on a project and need 2-3 sources for usual and customary fees. Would appreciate any input on what sources everyone else is using. Thanks so much!

  2. Default
    There are really not a lot of resources - most are based on a percentage of Medicare, say 150% for a low, 200% for a median fee and 250-300% for a high.

    Here is a book you might find helpful - Physicians Fee & Coding Guide (Mag Mutual).

    Also, many web based coding software products have fees calculated, but they are based on a percentage of Medicare allowables, which you can do yourself.
    Cyndee Weston, CPC, CMC, CMRS
    American Medical Billing Association
    www.ambanet.net/AMBA.htm
    AMBACode Coding Software
    http://www.ambacode.net
    2015 AMBA National Medical Billing Conference
    http://www.ambanet.net/2015.htm

  3. #3
    Default
    Thank you for the info......for the life of me I can't remember how to calculate these....what is the formula? Thanks!

  4. Default
    Example: Medicare Fee is $50

    Fee at 150% of Medicare - $50 X 150% = $75
    Fee at 200% of Medicare - $50 X 200% = $100
    Fee at 300% of Medicare - $50 X 300% = $150
    Cyndee Weston, CPC, CMC, CMRS
    American Medical Billing Association
    www.ambanet.net/AMBA.htm
    AMBACode Coding Software
    http://www.ambacode.net
    2015 AMBA National Medical Billing Conference
    http://www.ambanet.net/2015.htm

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