BC Advantage - 2008 Issue 9
Are you charging too little? How do you know?
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Article Overview
This article explains a practical approach to reviewing professional fee schedules across multiple payers, estimating reimbursement levels, and comparing billed charges with contracted allowances. It is aimed at medical practice administrators, billing teams, and coders who support fee schedule maintenance, patient collections, and accounts receivable analysis. The discussion focuses on general workflow, spreadsheet-based tracking, and the business reasons why fee review matters.
Why This Topic Matters
Accurate fee schedule review can help practices avoid undercharging, estimate net collectible revenue more realistically, and support front-desk and billing operations with better financial information.
What You Will Learn
- Why reviewing contracted fee schedules matters for professional fee setting
- How payer-specific allowances can be used to compare billed charges against reimbursement
- How practices may estimate collectible portions of outstanding accounts receivable
- How fee schedule information can support patient responsibility collection and billing verification
- Why periodic updating of fee schedule information is part of practice financial management
Who Should Read This
- Medical practice administrators
- Billing staff
- Revenue cycle personnel
- Coders and coding managers
- Dermatology practices
- Front-office staff
Codes Discussed
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