BC Advantage - 2006 Issue 9

Setting provider fees

Consultants charge physicians and hospitals between $5,000 and $25,000 to set fee schedules for the procedures they perform. Since it is illegal for physicians to discuss their fees with other physicians, it is often a difficult task to figure out exactly what to charge patients for the procedures performed. Many physicians set fees equal to their highest paying contract. Others use a multiple of the Medicare fee schedule. Many pay to have consultants review and set the fees for them.Most billing companies rely on the physicians to come up with their own fee schedule and do...

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