BC Advantage - 2006 Issue 9
Setting provider fees
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Article Overview
This article explains broad approaches used to set provider fees for medical procedures and describes how consultants, billing companies, and published fee schedules may be involved. It is aimed at physicians, practice managers, and billing professionals who need to understand fee-schedule development, annual updates, and the business reasons practices may outsource or standardize this work.
Why This Topic Matters
Fee-setting affects practice revenue, operational efficiency, and consistency across clients and contracts. Understanding the general methods and available resources helps practices evaluate whether to manage pricing internally or use outside support.
What You Will Learn
- Common ways medical practices establish procedure fees
- How consultants and billing companies may support fee-schedule development
- Why annual fee-schedule updates can matter to a practice
- What broad types of published fee schedule resources are used in this context
Who Should Read This
- Physicians
- Hospital administrators
- Medical practice managers
- Billing company staff
- Revenue cycle professionals
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