Ask Margie: Setting multiple fee schedules

Why This Topic Matters

Fee schedule design affects billing strategy, payer negotiations, compliance risk, and how a practice presents its charges across insurers and government programs. Readers can use the article to understand the broad issues involved before reviewing their own policies or documentation.

Article Sections

1. Setting multiple fee schedules

   Introduces the question of whether a practice may use more than one fee schedule and frames the article’s focus on charge-setting policy.

2. Single vs. multiple fee schedules

   Discusses general considerations in choosing one charge schedule or multiple schedules and the broader business implications of each approach.

3. Factors to consider

   Summarizes common business and practice-management factors that may influence how charges are established, including operational and professional considerations.

4. Resources

   Provides a reference to an external HHS OIG resource related to the topic.