decisionhealth Newsletters, Part B News - 2013 Issue 9 (September)
Benchmark: Check private payer payments to ensure proper fee schedule reimbursement
Subscribe or sign in to view the full article.
Article Overview
This article reviews payer payment-to-fee-schedule matching performance and compares major insurers using data from the AMA’s National Health Insurer Report Card. It is aimed at practice staff, billing teams, and revenue cycle professionals who monitor reimbursement accuracy and payer performance. The discussion focuses on broad benchmark trends, year-over-year comparisons, and why fee schedule alignment matters for payment review workflows.
Why This Topic Matters
Checking whether payer payments align with established fee schedules is an important part of revenue integrity. The article helps readers understand benchmarking data that can support payment verification and payer contract oversight.
What You Will Learn
- How payer payment accuracy is benchmarked against fee schedules
- Which organizations publish or reference insurer payment-matching data
- How reimbursement performance can vary across payers and over time
- Why payment verification remains important after eligibility is confirmed
Who Should Read This
- Medical billing staff
- Revenue cycle teams
- Practice managers
- Coding and reimbursement professionals
- Healthcare administrators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com