decisionhealth Newsletters, Part B News - 2012 Issue 7 (July)
Boost revenue from private payers by getting access to their fee schedules
Subscribe or sign in to view the full article.
Article Overview
This article explains why practices should request complete private payer fee schedules and review updated reimbursement information carefully. It is aimed at medical practice administrators, coders, and billing staff who work with private payer contracts and need to compare payer rates against Medicare-based schedules, manage spreadsheet requests, and handle fee schedule updates across different products and specialties.
Why This Topic Matters
Fee schedule changes can affect reimbursement across a practice’s billed services, especially when payers provide only partial rate information. Understanding how to obtain the full schedule helps practices evaluate contract updates more accurately and avoid unintended payment reductions.
Article Sections
-
Private payer revenue
Introduces the issue of private payer reimbursement updates and the need to review fee schedules in full rather than relying on limited notices.
-
4 steps to get your fee schedule
Outlines practical approaches for obtaining payer fee schedules, including requesting full rate files, using spreadsheets, handling limited responses, and checking contract-based alternatives.
What You Will Learn
- Why complete payer fee schedules matter for revenue review
- How practices commonly receive update notices from payers
- General ways to request and organize fee schedule information
- Why spreadsheet-based requests can help compare payer rates
- How Medicare-based schedules relate to private payer reimbursement
- When a practice may need to verify contract terms for newer services
Who Should Read This
- Medical practice administrators
- Billing staff
- Coding professionals
- Revenue cycle managers
- Contracting staff
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com