decisionhealth Newsletters, Coder Pink Sheets - 2003 Issue 5 (May)
Revamp your fee schedule: Here's one office's experience
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Article Overview
This article explains how an orthopedic practice approached fee schedule development and maintenance using spreadsheet tools, payer comparisons, and Medicare-based benchmarking. It is aimed at coders, practice managers, and billing staff who need to understand general fee schedule organization, contract tracking, global day monitoring, and related administrative considerations. The piece also discusses how the practice organized its CPT-based analysis and reviewed payer contracts over time.
Why This Topic Matters
Fee schedules affect reimbursement, contract negotiation, and internal practice analytics, so a structured approach can help offices identify pricing gaps and maintain more accurate administrative data.
Article Sections
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Revamp your fee schedule: Here’s one office’s experience
An overview of one orthopedic practice’s fee schedule project and the administrative motivation behind it. The section introduces the spreadsheet-based approach and broader reimbursement management context.
What You Will Learn
- How a practice may organize fee schedule data in spreadsheets
- Why payer comparisons and contract tracking matter for reimbursement management
- What types of administrative fields may be monitored alongside procedure charges
- How fee schedule maintenance can support contract and revenue analysis
- What general considerations are involved in tracking global days and code changes
Who Should Read This
- Medical coders
- Practice managers
- Billing staff
- Revenue cycle personnel
- Orthopedic office administrators
Codes Discussed
Modifiers Discussed
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