Forum - Questions & Answers
Fee schedule
My doctor wants to up her fees? Can anyone give an idea of how to determine fee schedule for a Family Practice physician.
re: Fee schedule
Simply increasing fees will only affect your self-pay people. Your payments from insurance(s) are pre-determined by the reimbursement agreed upon in your contract(s), or the fee schedules set by Medicare and Medicaid in your state. To increase payments from non-entitlement entities, you need to go to your provider / contract representative(s) and present your case for changing your contractual reimbursement methodology. And, collect those copays. Insurances are pushing more and more of their costs off onto the patient.
re: Fee schedule
BTW, if your are getting paid what you charge, you do do need to consider an increase. Get out your contracts, make a spreadsheeet, and set your fees just slightly higher than your "best" payer. Most insurances will have gone to some % of RBRVS, but there are still a few old school holdouts that use different methodologies.