New attending in private practice
Does the physician fee schedule by CMS medicare reflect what you actually collect from medicare after billing based on your MAC, or do you normally collect significantly less? For instance if a 99204 is $200, does that mean that you "should" be collecting $200, or are you likely to only collect a portion of that? Likewise, if 27096 SIJ injection w/ fluoro is $180 and you do a bilateral SIJ injection, does that mean you "should" be collecting $270, or do you normally only get a portion of that?
Does medicaid reimburse based on medicare CMS? Is it usually lower than medicare? Same question for commercial insurance companies. Do you normally get the reimbursement quicker from Medicare or are you more likely to get it quicker from commercial?
Thank you for any advice to a person who knows nothing about this and wishes they did
