medical billing

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OptometryG4

Full Member
10+ Year Member
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Regarding medical billing. I found this webites. Can someone please tell me where to find the prices for these coresponding diseases and codes. Thank you.
 
Oh boy, where to start. There is no one place to go to find "prices" for this stuff. Every insurer will reimburse at a different level for the same codes. You need to get a reimbursement schedule from each insurer to find out what they pay. Then, set your fees at higher than the highest to maximum reimbursement.
 
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Start with Medicare's fees. Look it up on CMS's websites

But never set your fees according to what Medicare will pay. Found out what the highest fee is possible from every insurance and set it at the price point. This way you will not be leaving money on the table.

Medicare is like the senior citizen discount for anyone over 65.
 
But never set your fees according to what Medicare will pay. Found out what the highest fee is possible from every insurance and set it at the price point. This way you will not be leaving money on the table.

Medicare is like the senior citizen discount for anyone over 65.

Our fees are set above the highest paying insurer.