Contracted Discounts-Right For Your Practice?

The decision to participate in third-party reimbursement is a very personal practice choice. Doing so for reasons such as making care more affordable to insured patients or opening the practice to more streams of income makes sense for some. But joining every managed care organization for the sake of getting new patients may be the…

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The Fee Analysis Tool

Another set of important data to consider when setting actual fees is what is being allowed for the services offered by the payers with whom you do business. Sometimes, the exercise we’re suggesting here is the first time providers have seen what reimbursement looks like from the carriers and how that relates to both your…

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Cost Per Visit Worksheet

Download Support Tool Now that you’ve received training in this module on the role that the cost per visit plays in setting fees, download, save and review this worksheet. Fill it out based on numbers for a minimum period of six months and compare your data. What did this exercise reveal? Newer practices may have…

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Your Cost Per Visit Calculations

Evaluating Practice Profits One of the most important statistics a practice owner can use is the cost per visit. This statistic is one of the most critical numbers to consider when setting practice fees. However, there are many other applications for this number and ways that it can benefit the business owner. Here is more…

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Actual Fees Based on Costs

You’ve Got a Business to Run First and foremost, providers are running a business. For that reason, the value of the practice’s actual fees is determined by many factors including network participation and elective discounts. The first step in setting fees is to find out what your costs are to ensure overhead is met by…

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Calculate Cost per Visit

In its simplest form, the cost per visit is what each patient visit “costs” the business. An understanding of this number, in its simplest and most detailed format, is necessary for a business owner to make informed decisions about insurance participation and fee setting. Below are the necessary steps to take into consideration as you…

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