Fee Schedule Essentials It is important to have a basic understanding of the different components of the collection process. One of the most common is the doctor’s fee schedule. Unfortunately, this is not simply a dollar amount listed on a piece of paper. Although clinics may have set fee schedules, there are many other moving…
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Download Support Tool At its very core, the practice fee system can be explained in a series of “either/or” scenarios. It starts by explaining that all the fees in our practice are either “actual” fee or “discounted” fees. From there, discounted fees are either “imposed” or “elective”. A keen understanding of this concept is essential…
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Dealing with Insurance Carriers While Being a Cash-Based Practice The essence of a cash-based practice is collecting most, if not all, payments across the front counter vs. waiting for payment from a third-party payer. Many providers find themselves on the wrong side of the rules by creating variations of this concept, sometimes without even knowing…
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Collecting From Patients For Services not Covered by Medicare Although it is not a requirement to formally notify Medicare beneficiaries in writing about the excluded services rendered in your office that are never covered by Medicare, it just makes good business sense to do so. Patients need to be aware of the costs associated with…
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Our friends at ChiroHealthUSA have shared this short and simple explanation of the dangers of inducement violations. Many physicians think they are doing the right thing with discounts or freebies, but they are doing it the wrong way. Spend a couple of moments here and then determine whether your practice’s systems may be unknowingly exposing…
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