It is important to have a fee schedule that is fair to you and your patients.
Some things to look at when determining your fee schedule include…
Welcome to your billing and coding weekly solutions by H.J. Ross Company where getting your bills paid is what we do best!
Do your fees make sense for what you are doing?
It is important to have a fee schedule that is fair to you and your patients.
Some things to look at when determining your fee schedule include:
Usual, Customary, & Reasonable (UCR): “The amount paid for a medical service in a geographic area based on what providers in the area usually charge for the same or similar medical service. The UCR amount sometimes is used to determine the allowed amount.”
Insurance Model: Each insurance company determines the normal and acceptable range of payment for specific health-related services. Reasonable and customary fees vary from one insurer to another, and from one location to another.
Relative Value Units (RVUs): The fee for each service depends on its relative value units (RVUs), which is the rank on a common scale for each CPT code. The RVU creates a value for each CPT code based on the practitioner’s work, the expenses of the practitioner’s practice, and professional liability insurance.
Ultimately, for fairness to both your chiropractic practice and your patient, your fees should be determined by the RVUs.
Thankfully, H.J. Ross & Company has over 40 years of experience in dealing with a wide range of chiropractic billing issues.
H.J. Ross Company understands billing with incorrect chiropractic CPT codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business.
If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then H. J. Ross Company is your solution.
H.J. Ross Company stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.
There is a reason chiropractors have trusted H.J. Ross Company with their business for over 40 years.