The non-facility is the allowed amount from Medicare. It is what Medicare would pay for the service. You want to bill higher than that to anticipate the contractual adjustments if another payer bases their reimbursement off Medicare’s fee schedule. Most people set their charge fee schedule anywhere from 150-300% of Medicare and it’s all based on specialty and expected payments from all contracted insurances. Thanks for watching!
good 1
Thanks for watching
i have a question is the non facility price is what I will get from medicare or is it what I should bill medicare with ?
The non-facility is the allowed amount from Medicare. It is what Medicare would pay for the service. You want to bill higher than that to anticipate the contractual adjustments if another payer bases their reimbursement off Medicare’s fee schedule. Most people set their charge fee schedule anywhere from 150-300% of Medicare and it’s all based on specialty and expected payments from all contracted insurances. Thanks for watching!
thank you so much
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