Fee schedule comparison

The managed care organization's (MCO) reimbursement policy and rates are a major factor when deciding whether to sign a contract to participate in its provider network. One of your duties may be to create a fee schedule comparison by setting up a spreadsheet that lists the top or most common CPT codes billed by your group or physician. The data should show your clinic’s charges, the MCO’s rates, and
the Medicare rates. This sample spreadsheet from Physician Credentialing: A Guide for Physician Office Staff can help you set up your spreadsheet. (The amounts in the table are examples only and do not represent actual amounts of an MCO or payer.)

Download here