DecisionHealth, DecisionHealth - 2010 Issue 10 (October)

6 ways to get a fee schedule from a managed care plan

For all the talk about price transparency in health care, many private payers still won't show you their fee schedules even when you're a participating physician practice. This puts you in a terrible position. Without the fee schedule, you don't know whether fees are adequate or whether to negotiate for additional payment. You also don't know how much you'll get paid each time you submit a claim - the amount can vary on different claims for the same service.

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