How to Obtain a Provider Fee Schedule

by TS
(East Orange, NJ )

I am new at this and I have a new client; however, she does not know how much to charge for her services. She stated that I should call the insurance company to get the charge rate. I have tried doing so without any luck. Please assist as to how it I obtain this information. I have her bills to pay.


Response:

Each insurance payer had their own fee schedule for what they pay a provider depending on the providers contract. I would post links here but there are so many and they change regularly and would soon be out of date. They all have different ways to retrieve the fee schedule.

Medicare posts their fee schedule on their website (cms.gov). Just go to their website and search for "physician fee schedule" to get the latest. They also have a fee schedule look up tool.

To get the fee schedule for the other insurance carriers, you typically have to get it from their website. This usually involves creating an account. If your provider already has a contract with them, they may already have an account.

The American Medical Association (AMA) has a good article setting your fee schedule here.

Hope this helps - Thanks!

Click here to post comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Your Questions.

Recent Articles

  1. Is it possible to work in Medical Billing or Coding at night instead of during the day?

    Oct 23, 17 09:16 PM

    How common is it that a company would allow you to work from home as well as working at night so you can be with your children during the day? I'm an

    Read More

  2. Should I get my medical billing certificate from AAPC or somewhere else before I start my own business?

    Oct 23, 17 09:15 PM

    Hi! I am contemplating starting my own medical billing business and I was wondering if I should get my medical billing certificate from AAPC or some other

    Read More

  3. What is the CPT code for 'Male Hormone Panel'

    Oct 23, 17 08:57 PM

    What is the CPT code for 'Male Hormone Panel' ...testosterone/estrogen/PSA/IGF- 1 /DHEA -Sulfate/ Progesterone Response: We'll post in hopes our Visitors

    Read More

Disclaimer and Privacy

All-Things-Medical-Billing.com provides this website as a service. Please read our full Disclaimer and Privacy Policy here.


Copyright 2017 All-Things-Medical-Billing.com