Under-priced fees can cost a practice thousands each year. Since fees vary widely across the country relying on national averages can result in inaccurate billable charges and reimbursement. To set the most appropriate fees, you need information from your local area. Ingenix Customized Fee Analyzer products contain geographically-adjusted, competitive fees that come from defensible data, which helps during contract negotiations. The schedules include the number of days a provider is responsible for services under a CPT® code per commercial insurers and provide the estimated allocation and reimbursement for the provider and technical portions of a service.
Make sure you are setting your fees accurately by using our Custom Fee Schedule. Each report is custom printed to your order and includes all CPT codes for the selected specialty, adjusted for your geographic area of practice. The database used to create your Custom Fee Schedule is derived from an analysis of over 28 million actual charges.
Custom Physician Fees includes the RVU value, fees at the 50th, 60th, 70th, 80th and 95th percentiles, and the Medicare fee for each CPT code listed.
There are 35 different specialty areas available by zip code.