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Politics : A US National Health Care System?

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To: John Koligman who wrote (8219)	8/13/2009 12:12:38 AM
From: i-node	Read Replies (1) of 42652

>> I'm curious if you can shed any light on how doctors and surgeons determine rates. You didn't ask me, but we usually set the physician's fees for them when we install a system in their office. For the most part because new physicians have no idea where the fees ought to be set. Unless, as happens on occasion, they can get a fee schedule from wherever they previously worked. The vast majority of physicians have no idea what to charge. Our normal procedure is to use 130-150% of Medicare allowables unless the doc wants to use a higher or lower figure. I normally encourage a higher figure, but there is a tradeoff since self-paying patients have to actually pay this full amount -- so setting fees too high creates a burden for the self-pays. One of the biggest problems we find in physician's offices is that fees get set and never get changed. They should be increased every year but I find offices where the fees haven't been increased in 5 years or longer. They end up cheating themselves out of money. We have them inspect their fee schedules and anytime their fee is being paid at 100% by ANY insurance company, recommend they increase that fee. Otherwise, they're leaving money laying on the table.

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