LEADS BILLING is more than a medical billing company. After almost 15 years of related to the healthcare industry experience, we know how successful practices work. We understand the information physicians and managers need to make sound decisions for their practice. We do not go by the usual end-of-month reporting; instead, we cater to the practices’ required intelligence to increase provider engagement and strengthen improvement plans.
Fee Schedule and Reimbursement Analysis
Our specialized team believes that effective provider-reimbursement analytics are a critical health plan function. Healthcare premiums primarily comprise provider payments. Reimbursement is governed by provider negotiations and can be different for the same service among providers.
On the other hand, to evaluate provider reimbursement levels more efficiently and effectively, we use a standard fee schedule. A standard Medicare Fee schedule is used for comparison purposes after re-pricing the data.
The main merit of re-pricing claims to a standard are:
- It is productive in terms of time and automated.
- To show the juxtaposition of providers, patient populations, lines of business, and time periods possible.
- Expedite trend analysis.