By billing amounts, do you mean, what you charge - what appears on your UB-92?
If so, that is usually determined by the provider and how their chargemaster is set
up. This can vary one from another. Some companies use a marked up cost, others may
use the HCPCS code fee schedule amount and mark that up. These are not the only ways.
It should be a consistent amount, regardless of payer type so you don't charge
Medicare more than you would anyone else. You also want it to be competitive with
your area. You could bill a private pay for a service and so don't want it to be
outrageously high (you do hear about $10 aspirins charged by hospitals).
Medicare pays the lower amount - either the charge, or 80% of the fee schedule amount,
so most places want to keep their charge somewhat higher than the fee schedule payment.
If your question really related to your reimbursement of the HCPCS code - what you are
paid - it depends upon the location of the patient, the charge, units, the date the
service/supply was provided. Fee schedule amounts can change with the calendar.
Hope that helps.
Lita D. Atkinson
-------
In a message dated 2/5/2004 12:22:55 PM Eastern Standard Time, [EMAIL PROTECTED]
writes:
>
> Subj: HCPCS
> Date: 2/5/2004 12:22:55 PM Eastern Standard Time
> From: "Billy Jo Stewart" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Reply-To: [EMAIL PROTECTED]
> Sent from the Internet (Details)
>
>
>
>
> Can anyone tell me where I can go to find billing amouts for HCPCS
> codes. My therapists asked me if I could help them find
> information.
>
> thanks for all help,
>
> Billie Stewart, RNAC
> [EMAIL PROTECTED]
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