The Rising Challenges in Physician and Ambulatory Surgical Center Reimbursements
It’s a new year which is bringing new challenges for physicians and ambulatory surgical centers. With rising operational costs and…
Abacus Analytics provides analysis based on comparing a hospital or medical providers’ charge data to similar medical provider’s charge data, not government or commercial payor rates.
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From Emergency Rooms, Physical Therapy, Imaging, Pain Management, Anesthesiologists and Surgical Centers, we’ve reviewed charges from all practice types.
A fee is 'usual' when the charge amount equals the amount usually charged for a given service, by an individual physician to his private patient (i.e. his own usual fee)
A fee is ‘customary’ when it is within the range of usual fees currently charged by physicians of similar training and experience, for the same service within the same specific and limited geographical area
A fee is ‘reasonable’ when it meets the above two criteria and is justifiable, considering the special circumstances of the particular case in question, without regard to payments that have been discounted under governmental or private plans.
It’s a new year which is bringing new challenges for physicians and ambulatory surgical centers. With rising operational costs and…
The year 2023 stands out in healthcare price transparency, notably due to pivotal policy changes and compliance directives. These developments…
Sometimes patients pay 100% of the bill for a combination of the above reasons: gratitude, affluence, 100% insurance policy.