Practice Management Alert

Question: Im trying to negotiate a new fee schedule with a payer. This payer wants me to give them the actual allowed amounts from a couple of other payers so they can compare. I dont like this in the least, and I think I heard somewhere that you cant disclose one carriers fee schedule to another. Is that right? Ohio Subscriber Answer: You are correct to question this practice, and you generally should not give out information on what other payers fee schedules are. If you check your payer contracts, youll likely find that the fee schedules are confidential between the insurer and the individual physician. Each payer should set its own fee schedule independent of what other payers fee schedules state. Insurance companies are not supposed to share fee schedule information with each other, and, just like they are not allowed to talk to each other about their mutual [...]