2025 Customized Fee Analyzer (One Specialty) (Spiral)
Optum | 2025 |
Customized Fee Analyzer provides physicians with percentiles of physician charge data for their geographic area by Geozip and the CPT® codes most frequently used in their specialty. Underpriced fees can cost a practice thousands of dollars each year. To set the most appropriate fees, you need specific information for your geographic locality, as fees vary widely across the country. Relying on national averages can result in reimbursement that is too low or billed charges that are too high. This resource provides defensible data when revising your fee schedules and negotiating contracts.
- Seven reference points of charge data (50th, 60th, 75th, 80th, 85th, 90th, and 95th). Perform competitive analyses with confidence and make more accurate adjustments of charges.
- Real-life charge data from the FAIR Health database of over 1.3 billion current charge records. Develop and maintain competitive fees while having defensible data during contract negotiations.
- Follow-up days listed by procedure. Quickly identify the number of days a physician is responsible for services under a CPT® code.
- Professional (PC) and technical (TC) component splits of global services for all CPT® codes. Estimate allocation and reimbursement for the physician and technical portion of a specific service.
- Available by specialty or for all CPT® codes. Data for the codes applicable to your specialty with a one- or two-specialty order or for all CPT® codes. (Anesthesia codes not included.)
- Printed book or data file. Choose from two format options.
Leanne Patterson, CPC
Ms. Patterson has more than 15 years of experience in the healthcare profession. She has an extensive background in professional component coding, with proven expertise in assignment of E/M codes, general surgery coding, medical record documentation improvement, and HIPAA compliance. Her experience includes serving as Director of Compliance, conducting chart-to-claim audits, and physician education. She has been responsible for coding and denial management in large multi-specialty physician practices, and most recently has been part of a team developing content for products related to ICD-10-CM. Ms. Patterson is credentialed by the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC).
Tara Rose, CPC-I, CPMA, RHIA, CCS-P, AHIMA- approved ICD-10-CM/PCS Trainer
Ms. Rose has more than 15 years of experience in the healthcare profession. She has extensive experience in auditing, teaching, physician billing, and multi-specialty coding with experience in coding CPT, HCPCS, and ICD-10-CM. Most recently Ms. Rose was a post payment auditor and coding consultant. She also taught coding to physicians and at a local community college. Ms. Rose has been a member of her local American Academy of Professional Coders (AAPC) chapter and the American Health Information Management Association (AHIMA) for many years.
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