2025 Customized Fee Analyzer - One Specialty
Optum
The 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.
Nichole VanHorn, CPC, CCS-P
Ms. VanHorn has more than 20 years of experience in the health care profession. Her areas of expertise include CPT® and ICD-10-CM coding in multiple specialties, auditing, and education. Most recently she served as Clinical Auditor for a multi-specialty group. Ms. VanHorn was responsible for the oversight of the physician coding and education section of the Corporate Compliance Program. She has been an active member of her local American Academy of Professional Coders (AAPC) chapter for several years and has also served as an officer.
CPT is a registered trademark of the American Medical Association.
CPT is a registered trademark of the American Medical Association.
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