2025 Dental Customized Fee Analyzer (Two Specialties)
Optum
Dental Customized Fee Analyzer Data File provides dentists and oral surgeons with a customized report for a specific geographic area by Geozip and the CPT® and CDT codes most frequently used in a dental and/or OMS practice. Under-priced 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 billable charges that are too high. This resource will provide defensible data when revising your fee schedule, negotiating contracts, and conducting competitive analysis.
- 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.
- Printed book or data file. Choose from two format options.
CPT® is a registered trademark of the American Medical Association.
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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