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Thank you. What a great service.
Thank you. What a great service.
Exactly. Healthcare Bluebook provides a competitive billed charge. MADP use the lower Medicare fee schedule allowed amounts as a starting point and then negotiates with providers for even lower allowed amounts further reducing co-insurance.20% allowable charges on medicare typically about 300-400.00
20% MA contracted rate typicallly about 200-300
Certainly no reason to use a resource like the bluebook when you can always just SWAG it. Good luck with that approach.
Personally, I never tell a client what their charges/OOP might be on a particular claim. If they press, I refer them to the bluebook. If their OOP is higher they can't pin it on me.
40 years without an E&O claim. No reason to start now.
MADP use the lower Medicare fee schedule allowed amounts as a starting point and then negotiates with providers for even lower allowed amounts further reducing co-insurance.