Medical Fee Compliance: Why Your Medical Fees Matter?

Event Materials (Key Required)

This webinar by Don Self, CEO, CPC, CEMCS, CPCS covers the rules and regulations regarding clinic and provider medical fees and how to determine what to charge. There are myriads of different approaches to determining the proper fees to charge and this webinar covers about nine of the most common ways fees are selected. We will also discuss different regulations regarding Medicare fees versus commercial insurance fees as well as dealing with patients who prefer to pay cash.

Expert Don will also show how important making sure your fees as he will show where hundreds of physicians throughout the country are charging fees so low that they are reducing their insurance payments.

Learning Objectives:

• Review 2025 Medicare Physician Fee Schedule (MPFS) Rules
• How your fees may result in reduced insurance payments
• Why using Medicare fees as a guide may not be a good idea
• When you are allowed to charge patients less than insurance companies
• How to apply hardship discounts when necessary
• How charging what you believe the allowed is may be hazardous
• When patients can elect to not have insurance filed – and affected fees
• Why cash discounts can be considered discriminatory
• What fee should be charged if patient signs and ABN
• How often you should review and adjust your fees

Areas Covered in the Session:

• 9 Most common ways to determine your medical fees
• CY 2025 MPFS Rules
• How charging less than the MPFS is not generally recommended
• When it is legal to give any discount on your fee you wish to give
• When you can give a hardship discount
• Hundreds of explicit instances where physicians are billing too low
• How the Medicare allowed amount is determined by claim
• What to charge if an ABN is signed
• Live Q&A Session

Suggested Attendees:

• Healthcare CEOs
• Healthcare CFOs
• Healthcare COOs
• Billing Personnel
• Clinic CXOs
• RCM Executives
• Hospital Administrators
• Claims Staff
• Appeal Specialists
• Office Managers
• Billing Staff and Companies
• Physicians and Other Providers
• Healthcare Consultants
• Compliance Officers
• Practice Manager
• In and Out of Network Providers
• Providers Office Staff
• Hospitals and Facilities
• Insurance Companies
• Healthcare Attorneys

Presenter Biography:

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Additional Information:

After Registration: You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to talk and hear clearly

Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com

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This is a Live Virtual session.

A new way of immersive learning that allows you to engage live with our instructor and peers providing you with the flexibility to juggle the new work-life balance.

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Purchase Order Form – Click Here to download PO form.

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