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A practice management consulting and training firm working for and with physicians since 1985

Consulting - Fee Schedule Analysis & Contract Comparison

Fee Schedule Analysis

Often practices are unaware that just one under-priced fee could be costing them thousands of dollars each year. Without careful, annual analysis these costly mistakes are all too common.

Setting fees that maximize revenue without inflating the accounts receivable is one of the keys to financial success. Stop guessing about fee setting and get smart! Utilize the RBRVS methodology to create a fee schedule based on relativity and today’s reimbursement environment.

A full analysis can be time consuming for managers already bogged down with day-to-day management, personnel stresses and compliance woes. Take advantage of a quick and easy service from a resource you've come to trust - KarenZupko & Associates, Inc.

How It Works

You send KZA your current fee schedule and a CPT frequency report. Approximately two weeks later you'll receive a full spreadsheet analysis on disk for easy implementation. KZA also provides a brief report that explains the methodology and highlights important issues.

Fee Range

Fees are quoted once the full scope of the project is determined and mutually agreed upon. Call us for more information at (312) 642-5616.

Contract Comparison

Here’s the million dollar question: Are you confident that your fees are set to ensure reimbursement is not being “left on the table?” If not, let KZA set you on the path to profitability.

Once you understand the relativity basis for your standard fees, the next step is to understand how your plan reimbursement compare to your fees, Medicare reimbursement, and other contracted payors. Many practices are able to gather reimbursement data, but lack the time and resources to analyze the information in a comprehensive way.

This service also helps to refine the fee setting process - knowing exactly what your contracts pay allows for more appropriate fee choices. It is, therefore, a natural companion to the fee schedule analysis.

Here's How It Works

You send KZA the reimbursement rate data you’ve collected for your three biggest contracts, and we'll tell you how those plans compare to Medicare reimbursement, and how the rates compare to your standard fees.

Fee Range

Fees are quoted once the full scope of the project is determined and mutually agreed upon. Call us for more information at (312) 642-5616.

These Services Are Valuable For...

  • Any physician starting out, leaving a group and going solo, or groups that are merging
  • Any practice that wants to keep fees up to date
  • Those who have never analyzed fees
  • Those who do not utilize RBRVS to analyze fees

Benefits of KZA's Fee Schedule Analysis

  • Does not require on-site evaluation, so no travel costs
  • A CPT frequency report and your fee schedule are all the data needed to perform the analysis

KarenZupko & Associates, Inc. • 625 North Michigan Avenue, Suite 2225 • Chicago, Illinois 60611 • 312.642.5616 • FAX: 312.642.5571

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