tag:blogger.com,1999:blog-26666124.post880779148881432574..comments2024-03-18T03:28:36.581-04:00Comments on Shrink Rap: A Reader Asks Questions About Reimbursements with the New CPT CodesUnknownnoreply@blogger.comBlogger7125tag:blogger.com,1999:blog-26666124.post-48927018412495632892014-06-14T09:50:42.921-04:002014-06-14T09:50:42.921-04:00A bit late to comment but I just stumbled on the b...A bit late to comment but I just stumbled on the blog. Looking at the Fair Health site it quotes the add on code of 90836 to have an estimated charge of $250. This seems quite high and while my insurance would not give me an exact number, they quoted within the range of 125. Any insight into the discrepancy between the Fair Health site and the insurance?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-50607624034666490492014-06-14T09:50:35.843-04:002014-06-14T09:50:35.843-04:00A bit late to comment but I just stumbled on the b...A bit late to comment but I just stumbled on the blog. Looking at the Fair Health site it quotes the add on code of 90836 to have an estimated charge of $250. This seems quite high and while my insurance would not give me an exact number, they quoted within the range of 125. Any insight into the discrepancy between the Fair Health site and the insurance?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-27908128772644064802013-06-03T22:55:10.951-04:002013-06-03T22:55:10.951-04:00Did I really say right rather than write? I give u...Did I really say right rather than write? I give up. LOLEasternShoreMDhttps://www.blogger.com/profile/12459846138165675370noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-63369373581242837192013-06-03T22:53:08.195-04:002013-06-03T22:53:08.195-04:00If you are using the fairhealthconsumer.org websit...If you are using the fairhealthconsumer.org website, right the data down as you look it up-there is a limit to the number of CPT codes you can check per week.<br />Thank You! Very helpful in figuring out how to split my EMS and add-on charges to equal my customary time-rate.EasternShoreMDhttps://www.blogger.com/profile/12459846138165675370noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-39041967605769440652013-05-28T22:47:06.404-04:002013-05-28T22:47:06.404-04:00I believe that if the insurance company "allo...I believe that if the insurance company "allows" a fee, that is not what they actually pay. First there is the allowed fee. Then there is the percentage they pay, so 50% or 70% or whatever. And after you subtract that, there is the patient's copay to subtract. <br />I won't comment any further on the actual amounts, but just to clarify that the insurance companies aren't reimbursing the allowed amount.Dinahhttps://www.blogger.com/profile/09227988351623862689noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-41272996165701456252013-05-28T17:02:28.530-04:002013-05-28T17:02:28.530-04:00Agree with Dr. Hassman. I live in Manhattan, one o...Agree with Dr. Hassman. I live in Manhattan, one of the highest cost of living (and of psychiatrist billing) cities and have had many out of network psychiatrists through many different insurances over the last 15 years. I've never seen an allowable fee of anything close to $375 (though I have seen psychiatrists billing at that and above). I'd find a reimbursment rate of even $200 shocking. Lauranoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-90386848680321456522013-05-27T19:21:03.110-04:002013-05-27T19:21:03.110-04:00This to me is an absurd fee! For that amount, the...This to me is an absurd fee! For that amount, the patient should be expecting to be cured.<br /><br />Only validates managed care decreasing reimbursement. $375 an hour? Really?? And some insurer paid it???<br /><br />Oh, and be prepared to be audited.Joel Hassman, MDhttp://cantmedicatelife.comnoreply@blogger.com