Welcome to Quarter 1 of the OP Educational Experience!
Every year, payers update their fee schedules. When was the last time you reviewed your practice's? It's important that you do so on a regular basis because if your fee schedule is outdated, you are most likely leaving money on the table. In Quarter 1, our focus is on updating your Fee Schedules.
Our OP educational materials will be forthcoming in the next few weeks, so you can roll up your sleeves and get to work!
Expand the sections below to get started!
Webinar Recording: "Updating Your Practice Fee Schedule"
In this webinar, presented by Sue Kressly, MD, FAAP, you will learn:
- The importance of reviewing and updating your fee schedules on a regular basis
- Methods to create a fee schedule that is consistent and supports practice financial metrics
- The impact of monitoring payments throughout the year to maximize revenue
Identify Underpaid CPT Codes
Learn how to run an SQL/script to identify any CPT codes that you have been potentially underpaid for because you are getting paid 100% of your charges.
Leverage CMS RVUs
Learn how to download the CMS RVU spreadsheets off their website and use them as the basis for this work.
Part 1: RVUs and the Medicare Fee Schedule
Part 2: Creating a Medicare Physician Fee Schedule
Part 3: Other Medicare Fee Schedules
Pay Attention to Vaccine Charges
Learn how to manage your vaccine CPT codes and fee schedule(s) in OP so that you can maximize your vaccine payments.
Update Your Vaccine Fee Schedule
Part 1: Monitor Vaccine Charges and Payments
Part 2: Monitor Vaccine Charges and Payments
Optimize Payments Throughout the Year
Learn what you should do throughout the year to make sure you are still optimizing payment.
Check back soon! We're working on creating great content for you!
OP Help Resources
|Modify and Copy Fee Schedules|
|SQL: Entire CPT Code Table Record, Including Fee Schedules|
|Video: Fee Schedule Maintenance|
Block and Substitute
|Block and Substitute Rules|
|Video: Blocked and Substitutes Codes|
*** All of the topics above play a part in a payer's setup in OP ***