U&C responses
andrea roque
Description
Collection
Title:
U&C responses
Creator:
andrea roque
Date:
10/11/2017
Text:
Thanks to those who replied. I have had a couple requests to post the responses.
1. Your best choice is to review the AOPA materials submitted by Mr
Hamontree and from various other AOPA member business seminars to
establish a REALISTIC fee schedule.
The O&P world is very different than it was 10 years ago.
Medicare has not made any significant changes over those years.
It's work but your practice needs to fix this issue.
Sincerely, Richard Feldman, cpo
2. I do not believe there is any Standard method. Your past method is
likely the most common. The best method is to perform a cost
accounting on each code ( parts+labor+overhead+profit margin) but that
is too much work to be practical for every code.
In the end what you bill doesn't mean too much anyway unless you are
non-par with insurance.
Ted A Trower CPO
ASC Orthotics & Prosthetics
1407 E Michigan Ave.
Jackson, MI 49202
3. Usual and customary chargers are unique to each practice based on
cost of operations etc..
-Eileen Levis
4. That would be against Antitrust laws. You define your own price schedules.
You can base it off any guidelines you like but there can't be an industry
standard for U&C prices.
Michael Dodd Co, BOCPO
Applied Orthotics and Prosthetics
700 West Parr suite D
Los Gatos, Ca 95032
408 358-9741
5. Ideally you would assess what is your average cost of an item per
code/ what does that item cost to fabricate (material + time) and then
multiple to build in your overhead costs + profit margin required to
grow, pay off debts, give people bonuses, etc and there is your U&C
price. This is important to do because if you have actual data to
support your fee you can negotiate higher rates (above Medicare) from
private insurances. Find and MBA student and this is a good project
for them to do.
Taylor Wyatt, CPO
Summit O&P
Salem Clinic
2420 Grear Street NE
Salem, OR 97301
1. Your best choice is to review the AOPA materials submitted by Mr
Hamontree and from various other AOPA member business seminars to
establish a REALISTIC fee schedule.
The O&P world is very different than it was 10 years ago.
Medicare has not made any significant changes over those years.
It's work but your practice needs to fix this issue.
Sincerely, Richard Feldman, cpo
2. I do not believe there is any Standard method. Your past method is
likely the most common. The best method is to perform a cost
accounting on each code ( parts+labor+overhead+profit margin) but that
is too much work to be practical for every code.
In the end what you bill doesn't mean too much anyway unless you are
non-par with insurance.
Ted A Trower CPO
ASC Orthotics & Prosthetics
1407 E Michigan Ave.
Jackson, MI 49202
3. Usual and customary chargers are unique to each practice based on
cost of operations etc..
-Eileen Levis
4. That would be against Antitrust laws. You define your own price schedules.
You can base it off any guidelines you like but there can't be an industry
standard for U&C prices.
Michael Dodd Co, BOCPO
Applied Orthotics and Prosthetics
700 West Parr suite D
Los Gatos, Ca 95032
408 358-9741
5. Ideally you would assess what is your average cost of an item per
code/ what does that item cost to fabricate (material + time) and then
multiple to build in your overhead costs + profit margin required to
grow, pay off debts, give people bonuses, etc and there is your U&C
price. This is important to do because if you have actual data to
support your fee you can negotiate higher rates (above Medicare) from
private insurances. Find and MBA student and this is a good project
for them to do.
Taylor Wyatt, CPO
Summit O&P
Salem Clinic
2420 Grear Street NE
Salem, OR 97301
Citation
andrea roque, “U&C responses,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 2, 2024, https://library.drfop.org/items/show/208842.
