Payer policy · Definition
Fee schedule: Definition
The list of amounts a payer will allow for each code, either published (Medicare) or contracted (commercial).
This is a short definition only. The full explanation lives on current dermatology coding updates, which is the page to read if you are dealing with this on live claims.
Definition
The Medicare Physician Fee Schedule anchors most commercial contracts, which are frequently written as a percentage of it.
That means an annual conversion factor change moves commercial revenue too.
For worked examples, payer rules and documentation requirements, read current dermatology coding updates. Return to the dermatology billing glossary.
See this term in your own numbers
A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report.