Utilizing the Medicare Physician Fee Schedule Search Tool
It’s important for you to know how much you’ll be paid for the services you’re providing. Many people get confused by their billing system because it will show a charge amount that’s much higher than the actual allowed amount.
The allowed amount (which is what you’ll be paid before coinsurance or deductibles are taken out) is what you’re actually eligible to receive from the different payers. Medicare sets the standard for most commercial payers and they all pay a percentage of the Medicare fee schedule. We put together a video a few years ago that helps understand how to use the tool provided by Medicare to research your top CPT codes. Remember to research the fee based on your region.