From CNN:
Medicare pays between 63-72% of the costs for Schreiber's patients.
Four billing codes make up the "bread and butter" of claims submitted to Medicare:
- The first code represents a simple visit, which might include blood pressure and cholesterol checks. Schreiber gets about $44 from Medicare for the $70 fee he charges.
- The second and third codes correspond to a sick visit, when he spends 15 to 20 minutes evaluating a patient for symptoms such as coughing or shortness of breath. Schreiber charges $92 for a sick visit, of which Medicare pays about $58.
- The last billing code is a complex visit. "This is where a patient comes in with many problems like heart disease, hypertension, diabetes," he said. Such a visit requires about 30 minutes of his time.
Schreiber charges $120 for these visits, and Medicare pays $88 of that.
References:
- The second and third codes correspond to a sick visit, when he spends 15 to 20 minutes evaluating a patient for symptoms such as coughing or shortness of breath. Schreiber charges $92 for a sick visit, of which Medicare pays about $58.
- The last billing code is a complex visit. "This is where a patient comes in with many problems like heart disease, hypertension, diabetes," he said. Such a visit requires about 30 minutes of his time.
Schreiber charges $120 for these visits, and Medicare pays $88 of that.
References:
Image source: United States one-dollar bill. Wikipedia, public domain.