Dr. Hilldale has asked you to set up a fee schedule for the office. Some physician practices will bill at rates from 100% of Medicare to 500% of Medicare. Both rates have their disadvantages regarding profitability. Please read the following article and answer the prompts below.
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1. what do you think the most appropriate range should be when setting your in-office fees and why?
2. How is the conversion factor for the fee schedule determined and why is this important?
3. In your opinion, why would billing at 100% or 500% of the Medicare rate be unfavorable?
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