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.
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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