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All healthcare providers need to be aware that there are both appropriate and inappropriate ways to discount your fees. Both state and federal laws can impact your practice financial policy regarding fee discounts. Additionally, we recommend carefully reviewing Chapter 1.5-Fees of the Behavioral Health DeskBook for important information on fee schedules and discounts.

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The following information is from the 2014 Medicare Improper Payments Report by the Department of Health and Human Services.

This table shows the Improper Payment Rates by Provider Type and Type of Error for Medicare Part B claims:

    Provider Type

    Improper Payment Rate

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Did you know that inconsistent and un-reviewed fee schedules can lead to some of the following occurrences:

Prompt an audit or some level of claims review

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