CHC Charges… something as simple as being sure to charge enough so as to allow payers to give you as much money as possible. After nearly fifteen years teaching revenue cycle, I’m still amazed to find CHCs who leave money on the table only because they won’t increase their charges… “BUT THE PATIENTS WON’T LIKE IT…” that’s the battle cry for keeping pricing status quo. That’s nuts. With sliding fee scales and frankly, the willingness of almost every CHC I’ve visited to see patients whether they pay or not, why does anyone care whether you charge $1 or $100.
Sure you need to consider how much things cost, and of course you need to think about whether the price is reasonable compared to your market (and I know you have to explain things to HRSA) but honestly… most CHCs are so busy with other things that these considerations take a back seat time and time again. Getting around to setting charges is just never a priority. BUT, it needs to be.
Once year, like the tax man… just take the current Medicare fee schedule and multiply it times 1.5 or 2 or 3. ANYTHING but don’t just ignore it. Every CHC I visit needs money and something as simple as charging enough money for work provided should be a no-brainer.