PMI Fee Analysis

The PMI Fee Analysis has been provided to over three hundred doctors over the past four years, to assist offices in developing their own fee schedules, appropriate to their environment and their goals. A logically developed fee schedule will make it much easier for you to work with Medicare and with other health care payers, using the same system many payers use.

Health care providers have traditionally established their fee schedules without regard to the values of services relative to each other. PMI assists you to establish your fees by providing data from state and national sources and by 'mining' information from your current fee schedule. Then you will be able to review this information and apply it to your practice.

PMI offers three options to help doctors set office fees:

The FULL fee analysis, multiple speadsheets as needed, including personal consultation with Dr. Brownlow throughout the process. We work with you until you have developed a fee schedule you are comfortable with! $225 ($180 for Wisconsin Optometric Association members)

A fully functional Excel spreadsheet with the data listed below, permitting offices to do their own calculations, changing scenarios, etc. $100

Data spreadsheet: A reference sheet that includes the data listed below. $50

• - CPT codes for 53 office visits and procedures commonly provided in eye care offices
• - Medicare's current relative value unit (RVU) for each of the services, from Medicare's Resource Based Relative Value System
• - A description of each service
• - Other information about the service; e.g. unilateral vs. bilateral, documentation guidelines, coding requirements
• - Data from a national fee survey, showing averages to the 50th percentile, gathered from other providers who use these CPT codes
• - Data from a survey of eye doctors' fees conducted by Dr. Brownlow and published in Primary Care Optometry News, October 2005
• - A column for you to enter the current fees for your office
• - The current National Average Medicare Fees for each of the services

All this information is updated constantly to ensure that the fee survey data, the relative values and the other information is current.

More About the Full Fee Analysis!
After you receive and review your Full PMI Fee Analysis, compare your practice's fees with the other columns and determine whether you wish to change any or all of your fees. As you make the changes, simply fax the new data back to PMI and our staff will rerun the entire printout and return it to you at no additional charge. Continue to work with PMI until you have created a fee schedule which you can confidently implement in your practice. We encourage you to finish this process within 60 days of originally completing the PMI Fee Analysis form, though we often extend that deadline to accommodate doctors' needs.

Any questions about any of the PMI Fee Analysis options should be directed to PMI, either by email, or toll free fax. You may also use the toll free phone if you believe email or fax won't get you the answer you seek.

Click here to enter your data, print and mail to PMI!