How to Determine Medicare Fee Schedule for a Locality

Medicare is a federally funded and operated health insurance program for the elderly and disabled individuals with a sufficient work history. Reimbursement rates for Medicare services vary, depending on the type of service and geographic location. A fee schedule is used to determine the reimbursement rates for Medicare providers.

Instructions

• 1

  Gather information regarding the type of service, licenses held by the service provider and the zip code of the office that provided the medical service.

• 2

  Review the fee schedule documents available on the Centers for Medicare & Medicaid Services website to obtain the reimbursement rates, given the information from step 1.

• 3

  Contact Medicare at 800-MEDICARE if you are unable to locate the reimbursement rate for your type of service in your specific location. Medicare staff can provide you with this information via phone.