ajperezcrespo wrote on Friday, July 29, 2005:
Is there anyway to have different fee schedules for different payers?
sunsetsystems wrote on Friday, July 29, 2005:
You could modify the code to handle it. Or hire me to do that. 
– Rod <rod at sunsetsystems dot com>
okhra wrote on Monday, August 01, 2005:
I would leave the ‘codes’ table alone, and add a new column to the ‘insurance_companies’ table - some kind of %-age factor to come up with different fee schedules for different payers. Of course, the code has to be changed in the appropriate places.
This from a brand new newbie - this is my first day of the 2nd week exposure to openemr 
- okhra aka braman
drbowen wrote on Tuesday, August 16, 2005:
In a management related issue, we are usually advised to have only one fee schedule and then write off the "disallowed" amounts.
The thinking is that if you through chance bill 51% of your charges at a lower fee for a particular CPT code, the insurnce companies will lock you into this as the "reasonable and customary charge" for that CPT code.
Recovering from this can be a real problem. You are only allowed to increase your reasonable and customary fee by 1% per year. A fifteen percent discount would take almost 15 years to recover.
Simply, better to have only one fee schedule.
Sam Bowen, MD