Questions for Dr. Stern

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22. I just read your article in the May edition of JUCM, which, by the way, was most informative.  Can you tell me what dollar amount might be a reasonable amount or national average for payors to reimburse for the 99050 and 99051 codes?

Thanks for your encouraging note. Charges for these codes vary widely. You may want to use Ingenix or Wasserman to estimate for your zip code. Ranges of charges that we have seen are:

• 99050: $10 - $150
• 99051: $10 - $105

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David Stern, MD, CPC CEO, Practice Velocity Partner, Physicians Immediate Care Board Member, Urgent Care      Association of America Dr. Stern helped design the patented Practice Velocity template (PiVoT) that is now used in over 600 urgent care centers. He is board certified in internal medicine and served as Chief Resident in Internal Medicine at Pennsylvania State University. Dr. Stern received his medical degree from Jefferson Medical College of Thomas Jefferson University after completing undergraduate studies at Houghton College in Houghton, NY. Dr. Stern serves on the Board of Directors of the Urgent Care Association of America (UCAOA). A Certified Professional Coder, Dr. Stern writes articles and presents at numerous national and regional conferences on topics, including medical charting, emr, medical coding and medical practice management. With additional partners of John Koehler, MD (CEO) and Terry Buzzard, MD (Regional Medical Director), they operate the urgent care consulting firm of National Med Network and the ten clinics (in Illinois and Oklahoma) of Physicians Immediate Care.

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