Fracture Charges
 
  Insurance companies dictate how a physician office should charge for the care and treatment of broken bones.

Broken bones are treated under a "flat fee" system. This means that a fixed amount is charged to take care of the fracture and no extra visit charges will be made for the follow-up visits.  Even if you have to come back more than normal, there would not be an extra visit charge.

Of course, on the first day you might be surprised by the charges; but it is important to realize that follow-up care is normally included.  For each particular fracture there is a certain number of follow-up days.  It is either 30,60 or 90 days, depending on the type of fracture.

If during fracture treatment other things are done, such as X-rays or cast changes, then additional charges will be made.

Several insurance companies, including MEDICARE, will write on the Explanation of Benefits that they send you, that you were treated with "Surgery".  It is important you are aware of this.  Medicare uses the word "Surgery" for whatever a surgeon does, even though with most fractures no true surgery and no knives were used. Medicare and some other insurance companies will still call the treatment "Surgery".  Please be aware of this misleading statement on your Explanation of Benefits.

Please contact our office if you have further questions.



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