Payment Differences Discussion 1

Discuss rationale as to why there are vast differences in payment for the same services (by CPT-treatment code) by various payer sources (e.g., private pay, grant, Medicare/Medicaid, traditional insurance like Blue Cross/Blue Shield, or managed care). How does this practice impact the profession and budgeting? Provide rationale for your choice. Your initial post should be at least 400 words.



1. Textbook:
Dropkin, M., Halpin, J., & LaTouche, B. (2007). The budget-building book for nonprofits (2nd ed.). Jossey-Bass.
Chapter 15: Estimating Income and Expenses

2. Article:
Final budget for fiscal year 2006 changes Medicaid and Medicare rules, cuts funds for mental health programs. (2006). Psychiatric Services, 57(3), 432-3.

3. Videos:
Roberts, P, [eHow]. (2008, November 1). Business Advice: How to Determine Profit [Video File]. Retrieved from (Links to an external site.)

Hornor, J, [eHow]. (2009, May 26). Small Business Basics : How to Understand a Profit-Loss Statement [Video File]. Retrieved from  (Links to an external site.)

Recommended Readings
1. Website:
BlueCross BlueShield of Tennessee. (n.d.) Behavioral Health Specific Billing Guidelines. Retrieved from

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