Know Your Contract Denials plague every physician practice, but there are ways to keep the hassle to a minimum. It sounds simple sometimes when we say it, but the way to keep denials as low as possible is to follow the rules to the letter. However, it’s not really simple because you probably have … [Read more...]
Managed Care Oversight
Managed Care Oversight You have payer relationships so I ask: How is your current managed care oversight? While your medical practice may be compliant with billing regulations and coding, this does not mean that your payer is compliant and has paid you correctly per your contract. Providers know … [Read more...]
Addressing Decline in Managed Care Payer Reimbursement
Managed Care Contracting Here is a recent email exchange between practice administrators regarding managed care: First administrator: I was in the dumps already since Aetna and BC/BS of Texas alerted us least week of fee changes. Today I get a letter from United that they will also change … [Read more...]