Reed Tinsley, CPA

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Addressing Decline in Managed Care Payer Reimbursement

September 16, 2020 By Reed Tinsley, CPA

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...]

Filed Under: Managed Care Consulting, Managed Care Contract Negotiations Tagged With: Managed Care, Managed Care Contract Negotiation, Medical Practice, Physician, Physician CPA, Physician Practice

Managed care contract negotiation – Preparing to negotiate outline

October 24, 2018 By Reed Tinsley, CPA

Contracts, manuals & fee schedules, where are they (Oh, my!) Determine payor contract contact Determine if reimbursement is based on RBRVS or compare to Medicare Determination of any billing concerns Analysis of reimbursement data, including full data review vs. top # of CPT codes … [Read more...]

Filed Under: Managed Care Contract Negotiations, Medical Practice Management

Free Webinar – Helping Physician Practices Negotiate and Deal with Managed Care Plans – Tips and Strategies

October 22, 2018 By Reed Tinsley, CPA

Most medical practices do not negotiate their managed care contracts. However, many practices have successfully increased practice revenues by developing a sound negotiation strategy and then going out and implementing the strategy. Using a process format, this presentation will provide … [Read more...]

Filed Under: Managed Care Contract Negotiations

How special are you in a payer’s eye?

September 5, 2018 By Reed Tinsley, CPA

My physician clients often ask me for advice on how best to negotiate with managed care payers for improved reimbursement. My advice is typically the same: if you want them to pay you more than your competitors, you have to offer them something more than your competitors do. Simply being good at … [Read more...]

Filed Under: Managed Care Contract Negotiations, Medical Practice Management

Texas allows Blue Cross Blue Shield to deny payments for some out-of-network ER visits

August 6, 2018 By Reed Tinsley, CPA

Blue Cross and Blue Shield of Texas will begin a controversial new program today in which it will not pay any expenses for an out-of-network emergency room visit if it is later determined the patient should have gone elsewhere for treatment. Under the new policy, which was announced in April, a … [Read more...]

Filed Under: Managed Care Contract Negotiations

Proposed North Dakota Physician Group Merger Runs in to FTC Roadblock

December 14, 2017 By Reed Tinsley, CPA

A North Dakota federal judge issued a preliminary injunction on Wednesday blocking a proposed merger between a pair of health care providers in the state until the matter could be reviewed at a scheduled Federal Trade Commission administrative hearing in January. The order grants a request made by … [Read more...]

Filed Under: Managed Care Contract Negotiations, Medical Practice Merger Advice, Uncategorized Tagged With: Compliance

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Reed Tinsley, CPA

I am a CPA who focuses solely on physicians and health care entities. With over 30 years of experience as a healthcare consultant, valuation analyst, expert witness, and CPA, you can trust me to deliver exceptional services.

Contact Reed

Phone: 281-379-5988
Fax: 281-605-5701
Email: reedt@rtacpa.com

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