Actively negotiating with payers is an important aspect of both practice management and revenue cycle management activities for independent medical practices. Although the impact can be significant, most providers have had little to no experience doing so or have not seen much success in past negotiations, partly due to a lack of ...
Understanding a practice’s payer mix is crucial when evaluating where your practice stands today — especially given the fact that reimbursement methodologies can significantly differ by payer. It is not uncommon for managed care organizations to blend several fee sources, effectively creating fee schedules that vary in rates for the same CPT ...
Do you know what percentage of your practice’s patients are self-pay? How many of your patients have private insurance? And of those who have private insurance, do you know what percentage of that group has a high-deductible plan? If you know who your largest payers are, are you in tune with news about their coverage and reimbursement ...
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