For the estimated 716,000+ residents of Colorado who still haven’t got health insurance coverage, the state’s Division of Insurance recently released rates of various health plans that comply with the overhaul of the America’s health care system. Eighteen insurance companies currently operating in Colorado will offer 541 separate plans for individuals and small groups. To […]
The New York Times recently featured an article titled “When a Co-Pay Gets in the Way of Health,” in which the author brings up the age-old debate of how can we best provide affordable health care to citizens without the providers incurring losses. A debate that requires both sides to make trade-offs in a bid […]
In this New York Times article (http://nyti.ms/13n23NR) the writer provides some interesting points about CEO stress vs “learned helplessness” which is characterized by a lack of control over one’s fate. I understand that the lack of control in employment is much different than not being able to find a job or control one’s future which […]
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Understanding current and historical payment data from Medicare is essential to understanding how you are paid by both Medicare and the commercial payers. In addition to Medicare, most commercial insurance payers utilize the Medicare fee schedule to determine how they are going to compensate you for services. Every year Medicare releases a new fee schedule […]
Here is a short video that details how we go about evaluating insurance contracts and fee schedules as part of our negotiation service. We recommend you conducting this evaluation of your fee schedules whether you plan to negotiate your contracts or not.
We would like to share an interesting and eye-opening situation we had recently with a Medicare administrator. This issue came up while processing some re-validation applications for a client’s group. It all started when our client submitted the initial applications and contacted us when it did not go through and their numbers were deactivated. The […]
Florida, as part of the Affordable Care Act (ObamaCare), has increased their primary care fee schedule to reflect that of the current Medicare fee schedule. Here are spreadsheets with 2013 fee schedules for Physicians, Physician Assistants, and Nurse Practitioners. Medicaid Enrollment in Florida is a challenge so we are offering a 15% discount to our […]
As you know, there has been a lot of shifting in payers around the country because of the recent healthcare legislation. We received notice from PPO USA Network that they will be terminating operations effective January 2013. This does not come as a surprise but is a disappointment because they have always been very fair […]
Marketing Strategies & Good Business for Physicians BY: Andrew Eriksen Part 2 of 2 Published in Medical Exchange In the first part of this series, we discussed patient loyalty and how vital this is to the longevity and growth of your practice. In this article, I will provide you with some simple and effective ways […]