BC Advantage - 2015 Issue 10

How practices can negotiate higher reimbursement rates

Nothing matters more than a practice's reimbursement rates. Rates can determine the difference between profitability and breaking-even, or worse, going out of business. A physician's reimbursement rates need to be carefully understood and negotiated, when necessary, in order for a practice to remain profitable.  a physician's reimbursement rate is rarely initially set according to ability, skill or clinical outcomes. Rather, most insurance payers still rely on presenting the lowest reimbursing contracts that are quickly accepted by practices - usually out of necessity.It makes sense, from a business standpoint, for practices to accept these low rates; practices must...

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