DecisionHealth, DecisionHealth - 2019 Issue 1 (January)

Make sure contract demands receipts on changes — or risk unhappy surprises

Question: We have a commercial payer that dropped a sudden rate change on us with no notice; we only found out via a paid claim. The payer says it notified us of the change 30 days before the date by which we had to approve it, but we never received any notice at all. How can the payer expect to get away with this? 

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