tci Medicare Compliance & Reimbursement - 2014 Issue 16

Reader Question: Even Local Relocation Could Impact Insurers

Question: Our practice is going to be moving a few towns over, which means we will likely be seeing several new patients. We have been told by other providers in that area that the demographics between the two areas are very different despite the relatively small geographical distance. They suggested we may need to consider changing the payers we contract with. How should we do that? Answer: Different areas with different demographics can indeed affect the productivity associated with the payers you contract with. For example, if one area has a high pediatric population and the other has a...

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