Prepare early. Gather data. Develop a plan. Know your market. Consider termination. Hire a lawyer. These are some tips experts suggest physicians and physician groups keep in mind when negotiating contractual arrangements with insurance companies.
Otolaryngology Practices Use Digital Tools to Pre-authorize—With Mixed Results
When it comes to digital platforms meant to ease the prior approval burden, many procedures can receive almost instantaneous approval after a few keyboard clicks, but when a case isn’t cookie-cutter, these tools often aren’t very helpful—and might even make the process more of a headache than it would have been back in the old days.
Meeting Reimbursement Criteria for Otolaryngologic Procedures
Studies show that reimbursement for otolaryngology services is generally below the federal benchmark.
An Insurance Decision That Made No Sense
An underdiscussed topic in our field is the way in which decisions by payers can prevent the delivery of high-value, patient-centered care and increase cost.
Many Patients with Cancer Face Financial Distress from Treatment
Nearly 40% of study participants cited unexpected treatment costs cancer care
What will happen to Obamacare?
Will there be a modified version of Obamacare or Trumpcare?
Extending Credit to Patients Can Help Physicians Manage Those Who Can’t Pay
How paying by credit can ease patients’ burden of high copays, insurance deductibles
Bundled Payments for Patients with Head, Neck Cancer Launched at MD Anderson Cancer Center
Pilot program for newly diagnosed patients reimburses hospitals for surgery, chemotherapy, radiation, diagnostic costs for one year of treatment
Manage Your Exposure to Otolaryngology Malpractice Cases
Making Up the Difference: Otolaryngologists find ways to provide care for under- and uninsured patients
Doctors Rima and Robert DeFatta, married otolaryngologists who work at Sacred Heart Hospital in Eau Claire, Wisconsin, spend about an hour each day dealing with insurance-related hassles. About 20 percent of their patients are un- or underinsured, so the two physicians spend time dashing off letters to insurance companies, re-jiggering treatment plans and helping patients access available resources. Recently, Rima DeFatta, MD, had to figure out how to diagnose a patient who presented with symptoms that suggested possible neurologic involvement.
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