Contracting Help

colleensso

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I was wondering if anybody can give me some help on reimbursement from Commercial insurers. I am new to this office and they have not renegotiated their commercial insurance contracting since the 1980's . Does anyone know the percentage of reimbursement we should be getting above Medicare rates? I am in New York Downstate and this was kind of thrown my way. Anyone have any words of wisdom, things to look out for, and how I can negotiate the best rate? I would appreciate your help

Thank you
Colleen
 

IzabellaM

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Renegotiating contracts

Unfortunately it seems as though Medicare rates are being used as the standard for reimbursement her in California. We were able to negotiate a rate of 135% of the medicare rate with Blue Cross and UnitedHealthcare, a couple of others are in negotiation. Hope this helps you.
 

rosiebudm

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I am also in the learning process of negotiating insuarnce contracts, does anyone out there have a sample letter to jumpstart my process?
 
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