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Wiki Contracting Help

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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
 
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.
 
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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