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Thread: Contracting Help

  1. #1

    Default Contracting Help

    AAPC: Back to School
    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

  2. #2

    Default 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.

  3. #3


    I am also in the learning process of negotiating insuarnce contracts, does anyone out there have a sample letter to jumpstart my process?
    Last edited by rosiebudm; 02-28-2011 at 03:11 PM. Reason: negotiating contracts

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