In other words, instead of distributing the cost of your billing employees based on the number of patient visits under each plan, weight the cost based on the amount of work required to handle the plan. So, if you have one person who only processes Medicaid claims, calculate all of his or her wages, plus a portion of everyone else's wages, against under Medicaid. A list of questions , prepared by one of our New Jersey clients, is available. Our client has gathered this list from a number of sources in order to find out as much about each insurance plan as possible before her office meets to discuss the plan. You will see that each of these questions addresses issues which many offices wish they had covered before it was too late.
Insurance companies spend a lot of time analyzing big ticket procedures.
They tend to ignore Primary Care issues. The statistics you have available from Partner are a much more accurate description of your practice than the numbers the insurance companies will present to you. You can negotiate with these companies whether you are in solo practice or are a group of two hundred providers. Our clients can and do get better payments from insurance companies through negotiation. Mentally prepare yourself.