Billing500
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One of our providers recently decided to go out-of-network with major insurance companies.
I'm looking for some tips on what to include in our appeal letters to these payers for increased reimbursement. We are mentioning:
Any added suggestions to strengthen our appeal would be appreciated. Our patients are choosing to come to our office vs. another in-network provider. So, the whole song and dance about the patient not having a choice is not applicable here.
Thank you!
I'm looking for some tips on what to include in our appeal letters to these payers for increased reimbursement. We are mentioning:
- FAIR Health rates for our geographical area
- Relevant aspects of the economics of the medical provider's practice (location, costs, etc)
- Provider's training, qualifications, and length of time in practice
Any added suggestions to strengthen our appeal would be appreciated. Our patients are choosing to come to our office vs. another in-network provider. So, the whole song and dance about the patient not having a choice is not applicable here.
Thank you!