OB/GYN, Aetna Dispute Could Affect 5,000 Arizona Patients
AZ Central report.
Drs. Goodman and Partridge OB/GYN said Monday it will no longer contract with Aetna effective May 15 over disagreements about the health insurer's administrative practices and reimbursement rates.
If the contract lapses, the medical practice will no longer be "in-network" with Aetna, forcing Aetna-insured patients to switch physicians or pay cash for the same services.
Goodman and Partridge executives said Aetna has proposed paying approximately the same rates it did 10 years ago, which are substantially less than the rates paid by other insurers. Aetna officials said the physicians are asking for too much.
Related Articles on Coding, Billing and Collections:
When 5010 Implementation Delays Surgery Center Payment: 4 Ways to Respond
Federal Government Awards $21M to Assist Low Income Florida Patients
Kentucky Governor Prepares for Federal Healthcare Reforms
© Copyright ASC COMMUNICATIONS 2012. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.
To receive the latest hospital and health system business and legal news and analysis from Becker's Hospital Review, sign-up for the free Becker's Hospital Review E-weekly by clicking here.
- How Physician Thinking Changes After Working in ACOs
- 2014 Financial Impact Analysis Doesn't Stop With CMS' Final Rule: Don't Neglect CMS NCCI Edits
- 4 Drivers of Recent M&A Activity in Healthcare
- 8 Reasons to Outsource Medical Billing Services
- 5 ICD-10 Transition Considerations Medical Practices Have Likely Not Thought About