Channel Sponsor - Coding/Billing/Collections

Sponsored by National Medical Billing Services | | (636) 273-6711

What options do physicians have when insurance networks cut them out?

Medscape outlined the options physicians have when insurance companies cut them out of networks.

Here are the key takeaways:

1. Narrow networks haven't affected many physicians due to their exclusivity to Medicaid plans.

2. Employers, however, are beginning to embrace narrower networks as a cost-saving approach.

3. Insurers are launching narrow plans with major health systems or ACOs to save costs.

4. Narrow plans often do not pay out-of-network physicians, but if the physician knows the patient is out of network before treating them, the physician may be able to request prior authorization to get paid.

More articles on coding, billing and collections:
MiraMed completes $75M senior secured credit facility — 3 quick facts
Maximize your 2018 reimbursements: Know your health plans, know your market, and stay on top of trends
Consolidations, increased outpatient volume expected to drive 2018 ASC growth — 3 insights

© Copyright ASC COMMUNICATIONS 2020. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.


Top 40 Articles from the Past 6 Months