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Dec 1

Preventing Insurance Fraud

While most doctors would be horrified to hear that insurance fraud is being committed in their office, the truth is that many well meaning staff members are stepping over the line in the name of “the good of the practice.” While we do suggest that every doctor send his insurance coordinator to refresher courses on […]

Sep 1

Three Points of Insurance Filing

There’s no doubt that getting insurance payments into the office for patients can be a headache, but it can be made a great deal easier when we do a 3 step preparation. Step 1 – Gather all the patient’s insurance information and check their benefits before they arrive for the initial appointment.  Getting all the […]

Jun 1

Insurance Dependent vs. Insurance Independent

Is your practice dependent or independent of insurance, and what exactly does that mean. In the last five to ten years the definitions have changed. Five to Ten years ago: Insurance Dependent: Contract provider for insurance PPO’s and some Capitation plans. Insurance Independent:  Will file the insurance but not a provider for any insurance company. […]

Mar 1

Insurance Fee Schedules

We hear questions from our clients all the time regarding whether they can or cannot negotiate fees with insurance companies. The answer to that question is an absolute…..maybe. Factors such as the location of the practice, the amount of time since the last fee increase, the number of equivalent providers or specialists in network in […]