Revenue Cycle Management -Part 4

[@lizbethflores8263]

Hello this is great. Who is in charge of reimbursement contracts ?

[@navigatingthebusinessofmed8251]

Thank you for watching! Each insurance company provides a payer contract with reimbursement guidelines and fee schedule when a group or individual provider requests participation with them. It is the practice’s responsibility to monitor reimbursement from the insurance companies when claims are processed to ensure they are following the agreement. It is also your practice’s responsibility to request changes to the reimbursement terms when desired.

[@lizbethflores8263]

Thank you. I thought this was done at the time of credentialing.

[@ghaurizclinic1683]

Can you make a video on the number of payers in the market and plan types or names available

[@navigatingthebusinessofmed8251]

I can definitely try but every state/area is going to have different payers and plans. If you have questions about a specific state, please email me at [e-mail] and I can try to help you find them. I have worked in many states. Thank you for watching!

[@srinivasalapati7035]

can you please send me the collections part video if you have done one ? thank u in advance.

[@navigatingthebusinessofmed8251]

I recently released a video discussing in-house collections. Please check that out- good luck! Thank you for watching!!