Insurance fee schedule

Do you have to negotiate your price schedule with each individual Insurance Company to get an increase in payment reimbursement (not including Medicare/Medicaid). If so, do you have any suggestions on how this is done?

Contract Re-Neg

Yes, every single insurance plan!! Unless you have NOTHING else to do in your day, hire an outside company. If you are a primary care practice you have to PROVE you do "over and above" what normal PCP's do to get even a marginal increase. I just went through this with one PCP who was determined he was worth far more than what he was receiving...when he was asked by the carriers for a list of what he did over and above the normal PCP, he was able to ome up with ONE additional procedure.

MJ

Contract Re-Neg

Thanks for your advise. We are a primary care practice and we do use an outside company for most plans, but they are unable to negotiate for us with BC/BS, UHC and Aetna. I was told to take 25 of my top CPT codes and make a spread sheet with our fee; the carriers reimbersement fee; and on the last collum put in the fee increase we want. Would this work?