Contracts
Bernard Hewey
Description
Collection
Title:
Contracts
Creator:
Bernard Hewey
Date:
12/16/2002
Text:
Dear List Members,
Recently, area P&O providers were handed an unsolicited contract by a major medical center dictating, among other things,
a.. That all inpatient MC and state Medicaid services will be reimbursed at 20% below state Medicaid rates
b.. All privately insured inpatients must be billed directly to the patient's carrier (if they even have one) as the hospital will not issue a PO for those services
c.. No reimbursement will be given for unlisted, uncovered or BR HCPCS codes
d.. No reimbursement for after-hours or weekend requests for service
These terms are not negotiable. Needless to say, this will have far-reaching effects on patient care and business viability and does not bode well for our regional P&O profession. This situation has probably arisen in other areas of the country as well and we would appreciate any experiences, reactions or outcomes to such contracts by list members. All replies will be reposted to the list, minus any names, etc.
Thanks in advance,
Bernard Hewey, LO, CO
Recently, area P&O providers were handed an unsolicited contract by a major medical center dictating, among other things,
a.. That all inpatient MC and state Medicaid services will be reimbursed at 20% below state Medicaid rates
b.. All privately insured inpatients must be billed directly to the patient's carrier (if they even have one) as the hospital will not issue a PO for those services
c.. No reimbursement will be given for unlisted, uncovered or BR HCPCS codes
d.. No reimbursement for after-hours or weekend requests for service
These terms are not negotiable. Needless to say, this will have far-reaching effects on patient care and business viability and does not bode well for our regional P&O profession. This situation has probably arisen in other areas of the country as well and we would appreciate any experiences, reactions or outcomes to such contracts by list members. All replies will be reposted to the list, minus any names, etc.
Thanks in advance,
Bernard Hewey, LO, CO
Citation
Bernard Hewey, “Contracts,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/220120.
