Insurance Contracting
Joyce Perrone
Description
Collection
Title:
Insurance Contracting
Creator:
Joyce Perrone
Date:
11/30/2005
Text:
When it comes to contracting with a carrier, it's best to know a little
about them first. I'd recommend:
1. Do a little research via the internet or find other medical providers
who are participating with them. What are their QA goals? (if any).
2. Prepare your proposal to look very professional. No matter if you
think you are Ernest Hemmingway with your writing, have someone else
review it for errors, poor grammar, and lack of continuity. Have the
look at the form and the substance.
3. Sell yourself - what do you do great? Better than any other O&P
company?
4. Include copies of your credentials and of any member of your team's
credentials
5. Are you ABC certified facility? Include the literature from ABC as
to what it means. You'd be surprised how many insurance companies do
not have a clue as to what our industry standard is. I always equate it
with JCAHO which they understand
6. Do YOU have a QA plan? Include it.
7. Do you have compliance plan? A way to handle complaints?
8. Include the results of patient satisfaction surveys in a good format
- I prefer an Excel spreadsheet and include patient comments as to how
wonderful we are :)
9. Include recommendations from physicians who love you and are
participating with this plan
10. Include your organization chart, locations, hours of operation,
areas served.
11. Then there is the almighty pricing. Never give it away! Or I will
personally hunt you down! Mention it as we can discuss pricing based
on a variety of criteria. Don't be so hungry you'll accept any scrape
and lower the industry bar as being a bunch of hungry rodents. Rise
about that and be proud of the industry you represent. If they are
asking YOU to send a proposal, this tells me they don't have anything in
place. So do us all a favor and be true to the professional and set the
bar high for competition. Not just as something CHEAP.
I'd also recommend that you don't just mail this in. Ask for an
audience with the right folks to review it with them in person.
GOOD LUCK!
Joyce Perrone
PROMISE Consulting & DeLaTorre O&P, Inc
412-599-1112
Date: Mon, 28 Nov 2005 09:20:22 -0800
From: Jack Ben-Ezra < <Email Address Redacted> >
Subject: I need help with Insurance Contracting
I was just given the opportunity to enter into negotiations for a
contract with a national insurance carrier. They asked for me to submit
a proposal to start the negotiations.
That's the good news. The bad news is I have never done this
before.
Is there anyone who has done this before who would be willing to
offer tips or advice. My most basic question is, what is this proposal
supposed to look like?
Any advice will be greatly appreciated.
Jack Ben-Ezra, LPO New Jersey
about them first. I'd recommend:
1. Do a little research via the internet or find other medical providers
who are participating with them. What are their QA goals? (if any).
2. Prepare your proposal to look very professional. No matter if you
think you are Ernest Hemmingway with your writing, have someone else
review it for errors, poor grammar, and lack of continuity. Have the
look at the form and the substance.
3. Sell yourself - what do you do great? Better than any other O&P
company?
4. Include copies of your credentials and of any member of your team's
credentials
5. Are you ABC certified facility? Include the literature from ABC as
to what it means. You'd be surprised how many insurance companies do
not have a clue as to what our industry standard is. I always equate it
with JCAHO which they understand
6. Do YOU have a QA plan? Include it.
7. Do you have compliance plan? A way to handle complaints?
8. Include the results of patient satisfaction surveys in a good format
- I prefer an Excel spreadsheet and include patient comments as to how
wonderful we are :)
9. Include recommendations from physicians who love you and are
participating with this plan
10. Include your organization chart, locations, hours of operation,
areas served.
11. Then there is the almighty pricing. Never give it away! Or I will
personally hunt you down! Mention it as we can discuss pricing based
on a variety of criteria. Don't be so hungry you'll accept any scrape
and lower the industry bar as being a bunch of hungry rodents. Rise
about that and be proud of the industry you represent. If they are
asking YOU to send a proposal, this tells me they don't have anything in
place. So do us all a favor and be true to the professional and set the
bar high for competition. Not just as something CHEAP.
I'd also recommend that you don't just mail this in. Ask for an
audience with the right folks to review it with them in person.
GOOD LUCK!
Joyce Perrone
PROMISE Consulting & DeLaTorre O&P, Inc
412-599-1112
Date: Mon, 28 Nov 2005 09:20:22 -0800
From: Jack Ben-Ezra < <Email Address Redacted> >
Subject: I need help with Insurance Contracting
I was just given the opportunity to enter into negotiations for a
contract with a national insurance carrier. They asked for me to submit
a proposal to start the negotiations.
That's the good news. The bad news is I have never done this
before.
Is there anyone who has done this before who would be willing to
offer tips or advice. My most basic question is, what is this proposal
supposed to look like?
Any advice will be greatly appreciated.
Jack Ben-Ezra, LPO New Jersey
Citation
Joyce Perrone, “Insurance Contracting,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 25, 2024, https://library.drfop.org/items/show/225847.
