SlideShare une entreprise Scribd logo
1  sur  8
Negotiation tips to help
physicians land better deals




                       Presented by
                    MedicalBillingStar
Stung by the recent reimbursement
                cuts?
• Physicians are moving away from independent practice
  and gravitating to employ with hospitals or
  supplementary large firms.

• Though this change frees doctors of the burdens of
  running a business, it's critical physicians understand
  their rights and responsibilities before agreeing to an
  service contract.
Negotiate tough…


• Doctors have traditionally shied away from negotiation
  rates with payers.

•    Drowning under paperwork and making long phone
    calls, are enough to scare the most persistent of
    physicians
Getting the facts on paper!


• Most medical practitioners make the mistake of sending
  out proposal letters that do not include key facts.

• Including a brief introduction to your practice, patient
  population and expectation is important.
What color does your insurer like?
• But for successful payer negotiation, knowing your
  insurer is important.

•    What are the cpt codes that are more likely to be
    reconsidered?

•   What are the documents your insurer might require?

• Every, information, is key to shorten the turnaround and
  back and forth phone calls.
It isn’t mission accomplished!
• You’ve struck the deal.

• Time, to, celebrate and hope for better collections.

•    But it is also important you have the details of your
    negotiation summarized.

• It will help you to inform your billing team about the
  changes.
Conclusion
• To, inform your patients about the revised rates.

• And yes it comes in handy when working on your next
  set of contracts.

• As with all else it is a constant work in progress!
Feedbacks




Your queries are most welcome for
  Payer negotiation services to
   www.medicalbillingstar.com

Contenu connexe

En vedette (7)

Negotiation skills for women
Negotiation skills for womenNegotiation skills for women
Negotiation skills for women
 
Negotiation Skills Course (Workbook)
Negotiation Skills Course (Workbook)Negotiation Skills Course (Workbook)
Negotiation Skills Course (Workbook)
 
Role Play Exercises
Role Play ExercisesRole Play Exercises
Role Play Exercises
 
Negotiation exercise
Negotiation exerciseNegotiation exercise
Negotiation exercise
 
Negotiation Harvard Style
Negotiation Harvard StyleNegotiation Harvard Style
Negotiation Harvard Style
 
Negotiation ppt
Negotiation pptNegotiation ppt
Negotiation ppt
 
NEGOTIATION POWERPOINT
NEGOTIATION POWERPOINTNEGOTIATION POWERPOINT
NEGOTIATION POWERPOINT
 

Similaire à Negotiation tips to help physicians land better deals

Uncovering Red Flags in Physician Contracts
Uncovering Red Flags in Physician ContractsUncovering Red Flags in Physician Contracts
Uncovering Red Flags in Physician ContractsMD Ranger, Inc.
 
2016 - Newsletter
2016 - Newsletter2016 - Newsletter
2016 - NewsletterBrad Potter
 
Busting Medical Billing Myths_ The Importance Of Transparency.pptx
Busting Medical Billing Myths_ The Importance  Of Transparency.pptxBusting Medical Billing Myths_ The Importance  Of Transparency.pptx
Busting Medical Billing Myths_ The Importance Of Transparency.pptxDanny Johnsmith
 
Busting Medical Billing Myths_ The Importance Of Transparency.pdf
Busting Medical Billing Myths_ The Importance  Of Transparency.pdfBusting Medical Billing Myths_ The Importance  Of Transparency.pdf
Busting Medical Billing Myths_ The Importance Of Transparency.pdfDanny Johnsmith
 
Roadmap for Physician Contracting: Setting Up for Success in 2017
Roadmap for Physician Contracting: Setting Up for Success in 2017Roadmap for Physician Contracting: Setting Up for Success in 2017
Roadmap for Physician Contracting: Setting Up for Success in 2017MD Ranger, Inc.
 
Structuring Your Contracts for the Current Climate
Structuring Your Contracts for the Current ClimateStructuring Your Contracts for the Current Climate
Structuring Your Contracts for the Current ClimateKareo
 
Physician Contracting at Small and Rural Hospitals
Physician Contracting at Small and Rural HospitalsPhysician Contracting at Small and Rural Hospitals
Physician Contracting at Small and Rural HospitalsMD Ranger, Inc.
 
Don't You Want to Get Paid?
Don't You Want to Get Paid?Don't You Want to Get Paid?
Don't You Want to Get Paid?Manny Oliverez
 
What to Do When You're Out of FMV Range
What to Do When You're Out of FMV RangeWhat to Do When You're Out of FMV Range
What to Do When You're Out of FMV RangeMD Ranger, Inc.
 
Benezon: Healthcare Advocacy
Benezon: Healthcare AdvocacyBenezon: Healthcare Advocacy
Benezon: Healthcare Advocacybenezon
 
Best Practices for Physician Call Coverage Compensation
Best Practices for Physician Call Coverage CompensationBest Practices for Physician Call Coverage Compensation
Best Practices for Physician Call Coverage CompensationMD Ranger, Inc.
 
Physician Contracting Compliance Risk Checklist
Physician Contracting Compliance Risk ChecklistPhysician Contracting Compliance Risk Checklist
Physician Contracting Compliance Risk ChecklistMD Ranger, Inc.
 
Can Outsource Medical Billing Help Physicians.pdf
Can Outsource Medical Billing Help Physicians.pdfCan Outsource Medical Billing Help Physicians.pdf
Can Outsource Medical Billing Help Physicians.pdfDanny Johnsmith
 
Can Outsource Medical Billing Help Physicians.pptx
Can Outsource Medical Billing Help Physicians.pptxCan Outsource Medical Billing Help Physicians.pptx
Can Outsource Medical Billing Help Physicians.pptxDanny Johnsmith
 
3 Common Myths On Medical Billing Outsourcing-1.pdf
3 Common Myths On Medical Billing Outsourcing-1.pdf3 Common Myths On Medical Billing Outsourcing-1.pdf
3 Common Myths On Medical Billing Outsourcing-1.pdfGraciaBrown1
 
The ABCs of Starting a Medical Practice
The ABCs of Starting a Medical PracticeThe ABCs of Starting a Medical Practice
The ABCs of Starting a Medical PracticeKareo
 

Similaire à Negotiation tips to help physicians land better deals (20)

Uncovering Red Flags in Physician Contracts
Uncovering Red Flags in Physician ContractsUncovering Red Flags in Physician Contracts
Uncovering Red Flags in Physician Contracts
 
How to Become a Concierge Doctor
How to Become a Concierge DoctorHow to Become a Concierge Doctor
How to Become a Concierge Doctor
 
2016 - Newsletter
2016 - Newsletter2016 - Newsletter
2016 - Newsletter
 
Busting Medical Billing Myths_ The Importance Of Transparency.pptx
Busting Medical Billing Myths_ The Importance  Of Transparency.pptxBusting Medical Billing Myths_ The Importance  Of Transparency.pptx
Busting Medical Billing Myths_ The Importance Of Transparency.pptx
 
Busting Medical Billing Myths_ The Importance Of Transparency.pdf
Busting Medical Billing Myths_ The Importance  Of Transparency.pdfBusting Medical Billing Myths_ The Importance  Of Transparency.pdf
Busting Medical Billing Myths_ The Importance Of Transparency.pdf
 
Roadmap for Physician Contracting: Setting Up for Success in 2017
Roadmap for Physician Contracting: Setting Up for Success in 2017Roadmap for Physician Contracting: Setting Up for Success in 2017
Roadmap for Physician Contracting: Setting Up for Success in 2017
 
Structuring Your Contracts for the Current Climate
Structuring Your Contracts for the Current ClimateStructuring Your Contracts for the Current Climate
Structuring Your Contracts for the Current Climate
 
Physician Contracting at Small and Rural Hospitals
Physician Contracting at Small and Rural HospitalsPhysician Contracting at Small and Rural Hospitals
Physician Contracting at Small and Rural Hospitals
 
179882
179882179882
179882
 
Don't You Want to Get Paid?
Don't You Want to Get Paid?Don't You Want to Get Paid?
Don't You Want to Get Paid?
 
Medical Billing Outsource
Medical Billing OutsourceMedical Billing Outsource
Medical Billing Outsource
 
What to Do When You're Out of FMV Range
What to Do When You're Out of FMV RangeWhat to Do When You're Out of FMV Range
What to Do When You're Out of FMV Range
 
Benezon: Healthcare Advocacy
Benezon: Healthcare AdvocacyBenezon: Healthcare Advocacy
Benezon: Healthcare Advocacy
 
Best Practices for Physician Call Coverage Compensation
Best Practices for Physician Call Coverage CompensationBest Practices for Physician Call Coverage Compensation
Best Practices for Physician Call Coverage Compensation
 
Physician Contracting Compliance Risk Checklist
Physician Contracting Compliance Risk ChecklistPhysician Contracting Compliance Risk Checklist
Physician Contracting Compliance Risk Checklist
 
Can Outsource Medical Billing Help Physicians.pdf
Can Outsource Medical Billing Help Physicians.pdfCan Outsource Medical Billing Help Physicians.pdf
Can Outsource Medical Billing Help Physicians.pdf
 
Can Outsource Medical Billing Help Physicians.pptx
Can Outsource Medical Billing Help Physicians.pptxCan Outsource Medical Billing Help Physicians.pptx
Can Outsource Medical Billing Help Physicians.pptx
 
3 Common Myths On Medical Billing Outsourcing-1.pdf
3 Common Myths On Medical Billing Outsourcing-1.pdf3 Common Myths On Medical Billing Outsourcing-1.pdf
3 Common Myths On Medical Billing Outsourcing-1.pdf
 
Outsource Medical billing With Bikham
Outsource Medical billing With BikhamOutsource Medical billing With Bikham
Outsource Medical billing With Bikham
 
The ABCs of Starting a Medical Practice
The ABCs of Starting a Medical PracticeThe ABCs of Starting a Medical Practice
The ABCs of Starting a Medical Practice
 

Dernier

SWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptSWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptMumux Mirani
 
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdfMedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdfSasikiranMarri
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!ibtesaam huma
 
ANTI-DIABETICS DRUGS - PTEROCARPUS AND GYMNEMA
ANTI-DIABETICS DRUGS - PTEROCARPUS AND GYMNEMAANTI-DIABETICS DRUGS - PTEROCARPUS AND GYMNEMA
ANTI-DIABETICS DRUGS - PTEROCARPUS AND GYMNEMADivya Kanojiya
 
Giftedness: Understanding Everyday Neurobiology for Self-Knowledge
Giftedness: Understanding Everyday Neurobiology for Self-KnowledgeGiftedness: Understanding Everyday Neurobiology for Self-Knowledge
Giftedness: Understanding Everyday Neurobiology for Self-Knowledgeassessoriafabianodea
 
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...sdateam0
 
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
PNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdfPNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdf
PNEUMOTHORAX AND ITS MANAGEMENTS.pdfDolisha Warbi
 
Radiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxRadiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxDr. Dheeraj Kumar
 
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdfSGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdfHongBiThi1
 
Clinical Pharmacotherapy of Scabies Disease
Clinical Pharmacotherapy of Scabies DiseaseClinical Pharmacotherapy of Scabies Disease
Clinical Pharmacotherapy of Scabies DiseaseSreenivasa Reddy Thalla
 
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisVarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisGolden Helix
 
Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Mohamed Rizk Khodair
 
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara RajendranMusic Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara RajendranTara Rajendran
 
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand UniversityCEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand UniversityHarshChauhan475104
 
LUNG TUMORS AND ITS CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS  CLASSIFICATIONS.pdfLUNG TUMORS AND ITS  CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS CLASSIFICATIONS.pdfDolisha Warbi
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptxMohamed Rizk Khodair
 
low cost antibiotic cement nail for infected non union.pptx
low cost antibiotic cement nail for infected non union.pptxlow cost antibiotic cement nail for infected non union.pptx
low cost antibiotic cement nail for infected non union.pptxdrashraf369
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptxTina Purnat
 
Basic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfBasic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfDivya Kanojiya
 

Dernier (20)

SWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptSWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.ppt
 
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdfMedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!
 
ANTI-DIABETICS DRUGS - PTEROCARPUS AND GYMNEMA
ANTI-DIABETICS DRUGS - PTEROCARPUS AND GYMNEMAANTI-DIABETICS DRUGS - PTEROCARPUS AND GYMNEMA
ANTI-DIABETICS DRUGS - PTEROCARPUS AND GYMNEMA
 
Giftedness: Understanding Everyday Neurobiology for Self-Knowledge
Giftedness: Understanding Everyday Neurobiology for Self-KnowledgeGiftedness: Understanding Everyday Neurobiology for Self-Knowledge
Giftedness: Understanding Everyday Neurobiology for Self-Knowledge
 
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...Big Data Analysis Suggests COVID  Vaccination Increases Excess Mortality Of  ...
Big Data Analysis Suggests COVID Vaccination Increases Excess Mortality Of ...
 
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
PNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdfPNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdf
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
 
Radiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptxRadiation Dosimetry Parameters and Isodose Curves.pptx
Radiation Dosimetry Parameters and Isodose Curves.pptx
 
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdfSGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
 
Clinical Pharmacotherapy of Scabies Disease
Clinical Pharmacotherapy of Scabies DiseaseClinical Pharmacotherapy of Scabies Disease
Clinical Pharmacotherapy of Scabies Disease
 
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisVarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
 
Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)
 
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara RajendranMusic Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
Music Therapy's Impact in Palliative Care| IAPCON2024| Dr. Tara Rajendran
 
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand UniversityCEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
 
LUNG TUMORS AND ITS CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS  CLASSIFICATIONS.pdfLUNG TUMORS AND ITS  CLASSIFICATIONS.pdf
LUNG TUMORS AND ITS CLASSIFICATIONS.pdf
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptx
 
low cost antibiotic cement nail for infected non union.pptx
low cost antibiotic cement nail for infected non union.pptxlow cost antibiotic cement nail for infected non union.pptx
low cost antibiotic cement nail for infected non union.pptx
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptx
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptx
 
Basic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdfBasic principles involved in the traditional systems of medicine PDF.pdf
Basic principles involved in the traditional systems of medicine PDF.pdf
 

Negotiation tips to help physicians land better deals

  • 1. Negotiation tips to help physicians land better deals Presented by MedicalBillingStar
  • 2. Stung by the recent reimbursement cuts? • Physicians are moving away from independent practice and gravitating to employ with hospitals or supplementary large firms. • Though this change frees doctors of the burdens of running a business, it's critical physicians understand their rights and responsibilities before agreeing to an service contract.
  • 3. Negotiate tough… • Doctors have traditionally shied away from negotiation rates with payers. • Drowning under paperwork and making long phone calls, are enough to scare the most persistent of physicians
  • 4. Getting the facts on paper! • Most medical practitioners make the mistake of sending out proposal letters that do not include key facts. • Including a brief introduction to your practice, patient population and expectation is important.
  • 5. What color does your insurer like? • But for successful payer negotiation, knowing your insurer is important. • What are the cpt codes that are more likely to be reconsidered? • What are the documents your insurer might require? • Every, information, is key to shorten the turnaround and back and forth phone calls.
  • 6. It isn’t mission accomplished! • You’ve struck the deal. • Time, to, celebrate and hope for better collections. • But it is also important you have the details of your negotiation summarized. • It will help you to inform your billing team about the changes.
  • 7. Conclusion • To, inform your patients about the revised rates. • And yes it comes in handy when working on your next set of contracts. • As with all else it is a constant work in progress!
  • 8. Feedbacks Your queries are most welcome for Payer negotiation services to www.medicalbillingstar.com