A. One of the most common and often misunderstood potential hazards in payer contracts is the “lesser of billed charges” language found in almost all contracts.
A. In addition to contracted rates, there are key items often found in payer contracts that can significantly affect and often reduce reimbursements. Here are a few to look for:
A. It is often challenging for HME companies to get contracted with payers. Payers often close their networks to new provider applications once they reach a certain number of HME companies.
SALINAS, Calif. – Healthcents has watched as HME companies—not only providers, but also distributors and manufacturers— have become 60% to 70% of its customer base, replacing the medical practices that were the bulk of its business 10 years ago.
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