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Netting the A/R
What are the advantages or disadvantages to billing a commercial insurance company our negotiated rate according to our fee schedule with them, as opposed to billing our regular, higher rate?
Question: What are the advantages or disadvantages to billing a commercial insurance company our negotiated rate according to our fee schedule with them, as opposed to billing our regular, higher rate?
Answer: Charging the payer only its allowable is called "netting the A/R" or "netting the charges" and it creates three problems:
- It misrepresents your usual and customary fee, meaning the insurance carriers will start loading in lower fees.
- It might cause you to miss an opportunity for a higher payment if you guess at the allowable or if the carrier has changed it.
- Your gross charges become meaningless, so reporting on this data point is difficult.
Some practices do indeed net the charge, but it's rare.
Asset Protection and Financial Planning
December 6th 2021Asset protection attorney and regular Physicians Practice contributor Ike Devji and Anthony Williams, an investment advisor representative and the founder and president of Mosaic Financial Associates, discuss the impact of COVID-19 on high-earner assets and financial planning, impending tax changes, common asset protection and wealth preservation mistakes high earners make, and more.
Reducing burnout with medical scribes
November 29th 2021Physicians Practice® spoke with Fernando Mendoza, MD, FAAP, FACEP, the founder and CEO of Scrivas, LLC, about the rising rates of reported burnout among physicians and how medical scribes might be able to alleviate some pressures from physicians.
