Can a cash practice see a workers’ compensation patient? Maybe. State laws govern workers’ compensation. If your state laws allow the employee to choose their heath care providers, versus allowing the employer to direct what providers see their injured workers, then you should be able to see the patient. State work comp laws may …
Maine Practice Management Network Members: If you received the attached letter recently (or receive one in the future) from Prime Health Services, Inc. asking you to sign an Addendum to your Participation Agreement for workers’ compensation, it is because Prime thinks you have a contract with them to take a discount on your workers’ compensation …
Many thanks to Mary Kroth-Brunet at Back in Motion Physical Therapy for speaking briefly at our Annual Client meeting on Jan. 26 about the new PT Eval codes. You can access Mary’s “cheat sheet” here. Mary will provide more in-depth instruction on how to use these codes at the February 15th Practice Management Network webinar …
Use this form to assert a lien on the proceeds of a liability settlement (i.e. for MVA cases) to ensure you will get paid when the case settles.
The VA Choice Program Provider Agreement for Maine Providers was reviewed on 6/30/2016. The Client Alert_VA Choice Program Contract Analysis can be downloaded here.
New CIGNA Provider Agreement has issues!!! Several of my clients in multiple states received a new contract from CIGNA back around December 2014 and again here recently. If you received any such letter and new contract . . .
This is a 25 minute video where I discuss my analysis of the Harvard Pilgrim Contract Amendment for PMN Members only . . .
Contracts with private insurers are becoming more and more complicated. Many contracts are “Silent PPOs” that allow the payer to sell their preferred provider network to any other payer that the provider may already have a separate contract with. Providers can risk their business by signing every contract that comes their way without first obtaining legal counsel on what the contract …
