Requesting Fee Schedule Renegotiation
Do your payers know about your quality improvements? Your commitment to quality may be focused on patient care but your payers benefit too. Your payers may even be willing to pay higher fees schedules for proven results resulting from quality of care programs.
Why Not Ask?
Appeal Solutions has developed a Fee Schedule Renegotiation Request letter to easily initiate negotiations for fee schedule increases to offset ongoing investments in quality improvements. The letter provides some suggested wording which medical organizations can use to inform payers about quality of care initiatives and the need for fee schedule adjustments related to these efforts. The Centers for Medicare and Medicaid Services (CMS) released the 2009 physician fee schedule rates this month. Conversion factors used to calculate the physician fee schedule will increase by 1.1 percent in 2009. A fact sheet is available at the CMS website. Although most commercial benefit calculations are not directly tied to CMS physician fee schedule adjustments, your fee schedule renegotiation request may be strengthened by referencing industry trends which reflect fee schedule increases. It is also very helpful to cite any local factors which have affected your operational costs including labor shortages or malpractice insurance hikes.
Download our Letter to Request Fee Schedule Renegotiation
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