RE: Not taking new patients from one insurance.

[Guest guest]

Technically you can't but do doctors do it? Absolutely. All the time. The receptionist, "I'm not sure. What insurance do you have?" Puts the patient on hold and comes back saying, "We don't have an openng right now, can you call back in 2 weeks?" repeat in 2 weeks. I take a limited number of managed Medicaid and I did put it in the contract with the only managed Medicaid insurer I take. So there are ways around taking too high a percentage of low paying insurances. Closing to new patients is difficult as there is such a time lag before it goes into effect and then when you want to open again there is another huge time lag if you are doing it for all insurances. I will be interested to hear if Anthem gives you a hard time about closing to new patients. I think I would be very careful to not reveal you aren't closing to the other insurances. You'll have to read your contract as to when closing becomes active i.e. 90 to 180 days from the date of your letter. Send letter by return receipt for sure. To: Sent: Wednesday, August 29, 2012 3:54 PM Subject: Re: Not taking new patients from one insurance.

Technically you have to say you are closed to all new patients but continue to care for the established ones. You can get in trouble with the insurance if you say you are only closed to new patients with XYZ insurance but will take people with other type of insurance. You can let the insurance know that you want to change your status to not taking new patients.

Not taking new patients from one insuranc

Hi,

When I started last year, I contracted with most PPO insurances of the area, knowing one of them, Anthem Blue Cross pays much lower than others, even lower than Medicare. Now my practice is almost full, I am thinking about not taking any more new Anthem BC patients any more. I would like to keep the patients established, mainly for patients' convenience, etc.

Does anyone know if it is possible not to take new patients from one insurance but to continue to provide care to the established? I would contact the payer later, want to know others experience.

Thank you.

Wen

[Guest guest]

Wisdom. Thank you both. Wen

 

Technically you can't but do doctors do it? Absolutely.  All the time.  The receptionist, " I'm not sure. What insurance do you have? "   Puts the patient on hold and comes back saying, " We don't have an openng right now, can you call back in 2 weeks? "   repeat in 2 weeks.

I take a limited number of managed Medicaid and I did put it in the contract with the only managed Medicaid insurer I take.  So there are ways around taking too high a percentage of low paying insurances.

Closing to new patients is difficult as there is such a time lag before it goes into effect and then when you want to open again there is another huge time lag if you are doing it for all insurances.  I will be interested to hear if Anthem gives you a hard time about closing to new patients.  I think I would be very careful to not reveal you aren't closing to the other insurances. You'll have to read your contract as to when closing becomes active i.e. 90 to 180 days from the date of your letter.  Send letter by return receipt for sure.

 

 

To:

Sent: Wednesday, August 29, 2012 3:54 PM Subject: Re: Not taking new patients from one insurance.

 

Technically you have to say you are closed to all new patients but continue to care for the established ones. You can get in trouble with the insurance if you say you are only closed to new patients with XYZ insurance but will take people with other type of insurance. You can let the insurance know that you want to change your status to not taking new patients.

Not taking new patients from one insuranc

 

Hi,

 

When I started last year, I contracted with most PPO insurances of the area, knowing one of them, Anthem Blue Cross pays much lower than others, even lower than Medicare. Now my practice is almost full, I am thinking about not taking any more new Anthem BC patients any more. I would like to keep the patients established, mainly for patients' convenience, etc.

 

Does anyone know if it is possible not to take new patients from one insurance but to continue to provide care to the established? I would contact the payer later, want to know others experience.

 

Thank you.

 

Wen

 

[Guest guest]

You can drop and insurance and you can freeze to new Patients. You don’t really need a reason. But sometimes, you can only do it at your anniversary date. Or you could drop them completely. But I think that is always on the anniversary date. You could try calling and telling them what the problem is and see if they will increase your fees too Kathy Saradarian, MDNJ From: [mailto: ] On Behalf Of Wen LiangSent: Wednesday, August 29, 2012 4:03 PMTo: Subject: Re: Not taking new patients from one insurance. In about 6 months, I could close to all patients ( New and Established) of this insurance. I would feel bad for the established for many reasons, they trusted me and established care. But their payer takes such a big discount. Is there a way to do it, without trouble? Thanks, Wen Technically you have to say you are closed to all new patients but continue to care for the established ones. You can get in trouble with the insurance if you say you are only closed to new patients with XYZ insurance but will take people with other type of insurance. You can let the insurance know that you want to change your status to not taking new patients. Not taking new patients from one insurance. Hi, When I started last year, I contracted with most PPO insurances of the area, knowing one of them, Anthem Blue Cross pays much lower than others, even lower than Medicare. Now my practice is almost full, I am thinking about not taking any more new Anthem BC patients any more. I would like to keep the patients established, mainly for patients' convenience, etc. Does anyone know if it is possible not to take new patients from one insurance but to continue to provide care to the established? I would contact the payer later, want to know others experience. Thank you. Wen

[Guest guest]

The only problem with officially closing is then you can’t change your mind easily. Kathy Saradarian, MDNJ From: [mailto: ] On Behalf Of Wen LiangSent: Wednesday, August 29, 2012 3:50 PMTo: Subject: Not taking new patients from one insurance. Hi, When I started last year, I contracted with most PPO insurances of the area, knowing one of them, Anthem Blue Cross pays much lower than others, even lower than Medicare. Now my practice is almost full, I am thinking about not taking any more new Anthem BC patients any more. I would like to keep the patients established, mainly for patients' convenience, etc. Does anyone know if it is possible not to take new patients from one insurance but to continue to provide care to the established? I would contact the payer later, want to know others experience. Thank you. Wen