Insurance contract questions

[Guest guest]

I posted a question last week and didn't get any responses, so I

thought it would help if I was a little more specific. I am starting a

PT practice and will shortly be beginning the credentialiing and

negotiation process...

1. Does anyone have any tactics/ideas to get in network with providers

if the network is temporarily closed?

2. Do you negotiate a per visit rate, or a per code rate? If so, do

you base it on CMS fees or your " cost per visit " ?

3. What information should I have on my end when it gets down to

negotiating - cost per visit, cost per procedure, other?

4. Are there any questions I should be asking regarding the claims

process with them, like filing and payment issues?

I know it's alot, but I'd love to hear any and all thoughts.

THanks! I've really enjoyed this site...I'm glad I was introduced to

it.

Dan Lorenz

Overland Park, KS